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Kaplan Qbank USMLE



Author18 Posts
  #1

which of the following histologic finding will establish the diagnosis of acute appendicitis

a)follicular lymphoid hyperplasia
b)histiocytic infiltrate of lamina propria
c)lymphoid infiltrate of mucosa
d)mucosal ulceration
e)neutrophilic infiltrate of muscularis

Edited by Geroo on 02/07/06 - 05:55 PM

  #2

ANS d) mucosal injury..

FOLLICULAR lymphoid heyperplasia secondary to viral infection inCHILDREN also pathogenisis of acute appendecitis.




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  #3

i will go with A...hey reet whats ur answer A or D


  #4

D.. MUCOSAL ulceration... IN APPENDECITIS.....

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  #5

I think the diagnostic criterion is E).
Ulceration can occure, but for acute appendicitis, neutrophils should be the choice.

  #6

E is the right answer because appendicitis is an acute suppurative inflammation.

  #7

hey nida and vinay, but do we have neutrophils in muscularis?

  #8

Transmural inflammation is the hallmark, otherwise how you explain perforation in acute appendicitis.

  #9

I think it's E...

  #10

http://bioline.utsc.utoronto.ca/archive/00002392/...'HISTOLOGY%20OF%20ACUTE%20APPENDICITIS'

GO TO DISCUSSION FIRST PARAGRAPH

ANSWER IS D


  #11

http://bioline.utsc.utoronto.ca/archive/00002392/...'HISTOLOGY%20OF%20ACUTE%20APPENDICITIS'




  #12

e, netrophilic infiltration is feature of acute inflammation.

  #13

It has to be E...
apart from neutrophil infiltration lymphoid hyplasia is another usual finding...but lymphoid infiltration is diferent from lymphoid hyperplasia...so I rule out C
mucosal ulceration is not specific and characteristic of acute appendicitis...
the best answer is E

  #14

yes e

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  #15

Answer E
http://155.37.5.42/eAtlas/GI/1277.htm

  #16

agree with alison




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  #17

ACUTE = neutrophil infilteration for sure

acute appendicitis .. ans E for sure

  #18

E







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