Posted on 01/18/2010 2:32:12 PM PST by decimon
The hoke's on them.
If memory service yersinia causes appendicitis type symptoms and is associated with handling puppies. I may need to google that later, I’m pulling up some pretty old memories.
It is possible that an appendix without a fecolith could become inflamed by an infectuous agent, causing the lymphoid follicles in the wall of the appendix to swell, resulting in the stasis of feculent matter in the appendix an setting off the same series of events as mentioned above.
In my residency (general surgery) we were taught there was no clinical entity known as chronic appendicitis, however, if a person came in repeatedly with right lower quadrant pain, without the concurring lab fidings (elevated WBC with a left shift) after 3 everts we performed an appendectomy. Most times this resolved the problems.
In third world countries, there is an entity known as tifilitis. It is, in effect, an infestation of round worms (ascaris or vermicularis) in the caecum which results in obstruction of the appediceal lumen, evolving onward to appendicitis.
I have removed several thousand appendix in my practice, but other than appendiceal carcinoma, I don't know a damn thing about the appendix.
I have removed several thousand appendix in my practice, but other than appendiceal carcinoma, I don't know a damn thing about the appendix.
You know you can make a living offing them. ;-)
A quick search shows something about gastroenteritis. But mostly, bubonic and pneumonic plagues.
Yersinia enterocolitica. The infection does clinically mimic appendicitis but I didn’t see the association with handling puppies. I think I heard that in a lecture 20+ years ago, so take it for what it’s worth.
Not to be confused with Yersinia pestis. Otherwise known as the plague.
Different bugaroos? Okay, I misread or saw bad info.
Same family, different species, I could come up with the species when I first posted,
could not come up with
I need an editor.
Ping... (Thanks, neverdem!)
I know someone who had her appendix out at the same time as her sister. They were in adjoining OR’s getting operated on at the same time.
My daughter had chronic appendicitis, which lasted for months. She kept getting sick and having elusive symptoms until it finally localized and became more distinct. Then they were able to diagnose it because the pain got to the point where they did a CAT scan.
It did NOT resolve itself, but got progressively worse. She had the laproscopic surgery and wouldn’t even have spent the night in the hospital except for the fact that the surgery was so late in the day that she didn’t have time to come out of the anesthesia before nighttime.
She was back on her feet and getting around in a couple days. It’s amazing the recovery with that kind of surgery with an appendix that didn’t rupture.
Calling your attention to something we discussed months ago.
Medicine may be finally coming around to common sense facts.
Thanks for the ping!
Thanks for the ping!
Bump.
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It is also one of the main thoroughfares for the immune system.
Swollen lymph nodes is often a sign of infection.
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