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14 Cards in this Set

  • Front
  • Back
Incidence
7%
Age
Peaks in teens, but any age
Sex Ratio
1.4M:F
Geography Distribution
?link to low dietary fibre cultures
Pathology
Obstruction of appendiceal lumen
Classical Symptoms
migratory pain from periumbilical to the RLQ

(this sign has 80% sensitivity/specificity)
General Signs
Rebound tenderness
Painful percussion
Rigidity
Guarding
Pain over McBurney's point (2inches left of right ASIC)
Named Signs
PRO

Psoas
Rovsig's
Obturator
Psoas Sign is
RLQ pain on hyperextension of the R hip
Rovsig's Sign is
RLQ pain on palpation of the LLQ
Obturator Sign is
RLQ pain on internal rotation of a flexed R hip
Investigations
Bloods: FBC (WCC, Neutrophilia); CRP (6-12hrs after); LFTs, U&Es, G&S, XMatch (Preop)
Urine: excludes other pain causes
Management
IV access, fluids (vomiting, preop)
NBM
Analgesia
Preop Cef and Met
Prognosis
Excellent