Appendicitis Review: Diagnosis and Surgical Infection Prevention | Part 2 | 闌尾炎 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字;遇到過度簡化或舊門檻,請搭配下方提示與原始資料閱讀。這是概念學習材料,不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All appendicitis follows one chain, obstruction, ischaemia, infection and perforation,
and the pain migrates
because visceral T10 afferents give way to somatic peritoneal nerves.
Is the patient a child, pregnant or a young woman?
Then ultrasound comes first, seeking a non-compressible tube over 6 mm,
while adults proceed to CT.
On prophylaxis the clock rules: one dose within 60 minutes of incision,
repeated after two half-lives or 1500 millilitres of blood loss,
stopped within 24 hours.
Lucid,
informed and voluntary refusal by a competent adult is respected and documented,
yet an unforeseen emergency in an unconscious patient restores implied consent.


All appendicitis follows one chain, obstruction, ischaemia, infection and perforation,
and the pain migrates
because visceral T10 afferents give way to somatic peritoneal nerves.
Is the patient a child, pregnant or a young woman?
Then ultrasound comes first, seeking a non-compressible tube over 6 mm,
while adults proceed to CT.
On prophylaxis the clock rules: one dose within 60 minutes of incision,
repeated after two half-lives or 1500 millilitres of blood loss,
stopped within 24 hours.
Lucid,
informed and voluntary refusal by a competent adult is respected and documented,
yet an unforeseen emergency in an unconscious patient restores implied consent.

Medical Notes · 醫學學習提示

  1. 重點複習:病程、影像、感染預防與知情同意
  2. 並非所有闌尾炎都循同一路徑,也不一定會穿孔
  3. 疼痛可能由臍周移至右下腹;沒有轉移也不能排除
  4. 內臟痛與壁層腹膜刺激不同,並非神經被取代
  5. 兒童、孕婦與育齡女性須依個別情境選擇影像
  6. 超音波常為首選;六毫米須結合其他徵象判讀
  7. 成人常用 CT;孕婦超音波未明可考慮 MRI
  8. 多數預防用藥應在切皮前六十分鐘內給予
  9. 追加依藥物半衰期與失血量;兒童不可套用此數值
  10. 現行預防用藥通常關閉傷口即停;感染治療另計
  11. 清醒不等於具備特定治療的決策能力
  12. 尊重具能力成人的知情自願拒絕,並記錄與提供安全網
  13. 緊急例外依當地法律;有效且適用的預立拒絕仍須尊重

References