Presentation
A 10-year-old girl presented with fever and right-lower-quadrant pain. Computed tomography showed a multiloculated mass. [ncbi.nlm.nih.gov]
Entire Body System
- Fever
A 10-year-old girl presented with fever and right-lower-quadrant pain. Computed tomography showed a multiloculated mass. [ncbi.nlm.nih.gov]
Fever is often an associated symptom: particularly children between 6 months - 36 months of age with persistent fever and laboratory tests compatible with not localized bacterial infection can be carefully evaluated both with clinical examination and [medicoebambino.com]
Respiratoric
- Pneumonia
[…] ovarian cyst Salpingitis/pelvic inflammatory disease Surgical Acute Intestinal obstruction Intussusception Acute cholecystitis Perforated peptic ulcer Mesenteric adenitis Acute Meckel's diverticulitis Acute Pancreatitis Medical Gastroenteritis Basal Pneumonia [slideplayer.com]
True surgical complications include wound infection (15.0%), pelvic abscess (5.0%), and aspiration pneumonia (1.5%). [wjgnet.com]
- Pleural Effusion
With a subphrenic collection, there may be shoulder tip pain, hiccups and unexplained pulmonary symptoms (pleural effusion, basal atelectasis). [surgwiki.com]
- Sore Throat
throat difficulty speaking hoarseness Your doctor will ask about your symptoms, when they started, and how long you’ve had them. [healthline.com]
Gastrointestinal
- Abdominal Pain
Three case histories illustrate the diagnostic dilemma encountered whenever a patient with CF who is receiving antibiotics is evaluated for abdominal pain. [ncbi.nlm.nih.gov]
Suerte Elena Chronic appendicitis was assumed in 42 women with long-term or recurrent lower abdominal pain, and appendectomy was performed when two or all three of the following pathologic changes, which were highly predictive of the diagnosis, were present [proz.com]
- Acute Abdomen
Acute appendicitis is one of the most common diseases causing acute abdomen. Many cases are easy to diagnose, although some involve diagnostic difficulties caused by a large number of factors. [giejournal.org]
Discussion Acute abdomen remains one of the major challenges for the general surgeon. [ispub.com]
[…] to treat “acute abdomen” [1]. [smw.ch]
DEFINITIONS Acute appendicitis is inflammation of the vermiform appendix and remains the most common cause of the acute abdomen in young adults. [wjgnet.com]
Worldwide, there is a large variation of who performs the US examination of the acute abdomen. [radiologyassistant.nl]
- Abdominal Mass
On the fourth day of admission, a palpable right lower quadrant abdominal mass with local tenderness was found. Appendiceal abscess was diagnosed by both ultrasonography and computed tomography. [ncbi.nlm.nih.gov]
Appendiceal Abscess (or Late Appendicitis) This term refers to perforated appendicitis resulting in a walled off pocket of pus (abscess) characterized by fever and an abdominal mass. [innerbody.com]
DISCUSSION The palpable mass associated with acute appendicitis may consist of phlegmon or abscesses of various sizes 4 ). 2–3% of the patients with appendicitis who are admitted to the hospital have abdominal masses 4, 6 – 8 ) and appendiceal abscesses [kjim.org]
- Rovsing's Sign
- Vomiting, nausea, and anorexia - Afebrile or has a low-grade fever, 38 º C Higher fevers are associated with a perforated appendix 10 Special maneuvers it is only the area McBurney sign McBurney's point of greatest tenderness Blumberg sign Rovsing [slideplayer.com]
- Tenderness at McBurney's Point
There was moderate tenderness over McBurney's point and under this was a palpable mass about 2 inches in diameter, spherical, smooth and resilient. This mass was also palpated vaginally. [pubs.rsna.org]
Skin
- Eruptions
Fixed drug eruption Fixed drug eruption appears as an erythematous and edematous plaque that frequently involves the genital area and typically resolves, leaving postinflammatory hyperpigmentation. [71] The lesions are usually single at first presentation [emedicine.medscape.com]
- Insect Bite
Bacteria may enter via a scratch, insect bite, or injury to form a phlegmon just under the skin on your finger or feet. Bacteria in your mouth can cause an oral phlegmon or abscess, especially after dental surgery. [healthline.com]
Psychiatrical
- Aggressive Behavior
Other parameters foreseeing the aggressive behavior of the illness include high mitotic counts (more than two mitoses per 10 high-power fields); a Ki-67 greater than 3%; invasion into the serosa and into the mesoappendix; angioinvasion; increased number [wjes.biomedcentral.com]
Workup
METHODS: All subjects of this comparative study underwent a complete obstetrical clinical workup comprising history, general physical examination, abdominal and pelvic examination, and relevant investigations. [ncbi.nlm.nih.gov]
They’ll also order tests, which may include: blood workup urine analysis ultrasound X-ray MRI CT scan To distinguish among cellulitis, abscess, and phlegmon, your doctor may use intravenous gadolinium with MRI to show the outline of an abscess “wall” [healthline.com]
(See Workup, Computed Tomography.) Sequential, multiple organ failure is the main cause of death. [emedicine.medscape.com]
Inpatient Considerations Patients with suspected placental abruption should be admitted for workup until deemed clinically stable and ready for discharge/outpatient follow-up or delivered for medical indication. [unboundmedicine.com]
Serum
- Neutrophilia
