SlideShare une entreprise Scribd logo
1  sur  49
LECTURE  3 Acute appendicitis National O. Bogomolets  Medical University  Faculty Surgery Department N1 Kyiv 2007 Prof. Kucher M.
Appendicitis is an inflammation of the appendix ,[object Object],[object Object]
Historical aspects ,[object Object],[object Object],[object Object],[object Object]
Etiology  remains unclear;  viral infection is suggested to be an etiological agent  (concurrent viral illness & seasonal variation in the incidence) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis  (cont.) ,[object Object],[object Object]
Pathogenesis  (cont.) ,[object Object]
Classification (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification (3) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification (4) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Problem: ,[object Object],[object Object],[object Object]
[object Object],[object Object]
typical presentations ,[object Object],[object Object],[object Object],[object Object]
typical presentations ,[object Object]
typical presentations ,[object Object],[object Object],[object Object],[object Object],[object Object]
When the abdominal signs are vague: ,[object Object],[object Object]
DIFFERENTIAL DIAGNOSIS  OF ACUTE APPENDICITIS   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIFFERENTIAL DIAGNOSIS  OF ACUTE APPENDICITIS  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
DIFFERENTIAL DIAGNOSIS  OF ACUTE APPENDICITIS  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WORKUP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lab Studies (cont) : ,[object Object],[object Object],[object Object],[object Object]
Lab Studies (cont) : ,[object Object]
Lab Studies (cont) : ,[object Object],[object Object]
Imaging Studies ,[object Object],[object Object],[object Object],[object Object]
Imaging Studies ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object]
Imaging Studies ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Diagnostic procedure ,[object Object]
Medical therapy: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical therapy: ,[object Object],[object Object],[object Object]
Acute appendicitis in young children ,[object Object],[object Object]
Acute appendicitis in elderly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute appendicitis during pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute appendicitis in HIV infection ,[object Object],[object Object]
CONTROVERSIES  ,[object Object],[object Object]
CONTROVERSIES ,[object Object]

Contenu connexe

Tendances (20)

Abdominal mass
Abdominal massAbdominal mass
Abdominal mass
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Appendicitis
AppendicitisAppendicitis
Appendicitis
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Acute abdomen
Acute abdomenAcute abdomen
Acute abdomen
 
Pancreatic pseudocyst
Pancreatic pseudocystPancreatic pseudocyst
Pancreatic pseudocyst
 
Pancreatic Carcinoma
Pancreatic CarcinomaPancreatic Carcinoma
Pancreatic Carcinoma
 
Gastric outlet obstruction
Gastric outlet obstruction Gastric outlet obstruction
Gastric outlet obstruction
 
Perforated peptic ulcer by Dr.K.AmrithaAnilkumar
Perforated peptic ulcer by Dr.K.AmrithaAnilkumarPerforated peptic ulcer by Dr.K.AmrithaAnilkumar
Perforated peptic ulcer by Dr.K.AmrithaAnilkumar
 
Pyomyositis
PyomyositisPyomyositis
Pyomyositis
 
Obstructive jaundice
Obstructive jaundiceObstructive jaundice
Obstructive jaundice
 
Abdiminal tuberculosis
Abdiminal tuberculosisAbdiminal tuberculosis
Abdiminal tuberculosis
 
Carcinoma rectum (Rectal Cancer)
Carcinoma rectum (Rectal Cancer)Carcinoma rectum (Rectal Cancer)
Carcinoma rectum (Rectal Cancer)
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Perforated peptic ulcers
Perforated peptic ulcersPerforated peptic ulcers
Perforated peptic ulcers
 
Abdominal Tuberculosis
Abdominal TuberculosisAbdominal Tuberculosis
Abdominal Tuberculosis
 
Hydrocele
HydroceleHydrocele
Hydrocele
 
Appendix Pp For Online
Appendix Pp For OnlineAppendix Pp For Online
Appendix Pp For Online
 
Liver hemangiona
Liver hemangionaLiver hemangiona
Liver hemangiona
 

En vedette

Appendicitis and tumors of appendix mbbs
Appendicitis and tumors of appendix mbbsAppendicitis and tumors of appendix mbbs
Appendicitis and tumors of appendix mbbssantusan
 
