2 10320

0-2716-6141-3 0-2716-6144 10311

Royal College of Surgeons of Thailand
Royal golden Jubelee Building.2 Soi Soonvijai,New Petchaburi Road Bangkok 10300,Thailand
Tel 66-0-2716-6141-3 FAX 66 0-2716-6144 Bangkok 10300,Thailand
Email Address frcst@surgeons.or.th Website www.surgeons.or.th

CLINICAL PRACTICE GUILDLINES IN SURGERY

:
: (APPENDICITIS)

1.
(clinical menifestation)
(radiologic investigation)

1.1
1.1.1

(right lower quadrant-RLQ)

1.1.2
-
-
-
-
sigmoid
rectum 1.1.3

1.2
1.2.1 (local tenderness) maximal tenderness RLQ
guarding rebound tenderness tenderness guarding
2 pelvic peritonitis
(appendiceal mass) phlegmon abscess RLQ
1.2.2 (rectal examination)
cul-de-sac
twisted ovarian cyst pelvic
inflammatory disease (per vagina examination
- PV)
1.2.3
- Rovsing sign
- Obturator sign
- Psoas sign
1.3

1.3.1 complete blood count shift to the left
1.3.2

1.4


1.4.1 fecalith localized ileus RLQ
1.4.2 (ultrasonography) barium enema

2.
2.1

2.2

2.3


2.4

2.5 peritonitis
generalized peritonitis pelvic peritonitis
intravenous
fluid
nasogastric tube suction
3-4
2.6 gangrenous
appendicitis 1-3
2.7 RLQ appendiceal
phlegmon abscess

elective appendectomy 6 - 3

CPG-S code : 4P98

Correspondence
.
.
.



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