The other preoperative data;leukocytosis, neutrophilia, CRP-level, presence of general peritonitis, diarrhea, presence of sepsis, and presence of hypotension;did not differ significantly between the two groups. [medcraveonline.com]
Pleura
- Pleural Effusion
With a subphrenic collection, there may be shoulder tip pain, hiccups and unexplained pulmonary symptoms (pleural effusion, basal atelectasis). [surgwiki.com]
Laboratory
- Leukocytosis
Progressive leukocytosis with left shift maturation was noted during hospitalization. The maximal white blood cell count was 178,000/cumm, with a high leukocyte alkaline phosphatase score. [ncbi.nlm.nih.gov]
Alvarado score 1986 MANTRELS SCORE Characteristic Score M = Migration of pain to the RLQ 1 A = Anorexia N = Nausea and vomiting T = Tenderness in RLQ 2 R = Rebound pain E = Elevated temperature L = Leukocytosis S = Shift of WBC to the left Total 10 A [slideplayer.com]
Common electrolyte and bio-marker indicators of appendicitis include leukocytosis and a shift to the left in the segmented neutrophils. [wikidoc.org]
Sepsis was defined as present if two or more of the following criteria were met; a) fever above 38degrees or temperature less than 36degrees, b) tachypnea, c) tachycardia, d) leukocytosis. [medcraveonline.com]
Laboratory evaluation showed leukocytosis. Plain abdominal radiograph was obtained, shown below. CT was also performed to evaluate for appendicitis, discussed in CT Findings section. [meddean.luc.edu]
Treatment
This nonsurgical treatment, based on intravenous administration of antibiotics, is successful in about 93% of the patients. Failure of nonsurgical treatment is a reliable indication of percutaneous drainage. [ncbi.nlm.nih.gov]
Prognosis
The presence of associated concurrent fetal bradycardia carries a poorer prognosis. [radiopaedia.org]
Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Appendicular abscess from other Diseases Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis [wikidoc.org]
Performance and patient prognosis vary, and the diagnosis can be incidental, in a case of complicated acute appendicitis. [wjes.biomedcentral.com]
Etiology
ABSTRACT In contrast to children, intussusception is rare in adults, and its etiology differs. A demonstrated organic lesion as the cause of intussusception is found 90% of adult cases, and about 65% are caused by primary or secondary neoplasms. [ekjm.org]
Etiologic factors were a stump inch in length and a fecalith. Differential diagnosis was between neoplasm, granuloma and abscess. [americanjournalofsurgery.com]
In cases with a high index of clinical suspicion for a perforated appendix, presence of loculated pericecal fluid even in the absence of visualization of the appendix should raise concern for the diagnosis, however other etiologies which could result [sonoworld.com]
Risk of placental abruption is higher if: History placental abruption in first pregnancy Hypertensive disorders in the index pregnancy At extremes of age in the reproductive window Etiology and Pathophysiology Acute Etiology of bleeding at the decidua [unboundmedicine.com]
Placental abruption is also called abruptio placentae. [1] [2] Etiology The exact etiology of placental abruption is unknown. However, a number of factors are associated with its occurrence. [ncbi.nlm.nih.gov]
Epidemiology
Abscess Main Page Appendicular abscess Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Appendicular abscess from other Diseases Epidemiology and Demographics Risk Factors Screening [wikidoc.org]
Neuroendocrine tumor epidemiology: contrasting Norway and North America. Cancer. 2008;113:2655–64. View Article PubMed Google Scholar Quaedvlieg PF. Epidemiology and survival in patients with carcinoid disease in the Netherlands. [wjes.biomedcentral.com]
The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132(5):910–925. Becker T, Kharbanda A, Bachur R. Atypical clinical features of pediatric appendicitis. Acad Emerg Med. 2007;14(2):124–129. [medcraveonline.com]
Placental abruption: epidemiology, risk factors and consequences. Acta Obstet Gynecol Scand. 2011;90(2):140–149. [PMID:21241259] Yang Q, Wen SW, Oppenheimer L, et al. [unboundmedicine.com]
"National epidemiology of cutaneous abscesses: 1996 to 2005". The American Journal of Emergency Medicine. 27 (3): 289–92. doi : 10.1016/j.ajem.2008.02.027. PMID 19328372. ^ a b c Elston, Dirk M. (2009). Infectious Diseases of the Skin. [en.wikipedia.org]
Pathophysiology
The key factor in the pathophysiology is hemorrhage at the decidual-placental interface. [ncbi.nlm.nih.gov]
Abscess Main Page Appendicular abscess Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Appendicular abscess from other Diseases Epidemiology and Demographics Risk Factors Screening [wikidoc.org]
Associated pathophysiologic effects may become life threatening or lead to extended periods of morbidity with prolonged hospitalization. [emedicine.medscape.com]
[…] foreign body / parasites (4%) - tumors (1%) 4 Pathophysiology Wangensteen proposed Closed loop obstruction Increase in luminal pressure. [slideplayer.com]
Prevention
Correct recognition of the mucocele prevented a potentially disastrous percutaneous drainage. [ncbi.nlm.nih.gov]
The surgical approach can be either laparoscopic or open (laparotomy) Prevention There are no primary preventive measures available for appendicular abscess. [wikidoc.org]
This is to prevent the rupture of the large appendicular abscess, which would lead to a highly dangerous infection in the peritoneum. [phaa.com]