Short-term outcome of Laparoscopic Appendicectomy and Open Appendicectomy in...
Short-term outcome of  Laparoscopic Appendicectomy and Open Appendicectomy in...Short-term outcome of  Laparoscopic Appendicectomy and Open Appendicectomy in...
Short-term outcome of Laparoscopic Appendicectomy and Open Appendicectomy in...Dr.Masfique Bhuiyan
 
Appendicitis- a simplistic view for GPs
Appendicitis- a simplistic view for GPsAppendicitis- a simplistic view for GPs
Appendicitis- a simplistic view for GPsNikhil Nanjappa
 
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, PatnaAppendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, PatnaAnil Kumar
 
Appendicitis
AppendicitisAppendicitis
AppendicitisDeep Deep
 
A P P E N D I C I T I S
A P P E N D I C I T I SA P P E N D I C I T I S
A P P E N D I C I T I SKulwant Singh
 

En vedette (18)

Appendicitis and tumors of appendix mbbs
Appendicitis and tumors of appendix mbbsAppendicitis and tumors of appendix mbbs
Appendicitis and tumors of appendix mbbs
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
L acute appendicitis
L acute appendicitisL acute appendicitis
L acute appendicitis
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Short-term outcome of Laparoscopic Appendicectomy and Open Appendicectomy in...
Short-term outcome of  Laparoscopic Appendicectomy and Open Appendicectomy in...Short-term outcome of  Laparoscopic Appendicectomy and Open Appendicectomy in...
Short-term outcome of Laparoscopic Appendicectomy and Open Appendicectomy in...
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Appendicitis- a simplistic view for GPs
Appendicitis- a simplistic view for GPsAppendicitis- a simplistic view for GPs
Appendicitis- a simplistic view for GPs
 
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, PatnaAppendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
 
Appendix
AppendixAppendix
Appendix
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Appendicitis
AppendicitisAppendicitis
Appendicitis
 
Acute Appendicitis
Acute AppendicitisAcute Appendicitis
Acute Appendicitis
 
Rif mass
Rif massRif mass
Rif mass
 
Acute Appendicitis
Acute AppendicitisAcute Appendicitis
Acute Appendicitis
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Anatomy of appendix
Anatomy of appendixAnatomy of appendix
Anatomy of appendix
 
Imaging in Appendicitis
Imaging in AppendicitisImaging in Appendicitis
Imaging in Appendicitis
 
A P P E N D I C I T I S
A P P E N D I C I T I SA P P E N D I C I T I S
A P P E N D I C I T I S
 

Similaire à Acute Appendicitis Diagnosis and Treatment

Chapter 26 Appendix
Chapter 26 AppendixChapter 26 Appendix
Chapter 26 Appendixhuang.shuo
 
appendicitis_compress.pdf
appendicitis_compress.pdfappendicitis_compress.pdf
appendicitis_compress.pdfRolakThapa
 
Renal Tuberculosis - Kidney and tubercular manifestations
Renal Tuberculosis - Kidney and tubercular manifestationsRenal Tuberculosis - Kidney and tubercular manifestations
Renal Tuberculosis - Kidney and tubercular manifestationsChetan Ganteppanavar
 
Acute appendicitis __
Acute appendicitis __Acute appendicitis __
Acute appendicitis __MpPm4
 
Necrotizing Enterocolitis
Necrotizing EnterocolitisNecrotizing Enterocolitis
Necrotizing EnterocolitisMohammed Fawzy
 
Kastenberg 2013 clinics-in-perinatology
Kastenberg 2013 clinics-in-perinatologyKastenberg 2013 clinics-in-perinatology
Kastenberg 2013 clinics-in-perinatologyMOHAMMAD QUAYYUM
 
Neonatal Necrotizing Enterocolitis
Neonatal Necrotizing EnterocolitisNeonatal Necrotizing Enterocolitis
Neonatal Necrotizing Enterocolitissumona keya
 
Neonatal Necrotizing Enterocolitis
Neonatal Necrotizing EnterocolitisNeonatal Necrotizing Enterocolitis
Neonatal Necrotizing Enterocolitissumona keya
 
PERITONITIS pdf for healthcare medical students
PERITONITIS pdf for healthcare medical studentsPERITONITIS pdf for healthcare medical students
PERITONITIS pdf for healthcare medical studentszahraa934924
 
