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40 Cards in this Set

  • Front
  • Back

Leonardo da vinci

Anatomic drawings not published

Andreas vasalius

Anatomic drawings published

Jean fernel

Describe appendiceal disease

Lorenz heister

Describe classic appendicitis

Claudius amyand

First surgeon to describe successful appendectomy

Reginald fitz

Coined the word appendicitis

Abraham groves

First appendectomy in North america

Kurt semm

First laparascopic appendectomy

Blood flow to appendix

Superior mesenteric to ileocolic to appendiceal

Nerve supply of appendix

T10-L1 and vagus nerve

Embrology time development of vermiform appendix

5 months

Ave length of appendix

6-9 cm

Max length of appendix

>30 cm

Internal diameter of appendix

1-3 mm

Most common cause of appendicitis

Luminal obstruction

Classical presentation of appendicitis

Pain first before nausea and vomiting

Omentum

Abdominal policeman

Rovsing

Pain in right lower quadrant after release of gentle pressure on left lower quadrant

Obturator sign

Pain with internal rotation of the hip

Iliopsoas sign

Pain with flexion of the hip

Dunphy sign

Pain with coughing

Treatment for appendicitis

Apendectomy

Alternative treatment for appendicitis

Laparoscopic appendectomy

Antibiotic for uncomplicated appendicitis

Cefoxitin

Alternative antibiotic for uncomplicated appendicitis

Ampicillin sulbactam

Antibiotic for uncomplicated appendicitis with allergy to beta lactam

Gentamycin and clindamycin

Antibiotic for complicated appendicitis

Ertapenem or tazobactam piperacillin

Antibiotic for complicated appendicitis but with allergy to beta lactam

Ciprofloxacin and metronidazole

Antibiotic for pediatric complicated appendicitis

Ticarcillin clavulanic acid or imipenem cilastatin

Pediatric complicated appendicitis allergic to beta lactam

Gentamycin and clindamycin

Carcinoid tumor tx less than 1 cm

Appendectomy

Carcinoid tumor tx more than 2 cm

Right hemicolectomy

Carcinoid tumor 1-2 cm tx

Right colectomy

Tx for goblet cell carcinoma

Right hemicolectomy

Appendiceal tumor with the worst prognosis

Goblet cell carcinoma

Difficult to diagnose preop

Lymphoma

Tx for lymphoma

Appendectomy

Tx for adenocarcinoma

Formal right hemicolectomy

Peritoneal dissemination

Pseudomyxoma peritonei syndrome

Tx for pseudimyxoma peritonei syndome

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy