It's the Small Things - Acute Appendicitis
Medgeeks with Andrew Reid
Medgeeks
4.8 ā¢ 996 Ratings
šļø 22 July 2024
ā±ļø 10 minutes
šļø Recording | iTunes | RSS
š§¾ļø Download transcript
Summary
In the latest podcast episode, we tackle a common concern about an abdominal troublemaker known as appendicitis.
Classic symptoms of appendicitis include nausea, vomiting, and pain that typically starts near the navel and then migrates to the lower right abdomen. To diagnose appendicitis, a thorough physical exam is essential. However, the most definitive diagnostic tool is a CT scan, which provides detailed images of the appendix and can confirm the diagnosis.
Once diagnosed, the primary treatment for appendicitis is surgical removal of the appendix, known as an appendectomy. There are two main types of appendectomy: laparoscopic and open surgery.
Join Dr. Niket Sonpal as we delve into the intricacies of appendicitis, from recognizing the early warning signs to understanding the best practices for diagnosis and treatment.
July 22, 2024
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Transcript
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| 0:00.0 | There are numerous small things in the world that can cause problems. |
| 0:03.4 | Over the last few weeks, we've talked about a couple of them, |
| 0:06.1 | but it wouldn't be a complete series if we didn't bring up the appendix. |
| 0:10.0 | That's right, appendicitis, a small thing that could definitely ruin your day and it's actually pretty lethal. |
| 0:16.8 | Apendicitis is an inflammation of the vestigial vermiform appendix, |
| 0:20.9 | and it's actually one of the most common causes of an acute abdomen |
| 0:24.3 | and one of the most frequent indications for emergency surgery worldwide. So join me |
| 0:29.9 | Dr. Nakedz on Paul your friendly neighborhood internist and gas |
| 0:33.2 | ventrantroologist where we discuss the small things that can ruin your day. |
| 0:36.8 | Q that music. Now the appendix is a small little organ. It's located at the base of the |
| 0:54.9 | seacum near the IC valve and the appendix is a true diverticulum. |
| 0:58.8 | So if you're wondering about its anatomy, there you go. You see diverticular disease is just going to be some out-pocketing |
| 1:05.5 | of some of the walls of the colon. The appendicile wall contains every layer, including the |
| 1:10.7 | mucosa, sub-mucosa, muscularis, and then the serousal covering on the outside. |
| 1:16.2 | And though it may be small, it gets into trouble a lot. |
| 1:19.0 | The incidence of acute appendicitis is about 100.5% |
| 1:24.0 | a hundred thousand person years. |
| 1:24.0 | And lifetime incidents and men, which is slightly higher, |
| 1:26.5 | is about 8.6%, whereas women get at about 6.7%. |
| 1:31.0 | There is one study that I found that was interesting that said that the overall incidence of |
| 1:35.5 | appendicitis is decreasing since 1970. |
| 1:38.9 | Maybe because disco music's gone, I'm not necessarily sure why, but the song by the Beeji staying alive definitely applies and the reason why the appendix gets in trouble well it's like kids in middle school |
... |
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