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The presentation of acute appendicitis includes acute abdominal pain, nausea, vomiting, and fever. As the appendix becomes more swollen and inflamed, it begins to irritate the adjoining abdominal wall. This leads the pain to localize at the right lower quadrant. This classic migration of pain may not appear in children under three years.
Alvarado score. The Alvarado score is a clinical scoring system used in the diagnosis of appendicitis. [1] Alvarado scoring has largely been superseded as a clinical prediction tool by the Appendicitis Inflammatory Response score. [2][3][4] Also known by the mnemonic MANTRELS, the scale has 6 clinical items (3 signs and 3 symptoms) and 2 ...
Liver abscess on axial CT image: a hypodense lesion in the liver with peripherally enhancement. A liver abscess is a mass filled with pus inside the liver. [1] Common causes are abdominal conditions such as appendicitis or diverticulitis due to haematogenous spread through the portal vein. [2] It can also develop as a complication of a liver ...
Intra-abdominal infection. Intra-abdominal infection. Specialty. Gastroenterology. Intra-abdominal infection (IAI, also spelled intraabdominal) is a group of infections that occur within the abdominal cavity. They vary from appendicitis to fecal peritonitis. [1] Risk of death despite treatment is often high. [1]
Differential diagnosis. acute appendicitis. Markle's sign, or jar tenderness, is a clinical sign in which pain in the right lower quadrant of the abdomen is elicited by the heel-drop test (dropping to the heels, from standing on the toes, with a jarring landing). It is found in patients with localised peritonitis due to acute appendicitis. [1]
The cause for Valentino's syndrome is due to a perforated ulcer located in the duodenum. This occurs when ulcers that have gone untreated for long periods of time, and as a result has burned through the stomach wall. Risk factors for a perforated ulcers include bacterial infection, such as H. pylori, and routine use of nonsteroidal anti ...
Obturator sign. The obturator sign, also called Cope's obturator test, is an indicator of irritation to the obturator internus muscle. [1] The technique for detecting the obturator sign, called the obturator test, is carried out on each leg in succession. The patient lies on her/his back with the hip and knee both flexed at ninety degrees.
Epiploic appendagitis (EA) is an uncommon, benign, self-limiting inflammatory process of the epiploic appendices. Other, older terms for the process include appendicitis epiploica and appendagitis, but these terms are used less now in order to avoid confusion with acute appendicitis. Epiploic appendices are small, fat-filled sacs or finger-like ...