Appendicitis in Hindi- cause, sign, symptoms, investigation, treatment ||Learn with Dr. Shipra||
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- เผยแพร่เมื่อ 11 ก.ย. 2024
- appendix ka dard appendix ki sujan Inflammation of appendix #appendix #lntestine #Appendicitis Appendicitis cause, appendix pain symptoms, appendicitis sign, appendix pain, appendicitis treatment, appendicitis diagnosis
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Position of Appendix-
It's a thin tube about four inches long. Shape of appendix- Vermiform shape
Normally, the appendix sits in the lower right abdomen (Rt. Iliac region).
Most common- Retrocecal
2nd most common- Pelvic
Appendicitis is an inflammation of the appendix.
It is a finger-shaped pouch that projects from your colon on the lower right side of your abdomen.
Appendicitis causes pain in your lower right abdomen.
Etiology
More common in young man, white races, less fiber diet.
Family history
Obstruction of the appendiceal lumen typically by lymphoid hyperplasia but occasionally by a fecalith, foreign body, or even worms.
The obstruction leads to distention, bacterial overgrowth (appendix to become inflamed, swollen and filled with pus), ischemia & rupture.
Signs and symptoms of appendicitis- (PVT-murphys triad)
Sudden pain that begins around umbilicus (due to distension of appendix) and after few hour shifts to right iliac fossa.
Pain that worsens if you cough, walk or make other movements
Nausea and vomiting
Loss of appetite
Low-grade fever that may worsen as the illness progresses
Urinary frequency
Constipation or diarrhea( if appendix is in postileal or pelvic position)
Important signs in appendicitis-
Hyperaesthesia in Sherrens triangle
Rovsing sign-pain elicited in the right lower quadrant with palpation pressure in the left lower quadrant
Psoas sign RLQ pain with extension of the right hip or with flexion of the right hip against resistance.
Baldwing test- Retrocecal appendicitis, pressure is applied in the right lower quadrant. lift the right leg with the knee straight. drop the leg.
Type of appendicitis-
The two types of appendicitis depending on the onset, which are:
Acute Appendicitis - It develops very fast within a few days to hours, and requires prompt medical treatment or surgery.
Chronic Appendicitis - rare condition.
Diagnosis-
Physical exam to assess your pain- apply gentle pressure on the painful area. When the pressure is suddenly released, appendicitis pain will often feel worse.
Blood test- high white blood cell (leucocyte) count.
Urine test- urinary tract infection or a kidney stone
Imaging tests-
Abdominal X-ray ( Plain or barium enema )
Abdominal ultrasound
CT scan
magnetic resonance imaging (MRI)
Treatment-
Conservative treatment-
A- Anti-anxiety (benzodiazepine , alprazolam , diazepam)
Anti-biotics( metronidazole , ciprofloxacin)
B- beta- adrenergic (atenolol , propranolol) for decrease BP
C- Carbonic anhydrase inhibitor (acetazolamide)
D- Diuretics (furosemide)
E- Anti-emetic (dexamethasone)
Surgical management-
Open appendectomy- mc-burneys incision
Laparoscopic appendectomy
Note-
Difficult cases- Retrograde appendicectomy can be done.
In presence of pus or burst appendix, peritoneal cavity is drained.
Appendicular tumour may be found.
If it is in the tip, appendicectomy is sufficient.
If it is in the base right hemicolectomy is done
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You are awesome mam in the way of teaching
Thanks ma'am, very knowledgeable lectures 🎉🎉🎉
Masha Allah very very nice explanation ... Very helpful for students
Thnkx dr arshiya….
thank you so much ma'am 💞
Thankyou very much
Very nice mam easy way of explanation
Make more vedio . It's very helpful and easy language tysm 😘
Very very nice lecture mam thank you mam
Thank you
Orr videos bhi bnaoo ma’am..bht aacha explain krte ho aap
Thankyou
outstanding ❤
Thank you 👍
Bhot accha explain Kiya h ma'am but right hip pr b pain hota h ky
Thanks nice class😊
easy to understand lecture💫
Very informative lectures Please upload more videos on kidney ureter bladder urethra
Sure
Thankx maam😘
We need explanation of all diseases ... Make more videos mam...
Ya sure… I tried my best
Mild altered echogenicity of peritoneal fat with probe induced mild tenderness in right illiac fossa........ Sir iska matlab kya hota hai reply kijiye sir please🙏🙏🙏
Very nice ma'am
very nice lactur mam ❤
Very well explained 😊
Wonder full
Ma'am appendix ka koi attack' nehi aya , alag bimari k waza se USG karne par appendix 4.5mm size nikla ,, keya antibiotic se thik ho sakta hai
Thank u mam..🥰
very very nice lecture mam😇😇
Nicely explained maam make more videos of surgery your way of teaching is superb 👍🏽
Thnkx @kuldeep
बहुत ही अच्छा समझती है आप, और बेहतर होता अगर थोड़ा सा स्लो बताती आप
Playback speed kam kr lo
🎉
Excellent
Nyc mam.make a video on ibs.detailed .causes of oily fatty and sticky stools...and video on im injection and i v injection..
Ok
Mam mera 4. 6y old daughter ka appendix he jo blast kar gaya ajj 2Din huya OT huya ha uska ka agga koye problum ha kya.
Malabsorption syndrome ka video nhi mam
Nice explanation
Mam ? Appendicitis can pain in right backside, my appendicitis size is 3.9mm.
