Bohomolets Surgery 4th year Lecture #3

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]

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]

Bohomolets Surgery 4th year Lecture #3

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Bohomolets Surgery 4th year Lecture #3