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Disease Progression RLQ #2

This document explores the progression of appendicitis in relation to an appendicolith, detailing the critical clinical presentation of a 19-year-old female experiencing severe right lower quadrant pain and hypotension. It incorporates ultrasound findings indicating an inflamed appendix and potential ectopic pregnancy with retroperitoneal bleeding. The case also discusses other complications, including Crohn’s disease and perforated appendicitis. The multifaceted nature of these conditions underlines the importance of prompt diagnosis and treatment.

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Disease Progression RLQ #2

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  1. JK Amorosa Disease Progression RLQ #2

  2. ST mass, appendicolithAppendicitis Red arrow: appendicolith (calcified) Yellow arrows: acoustic shadowing-the sound is blocked by the calcified appendicolith Asterisks: swollen appendix

  3. 12 f

  4. 13 f

  5. 19 m

  6. 91 f

  7. Dx: Acute appendicitis amorosa

  8. appendicolith amorosa

  9. 74 m perforated appendicitis

  10. Crohn’s Disease

  11. TOA

  12. Molar Pregnancy

  13. Ectopic pregnancy amorosa

  14. 19 yo female with severe RLQ pain and hypotension UTERUS Fetus Gestational sac Ectopic Pregnancy Pelvic ultrasound NEXA

  15. Retroperitoneal bleed

  16. Problem: Clinical presentation amorosa

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