HLSC 2462U Lecture Notes - Lecture 15: Gallstone, Cirrhosis, Appendicitis
Document Summary
Development of appendicitis block the appendix as well, Throughout the peritoneum (peritonitis: fecal impaction, blocking the entrance by a foreign object, tumours can. Rebound tenderness apply pressure, pain is upon release. Rupture if not removed in time contains fecal material, fatal to the body: bacterial infection just stay there, become infected multiply and proliferate, ischemia and necrosis, can lead to an appendix that has ruptured. Mucosa : no drainage, we still have increase in mucosal secretion, swelling distension and further inflammation, strangulation of blood flow to the mucosal layer and cannot be drained can end up with ulcers. Bacteria can be absorbed and can caused sepsis and septic shock, multisystem organ failure. Superior mesenteric artery (sma) pancreas si and proximal colon. Collateral arteries small artery branch extend and supply abundant blood. Hepatic portal vein liver hepatic veins ivc. Inferior mesenteric artery (ima) distal colon and rectum. Collateral blood supply take two/three major arteries to be compromised.
