redddd
Forum Senior
Topics: 11
Posts: 99
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this is a questions from kaplan Q bank
22 yr old female with 18 hr abdomianl pain, pain is getting worse, unable to eat loss of appetite.N/V for past 6 hrs. P/E shows rebound tenderness with guarding over RLQ. Fever 101, pulse, 100/min, BP 130/70. USG confirms Acute appendicitis.
Hematocrit 41%, TLC 24,000 Na 141, K 3.9, BUN 10, Creat 1.0,best next step is:
1. initiate broad spectrum antibiotics and observer in ER
2. perform LP for possible meningeal spread
3. prepre patient for urgent appendectomy
send blood or urine cultures for possible bacteremia
5. plan for elective appendectomy
any guesses???
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| Ivonne
Forum Guru
Topics: 51
Posts: 1,392
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3 Appendectomy ASAP before it will perforate
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| lucky_doc
Forum Junior
Topics: 18
Posts: 45
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| redddd
Forum Senior
Topics: 11
Posts: 99
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yes answer is right, but I want to know when do we go for conservative treatment. what are the indications of appendectomy?
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| Korotkoff
Forum Senior
Topics: 14
Posts: 164
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Acute appendicitis is an emergency. Is there conservative management?
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| drduck
Forum Guru
Topics: 82
Posts: 529
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Sonographt highly sensitive in diagnosing acute inflammation of appendix,
but still if symptoms suggests acute appendicitis,
directly go for appendicectomy.
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