Quote:
Originally posted by ccrn
I'm not good with KUB although I thought I detected gas in the transverse colon.
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I will leave that to Doc T for definitive answer. I do not want to mislead you, but to me gas on the radiograph would not be an uncommon finding and therefore would not help me diagnose this particular set of symptoms.
Quote:
Originally posted by ccrn
What I want to know is if it is hot appy (ot meckel diverticulum) what could be done about it? If transport out is not available for 48H then the probablity of burst appendix with subsequent peritonitis is imminent. That is life threatening and means time in the hospital, possibly with an open incision for tx.
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It could be life threatening if it ruptures, but again that must be tempered with the current situation that the SF medic in this thread is dealt. It is an unfortunate circumstance he finds himself in to be sure....BUT
I have read reports that describe the success of IV antibiotics in treating acute appendicitis in patients without access to surgical intervention (eg, submariners, individuals on ships at sea). In one prospective study of 20 patients with ultrasound-proven appendicitis, 95% had resolution of symptoms with antibiotics alone, but 37% of these patients experienced recurrent appendicitis within 14 months.
***This may be useful when appendectomy is not accessible or when it is temporarily a high-risk procedure.
Quote:
Originally posted by ccrn
If it is volvulus or other type of obstruction is it possible to decompress it in the field with tubes?
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I defer to Doc T, Eagle, NDD, or others to answer this one.
