Appendicectomy

RADIOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/ Age: 46 Sex: M CT Scan No: 10-790031 Ordering Physician: Alex McClure, MD Procedure: CT scan of abdomen and pelvis without contrast. Date of Procedure: 11/14/2012 HISTORY: RLQ pain, no previous studies. ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened

EMERGENCY SERVICES ADMISSION REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB 10/5/---- AGE: 46 SEX: Male Date of Admission 11/14/---- Emergency Room Physician: Alex McClure, MD Admitting Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially

Appendicitis is one of the most common surgical diagnosis in the emergency department. Recent literature has supported the safety of nonoperative management of uncomplicated appendicitis. The APPAC trial was recently started in Finland to provide level 1 evidence to the hypothesis that at least 75% of patients with uncomplicated appendicitis can be managed effectively with antibiotics. Another study by Abes M et al has demonstrated 93.7% success rate in the non operative management of pediatric patients

PCI (Drug eluting stent) to the LAD and placed on DAPT (aspirin 300mg and ticagrelor 75 mg bd). He subsequently develops abdominal pain, which is confirmed as acute appendicitis on CT scan and is referred by the surgical unit for laparoscopic appendicectomy. Discuss the timing of any surgery for this man generally, and more specifically with reference to the pharmacology (kinetics and dynamics) of aspirin and ticagrelor. Include the advantages that ticagrelor may have over clopidogrel in the management

Other studies reported that, the age incidence varies between 7 to 65 years, the maximum incidence of acute appendicitis was found in age group of 11-20 years (45.45%), followed by age group of 21-30 years (25.45%) and then age group of 31-40 years. Approximately, 70% of the affected patients are in 2ndand 3rddecade of life [11]. Also others, found that the maximum incidence of 67% in 2ndand 3rddecade of life [12,13]. In our study, the age incidence varies between 12 to 47 years, the maximum incidence

- Out of 100 patients studied in this research, the age incidence varies between 12 to 47 years, the maximum incidence of acute appendicitis was found in age group of 21- 40 years [56 patients (56%)], followed by age group of ≤20 years [28 patients (28%)] and lastly the age group of 41-60 years [16 patients (16%)]. Regarding to sex, males were more than females [68 males (68%) vs 32 females (32%) with a ratio of 2.13:1 respectively]. Married patients were suffering from acute

admissions underwent surgery. In their trial of treating acute appendicitis with antibiotics, another physician study found that 12% of patients on anti-biotherapy underwent appendicectomy during the first 30 days, while 30% underwent appendicectomy between 1 month and 1 year later. It has also been found that 23% of appendicectomies take place after a failure to initial anti-biotherapy. The treatment of acute appendicitis with antibiotics

24 October 2015 Dear Sirs, I refer to the matter , and his plaint brought under Personal Injuries Proceedings Act 2002 against Central Queensland Health Service District for treatment received commencing June 2010 and subsequent. I confirm that I am registered with the Medical Board of Australia as a Specialist General Surgeon, with my practice largely confined to Colorectal Surgery. My qualifications are Bachelor of Medicine, and Bachelor of Surgery with Honours (1979) from the University of New

amine does not reach the recommended infusion rate. Mion and colleagues suggest to increase ketamine up to a ratio of 1:3, arguing that in their experience psychomimetic secondary effects does not appear (sedation). Nevertheless, in the pediatric setting, psychodysleptic effects can appear even with standard ratio. Cochrane review showed reduced postoperative morphine requirements and opioid side effects (PONV)(RF., JB. et al. 2006). 23.4.2.4 CLONIDINE / DEXMEDETOMIDINE 23.4.2.5 SUCROSE Sucrose

APPENDECTOMY An appendicectomy (or appendectomy) is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or avoid the onset of sepsis; it is now recognized that many cases will resolve when treated non-operatively. In some cases the appendicitis resolves completely; more often, an inflammatory mass forms