Mam Hemorrhoids ( piles) per vedio upload kariye
Nice
Mam mera appendix ka operation hua 4 tanko ka m 1 month pahle us jagha par chamak bhut he marti h or khichao pan sa bhi hota h bhut plz reply
Send ur complete history on my instagram id- learn_with_dr_shipra
Ma'am ji kal raat ko mujhe little pain feel hua tha fir jab me bed per kervat le raha tha toh pain feel hua tha.
Mene pain ignore kerke so gaya .
Aaj morning me mujhe bhot hi minor feel ho raha hai .
What to do now please reply 🥲🙏
Send complete detail on Instagram - learn_with_dr_shipra
Mam mujhe ek mahine pehle appendix ka pain hua tha or infection bhot thi isliye one week mujhe dr ne Anti-bactic per rkha but Abbi tkk operation nhi kiya hai app mujhe koi advised de skte ho
Bhai apne operation krwaya ya nhi please tell me . I have same problem.
@@zigzag2008bhai apne kraya ya nhi filhal meri same condition hai plzz reply
Very nice content plz make a video on pancreatitis
As soon as possible
Mai Mera right lower mai Kabi Kabi pain hota hai Wo v lightly ... Jab mai baata k utti hu tab.. Or koi vomiting nhi hota or temperature v high nhi hai... So, mam kya muja appendix hai? Ya fir kuch or hai?
Same problem ab thik hua apka?
Tq mama
Couse me white races q hoga kaise hoga plzz tell me
Murphy triad is pain , vomiting and fever is there
atelectasis and meningitis note same video chaiye maam
Ok saurav
Mujhe right side me halka halka dard hota hai jab kaam karu ho aur halka press karnepar achha pheel hota hai jaada dabane par halka dard hota kya karna chahiye
Apko apne pas ke kisi dr ko dikhana chahiye… first proper diagnosis krvana chahiye ki kya problem h kyu ho rha h drd.
Ma'am mujhe 6mm diameter appendix hai .,mem isme surgry ki rajurat hai ??plzz rply
Pain vomiting fever ese koi symptoms h kya
👌
👌🏻👌🏻👌🏻👌🏻
Mam please elaborate the surgery part also ?
Ok i will
Why pathophysiology is not explained
We will discus in separate video …
❤
Mam I have subacute appendicitis, then what I should to do
Send yr report to my instagram id
🔥
Thanks ma'am 🙏🙏
Most welcome 😊
❤❤❤❤❤
Mam notes chaheye
ILEUM: Mucosal pattern normal. No filling defect seen.
CAECUM: Caccum is normal. No filling defect seen.
APPENDIX: Appendix shows filling defects.
IMPRESSION
Pathological appendix.
To be correlated clinically.
Does it occur in periods?...
Mam actually I have periods and on my right side it pain more and my back is also paining on rightside .. plz answer me as possible as early ... Plz mam
Dexamethasone anti-emetic drug hai???
Dexamethasone with ondansetron act as antiemetic drug
Ma'am mere apendix 3 saal pehle hua tha pr pain khatam hune ke baad mera operation nhi hua but ab dard huta hai chlane me ya kuch kaam karne me right side me kia mujhe operation karwana chahiye?
Vaps diagnosis krvao proper
@@learnwithdrshipra okay ma'am
Bhai apne operation krwaya ya nhi . I have same problem .
Aapka appendix kitna aaya tha plz reply mere bhi jyda dard nhi h 6 month s right side m dard rhta tha appendix jesa nhi hua dard fir abi 1 month pehle sonography krwai usme appendix aaya 34*29 abi homeopathy treatment chl rha h abi koi dard nhi h
❤️❤️❤️❤️😀😀😀😀
mem.mene aapko insta id.pr apni repot beji he. plz batavo kya pro he.
K
Hello mam I have pain in right side middle and lower abdomen from 5 years. Everything is normal in abdominal ultrasound but appendix is not visible. Please tell me what i have to do to remove the pain.
Send ur ultrasound report
Mam report khan pr send kru koi email ya contact no. Bta do ya toh aap
Learn_with_dr_shipra instagram id
@@learnwithdrshipra ok mam
ओपीडी का नंबर क्या है
अपेंडिसाइटिस का इलाज केवल सर्जरी है , हमने बहुत दवा कराया , जब तक दवा चलती है , तब सूजन कम हो जाती है और आराम मिल जाता है जैसे ही दवा बंद करोगे कुछ दिन बाद फिर दर्द होने लगेगा , इस लिए किसी अच्छे सर्जन को मिल कर अपेंडिसाइटिस का ऑपरेशन ही करवा लें ।
Aapko kya dikkat thi? Aur kaise pata laga ki appendix ki problem hai?
@@tributes7406 पेट के दाहिने निचले हिस्से में दर्द , जहां पर नेकर की लास्टिक होती है , अल्ट्रासाउंड से पता चल सकता है ।
विडियो पद बैठककर बड़े-बड़े बार करते हैं डॉक्टरों एड्रेस तक नहीं बताया
Umesh sharma ji ap madhya pradesh me aa skte h
@@learnwithdrshipra काफी ज्यादा दूर है दिल्ली aa सकता था
Thanks 🙏
Mam mujhe ek mahine pehle appendix ka pain hua tha or infection bhot thi isliye one week mujhe dr ne Anti-bactic per rkha but Abbi tkk operation nhi kiya hai app mujhe koi advised de skte ho
Sheetal ap apni reports mujhe meri instagram id ap send kre
Learn_with_dr_shipra
Thank you