Appendicitis
- Fecalith leading to obstruction and infection
- Most commonly affects teenagers
- Initial peri-umbilical visceral pain
- Subsequent somatic right lower quadrant pain
- Rebound tenderness
- Positive psoas sign
- Pain at McBurney's point
- Leukocytosis
- Fever
- Appendectomy
Acute Appendicitis Treatment
- CT Scan
- Immediate Appendectomy
- NPO
- IV Fluids
- Antibiotics
- Tertiary Intention
- Antibiotics Until Afebrile
Celiac Disease Characteristics
- European Descent
- HLA-DQ2
- HLA-DQ8
- Autoimmune-mediated Intolerance of Gliadin
- Dermatitis Herpetiformis
- Weight Loss
- Failure to Thrive
- Decreased Bone Density
- Steatorrhea
- Anemia
Celiac Disease Diagnosis and Treatment
- Blunting of Intestinal Villi
- Lymphocytes in Lamina Propria
- Anti-gliadin Antibodies (IgA)
- Anti-endomysial Antibodies (IgA)
- Anti-tissue Transglutaminase Antibodies (IgA)
- Gluten-Free Diet
- Corticosteroids
- Dapsone
- Intestinal Lymphoma
Intussusception
- Telescoping of Bowel Segments
- Lead Point
- Episodic Abdominal Pain
- Diarrhea
- Sausage-Shaped Mass
- Red Currant Jelly Stools
- Ultrasound/CT
- Target Sign
- More Common in Children
- Rotavirus Vaccine Contraindicated
- Air or Hydrostatic Enema
- Surgical Reduction
Intestinal Obstruction
- Severe Abdominal Pain
- Vomiting
- High Pitched Bowel Sounds
- Abdominal Distention
- Increased Peristalsis
- Absent Bowel Sounds
- Paralytic Ileus
Types of Intestinal Obstruction
- Adhesions
- Hernia
- Volvulus
- Intussusception
- Tumor
- Mesenteric Artery Occlusion
- Spinal Injury
- Paralytic Ileus