Noncompressible appendix surgery - GrepMed

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Appendicitis on Abdominal Ultrasound

Noncompressible tubular structure with adjacent hyperechoic peri-appendiceal fat.

Dr. J. Christian Fox @jchristianfox

#Appendicitis #Appendix

Ultrasound Noncompressible ... #Appendicitis #Appendix

Anatomy of appendix
#appendix #surgery #anatomy #retrocecal

Anatomy of appendix ... #appendix #surgery

Appendix Positions
- Retrocecal (*most common)
- Post-ileal
- Pre-ileal
- Sub-ileal
- Pelvic
- Subcecal

Appendix Positions ... By @rev.med #Appendix ... Positions #Anatomy #surgery

Appendicolith and Appendicitis on POCUS

Linear high frequency transducer, viewing an inflamed appendix in sax, with fecolith

viewing an inflamed appendix ... appendicitis: >6mm, noncompressible ... Appendicitis #POCUS #appendix

Appendicitis on POCUS

What is your diagnosis?
Resolution: appendicitis (criteria >6mm, noncompressible, blind-ended, no peristalsis). When diagnosed by

criteria >6mm, noncompressible ... #Appendicitis #appendix

Approach to Suspected Appendicitis - Management Algorithm

Suspected Appendicitis:
• Vague periumbilical pain → localized RLQ pain

Management #Algorithm #surgery ... #appendix

Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient

satisfaction Appendix

Colitis - Differential Diagnosis by Segment Location

Ascending Colon:
- Shigella
- Salmonella
- Amebic colitis
Hepatic flexure:

Watershed) Cecum and Appendix

Appendicitis on POCUS

Gorgeous appendicitis just beneath the peritoneal line with the psoas mm laterally.

Labeled Schematic: https://twitter.com/EUSmkh/status/841741820375797762

#Appendicitis

#Appendicitis #appendix

POCUS diagnosis of acute appendicitis:
(1) Blind-ended
(2) Target shaped tubular structure
(3) Originating from the cecum
(4) Non-compressible
(5) Non-peristalsing

Appendicitis #Abdominal #Appendix

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