7.5 Appendicitis & appendectomy

Question 1

ischemic and necrotic

Answer 1

缺血 壞死

Question 2

Fecalith

Answer 2

闌尾糞石

Question 3

Rovsing sign

Answer 3

Palpating left lower quadrant then right lower quadrant pain

Question 4

Psoas sign

Answer 4

Place hand above right knee and ask pt to raise leg against resistance of your hand. Pain

Question 5

T+
R+
G+

Answer 5

Tenderness
Rebound tenderness
muscle Guarding

Question 6

Conservative non-surgical approach:
IV antibiotics for GI infection

Answer 6

Cefuroxime
Metronidazole

Question 7

pelvic abscess

Answer 7

骨盆腔膿瘍

Question 8

ileus

Answer 8

腸阻塞

Question 9

Pre-operative:
Why no laxative
Enema/hot pack over RLQ region

Answer 9

Increase bowel mobility then rupture of appendix

Question 10

Pain over what location

Answer 10

Mcburney’s point

Question 11

Advantage of laparoscopic

Answer 11

-Quick recovery
-lower rate of infection
-less pain

Question 12

Advantage of open surgery

Answer 12

-lower rate of intra-abdominal abscess
-shorter operating time