تكره الجراحة والدورات؟ Fine✋?

ثريد بأهم النقاط العلمية التي تساعد في فهم السؤال ومن المفيد تذكرها قبل دخول اختبار SMLE ? (يفضل مراجعتها قبل دخول الاختبار بيوم ليومين)

✅ سيتم اضافة النقاط المهمة والأسئلة كل ما تذكرت وتلقيت الأسئلة من الزملاء والزميلات

✅ نبدأ على بركة الله??

Abdominal collections: (General Rules)

Percutaneous drainage if size > 4cm

IV AB if smaller

O.R if unstable

Multiple collections? Open VS lap lavage & leave a drain (don’t try to fix the primary pathology -appendix or diverticulitis, control sepsis, wash, put a drain and leave? https://t.co/jAN6IBwYre

In acute appendicitis diagnosis is made with US, you need CT here:

Older than 40 (debatable)

Symptoms > 72 hours

Morbidly obese

Recurrent atypical symptoms

——

Young male Alvarado/AIR score is high>> direct OR

Female US to assess for gyne problems.

Pediatrics>> US is the standard https://t.co/Lc85N793dP

Patients with appendicitis can come with Phlegmon (the process just before forming a mature abscess, where small bowel, omentum and appendix forms a mass)

Tx is IV AB , drain only if abscess,unstable or worrisome symptoms? Exploration (open for the exam)

Interval appendectomy??? https://t.co/2YB58x1Mh5

Interval appendectomy is only done on case by case basis, if symptoms persists and there’s a fecolith since the first presentation, it’s likely you’ll need to do surgery, usually 6-12 weeks after pts has improved, you need a new CT scan before it,colonoscopy for all those >40 y/o https://t.co/M7ajG6GZG7