Acute.pdf
Acute.pdfAcute.pdf
Acute.pdfHays12
 
ACUTE APPENDICITIS.pdf
ACUTE APPENDICITIS.pdfACUTE APPENDICITIS.pdf
ACUTE APPENDICITIS.pdfShapi. MD
 
Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8Dr. Rubz
 
Gastrointestinal Problems In Children
Gastrointestinal Problems In ChildrenGastrointestinal Problems In Children
Gastrointestinal Problems In ChildrenDJ CrissCross
 
10 .1 acute abdome wodaje
10 .1 acute abdome wodaje10 .1 acute abdome wodaje
10 .1 acute abdome wodajeEngidaw Ambelu
 
Role of imaging in urosepsis
Role of  imaging in urosepsisRole of  imaging in urosepsis
Role of imaging in urosepsisAhmed Bahnassy
 

Similaire à Acute Appendicitis Diagnosis and Treatment (20)

Chapter 26 Appendix
Chapter 26 AppendixChapter 26 Appendix
Chapter 26 Appendix
 
appendicitis_compress.pdf
appendicitis_compress.pdfappendicitis_compress.pdf
appendicitis_compress.pdf
 
Apendicitis 2
Apendicitis 2Apendicitis 2
Apendicitis 2
 
Intestinal obstruction
Intestinal obstructionIntestinal obstruction
Intestinal obstruction
 
Appendicitis
AppendicitisAppendicitis
Appendicitis
 
Renal Tuberculosis - Kidney and tubercular manifestations
Renal Tuberculosis - Kidney and tubercular manifestationsRenal Tuberculosis - Kidney and tubercular manifestations
Renal Tuberculosis - Kidney and tubercular manifestations
 
Acute appendicitis __
Acute appendicitis __Acute appendicitis __
Acute appendicitis __
 
Necrotizing Enterocolitis
Necrotizing EnterocolitisNecrotizing Enterocolitis
Necrotizing Enterocolitis
 
Kastenberg 2013 clinics-in-perinatology
Kastenberg 2013 clinics-in-perinatologyKastenberg 2013 clinics-in-perinatology
Kastenberg 2013 clinics-in-perinatology
 
Neonatal Necrotizing Enterocolitis
Neonatal Necrotizing EnterocolitisNeonatal Necrotizing Enterocolitis
Neonatal Necrotizing Enterocolitis
 
Neonatal Necrotizing Enterocolitis
Neonatal Necrotizing EnterocolitisNeonatal Necrotizing Enterocolitis
Neonatal Necrotizing Enterocolitis
 
PERITONITIS pdf for healthcare medical students
PERITONITIS pdf for healthcare medical studentsPERITONITIS pdf for healthcare medical students
PERITONITIS pdf for healthcare medical students
 
appendix7.pptx
appendix7.pptxappendix7.pptx
appendix7.pptx
 
Acute.pdf
Acute.pdfAcute.pdf
Acute.pdf
 
ACUTE APPENDICITIS.pdf
ACUTE APPENDICITIS.pdfACUTE APPENDICITIS.pdf
ACUTE APPENDICITIS.pdf
 
Pep ulcer
Pep ulcerPep ulcer
Pep ulcer
 
Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8
 
Gastrointestinal Problems In Children
Gastrointestinal Problems In ChildrenGastrointestinal Problems In Children
Gastrointestinal Problems In Children
 
10 .1 acute abdome wodaje
10 .1 acute abdome wodaje10 .1 acute abdome wodaje
10 .1 acute abdome wodaje
 
Role of imaging in urosepsis
Role of  imaging in urosepsisRole of  imaging in urosepsis
Role of imaging in urosepsis
 

Plus de Dr. Rubz

HIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr RubzHIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr RubzDr. Rubz
 
HIV/AIDS data Hub Asia Pacific -Malaysia 2014
HIV/AIDS data Hub Asia Pacific -Malaysia  2014HIV/AIDS data Hub Asia Pacific -Malaysia  2014
HIV/AIDS data Hub Asia Pacific -Malaysia 2014Dr. Rubz
 
Regional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve KrausRegional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve KrausDr. Rubz
 
Game Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari NgadimanGame Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari NgadimanDr. Rubz
 
Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)Dr. Rubz
 
Ulc auction final
Ulc auction finalUlc auction final
Ulc auction finalDr. Rubz
 
Testicular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr RubzTesticular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr RubzDr. Rubz
 
Prostate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZProstate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZDr. Rubz
 
