ABDOMINAL
GENERALISED LYMPHADENOPATHY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Flegmonous-ulcerative appendicitis
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Suppurative appendicitis
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Gangrenous appendicitis
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Superficial appendicitis
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Detailed explanation-1: -The etiology is multifactorial but obstruction of the appendiceal lumen, increased luminal pressure and impaired circulation cause bacterial propagation and increased mucus induces the inflammatory response physiopathological process.
Detailed explanation-2: -In the early stages of appendicitis, the appendix grossly appears edematous with dilation of the serosal vessels. Microscopy demonstrates neutrophil infiltrate of the mucosal and muscularis layers extending into the lumen.
Detailed explanation-3: -Serosal appendicitis is an important diagnosis to make as it indicates an extra‐appendiceal source of inflammation resulting in an inflammatory reaction on the surface of the appendix. The inflammation involves the serosa and subserosa, with the infiltrate not extending further than the outer muscularis propria.