Indicate whether the following statements are TRUE or FALSE a. Appendicitis is an uncommon condition in sub-Saharan Africa
b. Studies have proven that the general use of CT scanning or Ultrasound can lower the risk of negative appendectomy in appendicitis.
c. The negative appendectomy rate higher in women than men.
d. The best treatment of an appendiceal mass is appendectomy.
e. Prophylactic antibiotics have been proven to reduce post-operative infectious complications in appendicitis.
f. There is little to choose between open or laparoscopic appendectomy.
A 25 year old woman presents to the Emergency Department with Abdominal Pain and an episode of vomiting. Her last period was two months ago. Her Alvarado score is 6. Assuming availability of the procedures discussed, what is the best approach to clinical management?
a. Immediate open appendectomy using McBurney’s incision.
b. Discharge with analgesia and reassurance.
c. CT scan of Abdomen with contrast.
d. Laparoscopy for diagnosis and treatment if possible.
A 65 year man presents with 5 days of abdominal pain and fever. On examination a tender mass in the right lower quadrant is found. What is the best next step?
a. immediate open appendectomy
b. admission with broad spectrum antibiotics
c. aspiration of the mass and if pus is found proceeding with appendectomy
d. ultrasound and if fluid is found in the right lower quadrant draining this percutaneously
A 7 year old boy presents with a 3 day history of pain and fever. On examination general tenderness and rigidity is found through out the abdomen. You suspect perforated appendicitis with generalized peritonitis. Which is the most appropriate treatment?
a. open appendectomy through McBurney’s incision
b. open appendectomy through a midline incision
c. laparoscopic appendectomy
d. continuing broad spectrum antibiotics for 7-10 days
Answers to these questions will be provided next month!
