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Appendix

Appendix. FOR DIAGNOSIS, NEED >6MM DIAMETER, NON COMPRESSIBLE, AND PROVEN BLIND ENDED TUBE. Pockets of free fluid, ‘ thyroid sign ’ , bright fat, faecolith and increased colour flow are suspicious but not enough by themselves. NOTE HYPERECHOIC FAT OUTLINING APPENDIX.

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Appendix

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  1. Appendix

  2. FOR DIAGNOSIS, NEED >6MM DIAMETER, NON COMPRESSIBLE, AND PROVEN BLIND ENDED TUBE. Pockets of free fluid, ‘thyroid sign’, bright fat, faecolith and increased colour flow are suspicious but not enough by themselves.

  3. NOTE HYPERECHOIC FAT OUTLININGAPPENDIX

  4. Common to see a spot of gas in central lumen, but not a prerequisite.

  5. NOTE LIKELY FAECOLITH

  6. ‘THYROID IN BELLY’ SIGN

  7. SIGNS SUGGESTIVE OF PERFORATION – POCKETS OF FREE FLUID, BRIGHT FAT, NON-MOTILE, NON SPECIFIC MASS TENDER TO SCAN

  8. RIF IN PERFORATED APPX…..WEIRDNESS

  9. But beware traps Apparent blind ending tube is small bowel in transverse Apparent faecolith in tube again in small bowel

  10. Remember to scan in transverse Large and floppy suggests small bowel

  11. Mesenteric nodes can look like non compressible bowel

  12. Put low flow doppler on and check alternate plane Nodes often have small feeder vessel to centre

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