Date post: | 27-May-2015 |
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Health & Medicine |
Upload: | hussein-ali-ramadhan |
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appendictisDX mainly clinical*
US/CT
Appendicolith
Thick walled blind ending loop >6 mm
Appendix mass/abscess
Ischemic colitis
Acute ischemia rare
Hemorrhage & edema-thumbprint
Air In portal vein
Air In the wall of bowel
Chronic ischemia
Stricture
Between the splenic
flexure & sigmoid colon
Smooth
tapered
sacculation
Pneumatosis coli
DDx hemorrhage/edema
colitis
May cause silent
pneumoperitoneum
volvolus
Twisting of a loop on its mesentery
Sigmoid commonest-less in the cecum
DX usually by plain abdomenMarked dilatation of the loop; dilatation
proximally
BE DX smooth tapered narrowing non operative reduction
intussusceptions
Commonest ileo-colic Invagination of one loop into anotherUS: DX abdominal mass with hyperechoic
center
Early-no sign of peritonitis:
Pneumatic reduction- Enema with CO2/air
Barium enema for dx & reduction