Archive for October, 2008
Friday, October 17th, 2008
Appendix Abscess.
During the 5th to 10th day the appendix mass either becomes larger and an appendix abscess results, or it becomes smaller and subsides slowly as inflammation resolves. The following signs are found: Pyrexia. The pulse is usually less than 100.
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Thursday, October 16th, 2008
Differential Diagnosis of a Mass in the Right Iiac Fossa.
The causes of mass in the right iliac fossa are best thought of by considering the possible anatomical structures in this region:
1- Appendix abscess or appendix mass.
2- Carcinoma of caecum (differentiated from the above by a longer ...
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Thursday, October 16th, 2008
The Appendix Mass
Not uncommonly the patient will present with a history of 4 or 5 days of abdominal pain and with a localised mass in the right iliac fossa.
The mass is composed mainly of the greater omentum, oedomatus caecal wall, and ...
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Wednesday, October 15th, 2008
Drainage of Peritoneal cavity.
Adequate peritoneal toilet has been done. If there is considerable purulent fluid in retrocaecal space or the pelvic, or if there is persistent oozing, it is wise to bring out a penrose or silastic drain through a separate stab incision.
Drainage of the Parietes.
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Tuesday, October 14th, 2008
Treatment.
If the diagnosis is made at anearly stage in the attack and particularly in the abscence of a localized mass, all agree that the appendix should be removed urgently.
The treatment of acute appendicitis is appendicectomy except under the following circumstances:
1- The patient is moribund with advanced peritonitis; here the only ...
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Monday, October 13th, 2008
Differential Diagnosis.
This should be considered systemically under the following headings:
1- Other intra-abdominal causes of acute pain.
2- The urinary tract.
3- The chest.
4- The CNS.
5- Acute pain of gynecological origin in case of females.
1- Intra-abdominal diseases: which commonly simulate appendicitis are:
- Perforated peptic ulcer.
- Acute ...
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Sunday, October 12th, 2008
Special Features According to Position.
1- Retrocaecal: Rigidity is often absent (silent appendix) and even on deep pressure tenderness may be lacking; gurgling may even be elicited. However, deep tenderness is often present in the loin, and rigidity of the quadratus lumborum may be in evidence. Psoas spasm may be sufficient ...
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Friday, October 10th, 2008
This is the commonest abdominal emergency.
Surgical Anatomy:
The vermiform appendix can lie in a variety of positions. The relatiuve frequency of the more usual positions occupied by the organ is:
retro-caecal 74%
pelvic 21%
post-ileal 5%
pre-ileal 1%
para-caecal 2%
sub-caecal 1-5%
If the caecum does not migrate during development to its normal position in the right lower ...
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Thursday, October 9th, 2008
I just finish watching this outstanding drama! Moonlight Resonance, it is about the battle within families. And I love the ending a lot! I'm wathing it for 2nd round now~!
Details
Title: 溏心風暴之家好月圓
Cantonese / Mandarin title: Tong Sum Fung Bo Chi Ga Ho Yuet Yuen / Tang Xin Feng Bao Zhi Jia ...
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Friday, October 3rd, 2008
Do you want to be a successful CEO one day? Or you own a company and you wish it could be more successful in coming years?
Then I’ve a solution for you. Read the books! Back to school? Not exactly, it is a book by successful CEO. You can read his ...
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