Peri-Appendicular Phlegmon | Introduction скачать в хорошем качестве

Peri-Appendicular Phlegmon | Introduction

The term Appendicular Mass or Appendicular lump is a term coined when there is a mass developed around the appendix. It can be seen as a palpable mass and termed a phlegmon appendix. This is where the term “Peri-appendicular Phlegmon “comes from. ▬ 📌 Peri-Appendicular Phlegmon Peri appendicular phlegmon or appendicular phlegmon can be termed as a major complication of appendicitis. So, the question arises, what happens in peri-appendicular phlegmosis? Once appendicitis occurs, it can cause the greater omentum and loops of the small bowel to become adherent to the inflamed (or perforated) appendix. This happens to wall off the peritoneal contamination but as a result, a phlegmonous mass starts to develop around it that we later coin as peri appendiceal mass or peri appendiceal abscess. The pain of the Appendicular mass develops from the umbilical region and starts to spread towards the right iliac fossa. The patient might be coming to you with the complaint of pain as a major sign and a sense of nausea followed by anorexia. ▬ 📌 Appendicular Phlegmon Radiology As the clinical symptoms are very much related to appendicitis, both are often confused. To clarify this appendicular mass ultrasound might come in handy. As the mass would be observed under a radiological examination, this will help distinguish the conditions. ▬ 📌 Differential Diagnosis of Appendicular Mass We have listed down the appendicular mass differentials for you to understand the diagnosis a little better. Naturally, the palpation of a mass can always be worrying. We would not usually expect to find a mass on palpation with appendicitis, so that is not on our list. So, keep the differentials of Appendicular Mass in your mind, using a very cool mnemonic: “TIC-TAC-TOe” 👉 T For Ileocecal Tuberculosis 👉 I for Iliac Lymphadenitis 👉 C for Carcinoma of Cecum 👉 T for Twisted Ovarian Cyst 👉 A for Actinomycosis 👉 C for Crohn’s Disease 👉 T for Twisted Ovarian Cyst 👉 O Ovarian Carcinoma We have detailed the underlying reasons for these differentials in the video. ▬ 📌 Appendicular Mass Treatment Regimen Appendicular lump treatment includes the most used approach called the “Ochsner Sherren regimen”. We have also summarized all these in an incredibly fun mnemonic. Watch the video to better understand the Ochsner Sherren treatment regimen. It states the following strategies: 🔹Recording general condition 🔹Pulse check after 4 hours 🔹Temperature check after 4 hours 🔹Maintain IV Fluids 🔹Give Antibiotic Therapy 🔹Measure the size of the mass 🔹Contrast-enhanced CT is performed That was all about Appendicular mass. However, learning is not over yet! ▬ 🎬 5500+ sqadia.com Medical Videos ▬▬▬▬▬▬▬▬▬▬ 👩🏻‍⚕️ Accessible Medical Student Education 24/7/365 💡 Simplifying Medical Learning 💪 Study Hard, Dream Big, Achieve More