Breast Cancer for public awareness by Dr Rubz
Breast Cancer for public awareness by Dr  RubzBreast Cancer for public awareness by Dr  Rubz
Breast Cancer for public awareness by Dr RubzDr. Rubz
 
Sex work presentation 9.18.13a
Sex work presentation 9.18.13aSex work presentation 9.18.13a
Sex work presentation 9.18.13aDr. Rubz
 
Rapid interpretation of ECG
Rapid interpretation of ECGRapid interpretation of ECG
Rapid interpretation of ECGDr. Rubz
 
Hernia by Dr. Rubzzz
Hernia by Dr. RubzzzHernia by Dr. Rubzzz
Hernia by Dr. RubzzzDr. Rubz
 
Benign breast disease by Dr. Kong
Benign breast disease by Dr. KongBenign breast disease by Dr. Kong
Benign breast disease by Dr. KongDr. Rubz
 
Breast CA by Dr. Celine Tey
Breast CA by Dr. Celine TeyBreast CA by Dr. Celine Tey
Breast CA by Dr. Celine TeyDr. Rubz
 
Other scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. TeoOther scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. TeoDr. Rubz
 
Ventral hernia by Dr Teo
Ventral hernia by Dr TeoVentral hernia by Dr Teo
Ventral hernia by Dr TeoDr. Rubz
 
Testicular torsion by Dr Teo
Testicular torsion by Dr TeoTesticular torsion by Dr Teo
Testicular torsion by Dr TeoDr. Rubz
 
Uk malaria treatment guideline
Uk malaria treatment guidelineUk malaria treatment guideline
Uk malaria treatment guidelineDr. Rubz
 
Tuberculosis summary
Tuberculosis summaryTuberculosis summary
Tuberculosis summaryDr. Rubz
 
Shock summary
Shock summaryShock summary
Shock summaryDr. Rubz
 

Plus de Dr. Rubz (20)

HIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr RubzHIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr Rubz
 
HIV/AIDS data Hub Asia Pacific -Malaysia 2014
HIV/AIDS data Hub Asia Pacific -Malaysia  2014HIV/AIDS data Hub Asia Pacific -Malaysia  2014
HIV/AIDS data Hub Asia Pacific -Malaysia 2014
 
Regional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve KrausRegional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve Kraus
 
Game Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari NgadimanGame Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari Ngadiman
 
Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)
 
Ulc auction final
Ulc auction finalUlc auction final
Ulc auction final
 
Testicular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr RubzTesticular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr Rubz
 
Prostate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZProstate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZ
 
Breast Cancer for public awareness by Dr Rubz
Breast Cancer for public awareness by Dr  RubzBreast Cancer for public awareness by Dr  Rubz
Breast Cancer for public awareness by Dr Rubz
 
Sex work presentation 9.18.13a
Sex work presentation 9.18.13aSex work presentation 9.18.13a
Sex work presentation 9.18.13a
 
Rapid interpretation of ECG
Rapid interpretation of ECGRapid interpretation of ECG
Rapid interpretation of ECG
 
Hernia by Dr. Rubzzz
Hernia by Dr. RubzzzHernia by Dr. Rubzzz
Hernia by Dr. Rubzzz
 
Benign breast disease by Dr. Kong
Benign breast disease by Dr. KongBenign breast disease by Dr. Kong
Benign breast disease by Dr. Kong
 
Breast CA by Dr. Celine Tey
Breast CA by Dr. Celine TeyBreast CA by Dr. Celine Tey
Breast CA by Dr. Celine Tey
 
Other scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. TeoOther scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. Teo
 
Ventral hernia by Dr Teo
Ventral hernia by Dr TeoVentral hernia by Dr Teo
Ventral hernia by Dr Teo
 
Testicular torsion by Dr Teo
Testicular torsion by Dr TeoTesticular torsion by Dr Teo
Testicular torsion by Dr Teo
 
Uk malaria treatment guideline
Uk malaria treatment guidelineUk malaria treatment guideline
Uk malaria treatment guideline
 
Tuberculosis summary
Tuberculosis summaryTuberculosis summary
Tuberculosis summary
 
Shock summary
Shock summaryShock summary
Shock summary
 

Dernier

Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 

Dernier (20)

Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 

Acute Appendicitis Diagnosis and Treatment

  • 1. LECTURE 3 Acute appendicitis National O. Bogomolets Medical University Faculty Surgery Department N1 Kyiv 2007 Prof. Kucher M.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.