急性虫垂炎
WordNet
- inflammation of the vermiform appendix
PrepTutorEJDIC
- 虫垂炎
UpToDate Contents
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Japanese Journal
- CLINICAL EVALUATION OF PIROMIDIC ACID
- 大久保 滉,藤本 安男,岡本 緩子
- CHEMOTHERAPY 19(5), 459-462, 1971
- … Fifteen patients (seven patients were enteritis acuta, two patients were appendicitis acuta and six patients were cholecystitis) were treated with piromidic acid. … Piromidic acid was effective in the treatment of seven patients with enteritis acuta, one patient with appendicitis acuta and four patients with cholecystitis, and showed no side effect. …
- NAID 130004191100
- Untersuchungen über die Gewebsmastzellen und eosinophile Zellen bei den normalen und pathologischen Wurmfortsätzen
- 高橋 照明,北川 高久
- Archivum histologicum japonicum 14(1), 101-123, 1958
- … so nimmt die Zahl der Mastzellen bei Appendicitis simplex acuta durchschnittlich his zum 1.3 fachen der normalen Zahl und bei Appendicitis chronica his zum 3 fachen zu, dagegen ist sie bei Appendicitis destructiva acuta bis auf etwa die Hälfte vermindert. …
- NAID 130003880177
- 大野 喜伊次
- 耳鼻と臨床 1(3), 179-186, 1955
- … Tonsillectomy for tonsillitis acuta<BR>6. … Reminiscences of appendicitis<BR>10. …
- NAID 130004132537
Related Links
- Appendicitis is defined as an inflammation of the inner lining of the vermiform appendix that spreads to its other parts. This condition is a common and urgent surgical illness with protean manifestations, generous overlap ...
- Appendicitis is inflammation of the vermiform appendix. It is a very common condition in general radiology practice and is a major cause of abdominal surgery in young patients. CT is the most sensitive modality to detect appendicitis.
★リンクテーブル★
[★]
- 英
- acute appendicitis
- ラ
- appendicitis acuta
- 関
- 虫垂炎、腹痛
身体所見
虫垂炎、身体診察のの感度、特異度
- SEN、SPE
- psoas sign :16%、95%
- ブルンベルグ徴候:63%、69% (*1)
- heel drop sign:93%
症状
- 腹痛:心窩部・臍部の鈍い間欠的疼痛(内臓痛) → 右下腹部に限局する持続的疼痛(体性痛)
- 発熱
- 嘔吐
合併症
検査
- 血液検査
- 腹部単純X線検査
- 腹部超音波検査
- 腹部CT検査
鑑別疾患
- 消化器系:憩室炎、クローン病、大腸癌、stump appendicitis、結腸垂捻転・結腸垂炎
- 泌尿器系:尿路結石(膀胱尿管移行部の右尿管結石)、精巣捻転
- 婦人科系:骨盤内炎症疾患、卵巣出血、子宮外妊娠、付属器炎、子宮内膜症、(妊婦)切迫流産、絨毛膜羊膜炎、常位胎盤早期剥離
診断
- Alvaradoスコア「MANTRELS」:7点以上で虫垂炎疑い
M
|
migration of pain
|
心窩部・臍傍部から右下腹部への痛みの移動
|
1
|
A
|
anorexia
|
食欲不振
|
1
|
N
|
nausea
|
嘔気嘔吐
|
1
|
T
|
tenderness in RLQ
|
右下腹部圧痛
|
1
|
R
|
rebound tenderness
|
反跳痛
|
2
|
E
|
elevated temperature
|
37.3℃以上の発熱
|
1
|
L
|
leukocytosis
|
WBC>1万/μl, 白血球増多
|
2
|
S
|
shift of WBC
|
白血球の左方移動
|
1
|
治療
- カタル性、化膿性・蜂窩織炎性、壊疽性それぞれに合わせた治療を行う。
国試
参考
- http://rockymuku.sakura.ne.jp/syoukakinaika/tyuusuiennnosinndann.pdf