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Acute Appendicitis ,[object Object],[object Object]
Anatomy Rises from cecum 6 to 10 cm Vermiform Right lower quadrant Mesoappendix Appendicular A. & V. Many lymph follicles
Anatomy (various position) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology and Pathogenesis ,[object Object],Hypertrophy of lymphoid follicles Fecaliths Foreign bodies Inflammatory strictions Others Fever, tachycardia, and leukocytosis Vein Continuing secretion & Bacteria multiplication Intraluminal pressure increases Impairment of blood supply & endotoxins Pain Distention Artery Engorgement Mucosa damaging Bacterial invasion Serosa involved Ellipsoidal infarcts  Characteristic shift in pain to RLQ Perforation Abscess Generalized peritonitis Nausea & vomiting
[object Object],[object Object],[object Object],Clinical Diagnosis
Clinical Diagnosis very constant after the onset of pain ,[object Object],[object Object],[object Object],Variations Left lower quadrant  Long appendix Flank or back pain Retrocecal appendix Suprapubic pain Pelvic appendix Testicular pain Retroileal appendix Malrotation puzzling pain patterns ,[object Object],[object Object],[object Object],[object Object],[object Object],Generalized Lower epigastrium Umbilical area Right lower quadrant
Clinical Diagnosis ,[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]
Clinical Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Essentials of Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Principles of Treatments ,[object Object],[object Object],[object Object],[object Object]
Acute Appendicitis ,[object Object],[object Object],[object Object],[object Object]
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Appendicitis

  • 1.
  • 2. Anatomy Rises from cecum 6 to 10 cm Vermiform Right lower quadrant Mesoappendix Appendicular A. & V. Many lymph follicles
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Editor's Notes

  1. Acute appendicitis is the most common acute surgical condition of the abdomen. So all physicians should have a thorough knowledge of appendicitis, including the anatomy, pathophysiology, clinical manifestation, diagnosis and the principles of treatments. In this class we will focus our attention on the pathophysiology and clinical diagnosis of the acute appendicitis.