UNSEEN CASE, SEMESTER 5, MMMP

HOW WOULD YOU DISTINGUISH BETWEEN GASTROENTERITIS AND APPENDICITIS?

A twenty-one-year-old female medical student presents to Mansoura University emergency hosital with a complaint of 'colicky' periumbilical pain which has intensified over the last 6-8 hours and now has started to migrate to the right lower quadrant. The patient reports some initial nausea, and as the pain has increased she has had increasing vomitting and anorexia. Physical examination demonstrates the patient has no distension, auscultation reveals hyperactive bowel sounds, and on palpation the patients demonstrates abdominal guarding and rebound tenderness, and the muscle of the anterior abdominal wall in the right lower quadrant are rigid. In addition, the patient has a low-grade fever, and laboratory test reveal a rising white blood cell count. The attending determines that the patient has acute appendicitis and prepare to take the studentt to the operating theater for an appendectomy.

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Khas untuk dak2 sem quya jelah keyh. 2 hari lepas, lepas abis present poster, quya, kak wadat n hafiz gi consult Dr. Amany berkenaan unseen case kita nih. Quya telah pon menyenaraikan beberapa possibles objectives yang bley di'extract melalui case diatas. 

Mula2 quya igt fokus kt Appendicitis, tapi setelah berbincang dgn Dr. Amany, dy ckp, Appendicitis dan Gastroenteritis kne buat 2 objektif yang berbeza. Maksunya gini, utk objektif-objektif yang quya senaraikan kat bawah nih, kena cari utk appendicitis dan gastroenteritis. Objektif yang kemungkinan ade berdasarkan apa yang telah quya boldkan pada case diatas.

1. Anatomy [stomach,appendic&ant. abd. wall]
2. Histology [stomach&appendic]
3. Pathology[appendicitis&gastroenteritis]
4. Clinical aspect [appendicitis&gastroenteritis] - signs&symptoms
5. Investigation [appendicitis&gastroenteritis] - Physical, palpation, auscultation, Lab test
6. Managemant [appendicitis&gastroenteritis] - Drugs, surgery, etc
7. Physiology - Dr. Amany ckp mungkin berkenaan ICF dan ECF
8. Differential diagnosis between appendicitis dan gastroenteritis.
9. Complication [appendicitis&gastroenteritis]

Ini sahaja setakat yg dibincang oleh kami bertiga bersama Dr. Amany.

ctnaquia esir

0514

19052009