What is an appendicular mass?
An appendiceal mass is an inflammatory tumor consisting of the inflamed appendix, its adjacent viscera, and the greater omentum, whereas an abscess is a pus-containing appendiceal mass.
How accurate is the pinch test?
While the standard error for the skinfold test is 3.5 percent, accuracy depends largely on finding the sites accurately, folding only the appropriate tissues, using the calipers correctly and choosing the right formula.
How is pinch test calculated?
Calculating Body Density For men, the body density formula is as follows: Body Density = 1.10938 – (0.0008267 x the sum of the chest, thigh and abdomen skin folds in mm) + (0.0000016 x square of the sum of chest, abdomen and thigh) – (0.0002574 x age).
When is rebound tenderness present?
Rebound tenderness, also known as Blumberg’s sign, refers to the presence of pain when pressure is removed from the abdomen, rather than when applied.
What is rebound tenderness?
Rebound tenderness, also known as Blumberg’s sign, refers to the presence of pain when pressure is removed from the abdomen, rather than when applied. Although rebound tenderness can be elicited when performing Rovsing’s sign, it is not the same thing.
Why is it called Gridiron incision?
A McBurney is a called a ‘gridiron’ incision, because it consists of two perpendicular lines, splitting the fibers of the muscles without cutting them – this allows for excellent healing.
What is a chevron incision?
The chevron incision is one that crosses the midline of the abdomen. It is a sub-costal incision that extends from the mid to lateral costal ridge, across the midline to the contralateral side.
How do you treat appendicular mass?
There are 3 methods for treatment of appendiceal mass: emergency surgery, conservative management followed by interval surgery, and totally conservative management without interval surgery. The most widespread method of treatment is considered the nonoperative method by Ochsner (1901).
Is the Alvarado score a good diagnostic criterion?
Studies have shown the Alvarado score performs well as a ‘rule out’ criterion (score <3-4; sensitivity 96%) and is useful prompt for surgical assessment and further diagnostic testing as a ‘rule in’ criterion (score >6-7; sensitivity 58-88%)
What is the mdcalc Alvarado score for acute appendicitis?
The MDcalc Alvarado Score for Acute Appendicitis is a useful automated tool to record the score Studies have shown the Alvarado score performs well as a ‘rule out’ criterion (score <3-4; sensitivity 96%) and is useful prompt for surgical assessment and further diagnostic testing as a ‘rule in’ criterion (score >6-7; sensitivity 58-88%)
How is site or level of care determined for pneumonia?
In determining site or level of care, options include outpatient, medical ward care, or medical intensive care unit (ICU) management. Consider using the pneumonia severity index (PSI) score as a guide for inpatient care and mortality risk. The Agency for Healthcare Research and Quality (AHRQ) has an interactive tool to calculate the PSI score.
Which disorders and therapies have been associated with severe community-acquired pneumonia (CAP)?
The following disorders and therapies have been associated with severe CAP: Patients with community-acquired pneumonia (CAP) due to typical bacterial CAP pathogens commonly present with fever, dyspnea, and productive cough, often with pleuritic chest pain.