By Samuel Eric Wilson
This guide includes crucial present surgical protocols and administration recommendations, and it comprises reports of present surgical options. it really is an outstanding guide for college kids, citizens, and working towards surgeons.
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Fever is treated with acetaminophen. Broad spectrum antibiotic coverage is initiated preoperatively. Antibiotic therapy should cover gram-negative and anaerobic organisms (Cefotan or Zosyn). II. Surgical technique A. After induction of anesthesia, place an incision over any appendiceal mass if palpable. If no mass is present, make a transverse skin incision over McBurney's point, located two thirds of the way between the umbilicus and anterior superior iliac spine. A transverse incision allows easy extension medially for greater exposure.
Determine the side of bleeding. Unilateral nose b l e e d i n g s u g g e s t s a n t e r i o r ep i s t a xi s i n Kiesselbach's plexus. Bilateral bleeding suggests posterior epistaxis caused by overflow around the posterior septum. D. Determine whether epistaxis is anterior or posterior: When the patient is upright, blood drains primarily from the anterior part of the nose in anterior bleeding, or it drains from the nasopharynx in posterior bleeding. E. Assess the duration of the nosebleed and any inciting incident (eg, trauma).
Pregnancy. Ectopic pregnancy occurs in the first trimester. Threatened abortion, ovarian torsion, or degeneration of a uterine fibroid also may cause acute pain in women. D. Medications 1. Nonsteroidal anti-inflammatory drugs predispose to ulcer disease. 2. Antibiotic therapy may obscure the signs of peritonitis. Patients with abdominal pain and diarrhea who have received antibiotics may have pseudomembranous colitis. 3. Anticoagulants. Warfarin therapy predisposes to retroperitoneal or intramural intestinal hemorrhage.
Surgery by Samuel Eric Wilson