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Diagnosing Appendicitis - Secrets with a Surgeon

Appendicitis, something I think about every day. Every day as a pediatric surgeon I'm either evaluating a child to take out their appendix, operating to remove an appendix or caring for a child who has had their appendix removed. This means I must be an expert in appendicitis. Get your free "how to study surgery" guide and join the CITIZENSURGEON community! https://citizensurgeon.co/studyguide MUST HAVE SURGERY BOOKS Sabiston's Textbook of Surgery https://citizensurgeon.co/Sabiston Moore's Clinically Oriented Anatomy https://citizensurgeon.co/Moore Netter's Anatomical Atlas https://citizensurgeon.co/Netter Schwartz Principles of Surgery https://citizensurgeon.co/Schwartz Fischer's Mastery of Surgery https://citizensurgeon.co/Mastery Zollinger's Atlas of Surgical Operations https://citizensurgeon.co/Zollinger Top Knife (MUST MUST HAVE) https://citizensurgeon.co/topknife PICK UP THE BIBLE OF PEDIATRIC SURGERY Holcomb and Ashcraft's Pediatric Surgery https://citizensurgeon.co/Ashcraft Today I'm teaching you how to work up appendicitis. We're going to first talk about the pathophysiology of appendicitis, what causes appendicitis and the different bacteria that are present in an inflamed appendix. Then we're going to dive into the workup. Sign up and join the CITIZENSURGEON Community: https://citizensurgeon.co/signup First, the history...how do we work up appendicitis and what questions do we ask? I'll give you a clue = SRNOPDSARA Next we move into the physical exam, I'll teach you how use CHANDLER and examine a child with a tender abdomen. Then we will get into the labs I think are helpful in evaluating appendicitis, these are the CBC with differential, CRP and BMP. Finally we will talk about imaging including ultrasound, computed tomography and magnetic resonance imaging. We'll talk about Approaching Zero, an effort to reducing CT utilization to zero in the workup of appendicitis. Check out these AMAZING timestamps and fast forward if you need to: Start 00:00 Pathophysiology of Appendicitis 03:44 Epidemiology of Appendicitis 06:39 Patient history in acute appendicitis 07:38 Physical exam in acute appendicitis 10:57 Differential Diagnosis in acute appendicitis 15:47 Essential labs when working up appendicitis 17:22 How is ultrasound helpful in acute appendicitis 19:04 What clinical prediction rules are important in acute appendicitis? 24:07 CT or MRI in Acute Appendicitis? 27:32 REFERENCES Chapter 42 Holcomb and Ashcraft's Pediatric Surgery https://citizensurgeon.co/Ashcraft Diagnosis and Treatment of Acute Appendicitis (Saverio et al) https://citizensurgeon.co/SaverioAppy Children-Gonzalez https://citizensurgeon.co/NonOpAppyCh... Children-Pearson https://citizensurgeon.co/NonopAppyPe... SOME RECENT READS The Miracle Morning by Hal Elrod - http://citizensurgeon.co/MiracleMorning Atomic Habits by James Clear - http://citizensurgeon.co/AtomicHabits BE MY FRIEND Sign up and join the CITIZENSURGEON Community: https://citizensurgeon.co/signup My Website: https://www.citizensurgeon.com​​ Instagram: http://citizensurgeon.co/instagram​​ Twitter: http://citizensurgeon.co/twitter​​ Koji: http://citizensurgeon.co/Koji​​ WHO AM I? I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community! WHERE TO GO FROM HERE: Check out https://www.citizensurgeon.com for great resources and the Four Important Takeaways DISCLAIMER While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy! Affiliate Links - There are a few links in the description that may lead to a kickback to me to help support the channel.

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