Case...pt come to casualty surgery. C/O Rif pain since one - TopicsExpress

Case...pt come to casualty surgery. C/O Rif pain since one day.associated with vomiting two times &anorexia,,,on Ex Abdo soft lax,, tender in RIFarea, Rebound +ve,,investigation done wBc 14.5, after investigation done pt Diagnosis as case of acute appendicitis. We prepare pt for OT by NPO, ivf,start anti biotic,,& omeprazol 40mg in drip..pt on the table.. Abdo open grade iron incision done after moment appendix identify,,its very long appendix ...appendix out and operation finish...Abdo closed in layer,,pt admitted in surgical ward,, first day post op pt not passe flutes.. Abdo soft lax just tender at site of wound ...pt on anti biotic,and analgesia,&ivf,,,, pt discharge 2day post op, white good general condition,,, surgeon;start by Dr.faraj m fakher but during op call my senior Dr.salama arabti..for some advice,,anastesia Dr. Mohammed elgamode..

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