Examination of Acute Abdomen | Appendicitis-Signs & Symptoms | Surgeon Dr Imtiaz Hussain

How to approach a patient with Acute Appendicitis. What are signs & symptoms of acute appendicitis? What is Pointing Sign, Rovsing's sign, Psoas Sign, and Obturator Sign?
This video also explains ALVSRADO SCORE۔ What is MANTRELS.
M...Migratory Pain...1
A...Anorexia...1
N...Nausea...1
T...Tenderness...2
R...Rebound Tenderness...1
E...Elevated Temperature...1
L...Leucocytosis...2 (In video 1 has been written instead of 2)
S...Shift to Left...1
Total Score is 10.
If 1-4 score...Appendicitis is less likely.
If 5-6 score...Suspension of Appendicitis.
If 7-10 score...Appendicitis is definite.
You can get Appointment for operations in Lahore on following numbers:
03216303551 ( Whatapp messages only, no calls. 11:00am to 7:00pm)
::::: About Dr. Imtiaz Hussain :::::
Surgeon Dr. Imtiaz Hussain (Gold Medalist)
MBBS, Punjab, Pakistan.
FCPS, Pakistan.
AMC, Australia.
Associate FACS, USA.
LIFE MEMBERSHIP OF MEDICAL SOCIETIES:
1.Society of Surgeons of Pakistan(LC)-SSP
2. Surgical Oncology Society of Pakistan( SOS-PK)
3.Pakistan Academy of Family Physicians-PAFP® (Regd)
4. Public Relations Coordinator & Secretary of PAFP.
AWARDS & DISTINCTIONS:
Gold Medalist in Academics.
Surgical Jeopardy SURGICON 2011
Award of Excellence FAMILYCON®, 2019
PUBLICATIONS:
He has published his work in various medical journals.
ORGANIZER:
1.International Conference on Medical Education
2.International Conference on Family Medicine- FAMILYCON®.
Dr Imtiaz Hussain is a Consultant General and Laparoscopic Surgeon. After graduating from Nishtar Medical University, Pakistan, he visited Australia for the Australian Medical Council exam. He completed his FCPS degree which is the highest degree in Pakistan in the field of General Surgery. During his postgraduate residency program, he had also trained himself in the field of Urology, Plastic Surgery, Paediatric Surgery and Orthopaedic Surgery.
Since 2012, he, as a volunteer, is working as an instructor for the Basic Life Support (BLS) Program at Fatima Jinnah Medical University Lahore, Pakistan. In this course, he is the Master Trainer and teaches CPR and other lifesaving techniques to Doctors, Medical Students, Nurses, and Paramedical staff.
Since 2015, he is working as a Clinical Exam Coordinator for the examination of FCPS part 2 ( Clinical Exam) by the College of Physicians and Surgeons Pakistan (CPSP).
He has also served as an in-charge of Temporary Hospital set up by the Government of Pakistan in PC Hotel Lahore for Pakistan Super League (PSL) matches and also for the matches against the Zimbabwe cricket team.
He is a visiting consultant General & Laparoscopic Surgeon in various well-known hospitals of Pakistan.
::: TEAM MEMBER :::
Engineer ISHFAQ HUSSAIN
BSc electrical engineering, UET, Lahore, Pakistan.
M.E. Comm. & Info. Systems Engineering, Nanjing, China.
Special interest in software and mobile applications and video editing.
FOLLOW US ON THE SOCIALS:
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Surgery vlogs, Clinical Examinations, Stepwise surgical procedures, Patients' point of view, and Publicl Awareness are salient features of this channel.
Channel keeps on posting SURGERY VIDEOS (STEPWISE PROCEDURES) of different surgical problems of various specialties for medical students, doctors and junior surgeons. These surgeries are exactly explained stepwise according to the textbook of surgeries and videos are made after collaborating with concerned specialty surgeons.
This channel also includes VLOGS about different surgical problems for general public awareness, Home Care advice after surgical procedures, and patients' point of view after they have gone through traumatic stress of surgeries or accidents.
Different CLINICAL EXAMINATIONS have also been shown in a separate playlist for medical students, doctors, and junior surgeons who are preparing for their upcoming exams.
#AcuteAbdomen
#AppendixExamination
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#TrendingSurgeries
#SirGangaRamHospital
#SurgeonsOfSirGangaRamHospital
#SurgeonsOfSirGangaRamHospitalLahore
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[@drimtiazhussain]

Lahore mein check up aur operation ya phr online consultation kliay hum say whatsapp number ([phone]) par sirf message kar kay rabta karein.(No messages or call between 9pm to 7am). Hmara whatsapp number hmari har video ki description mein diya gaya hai but sirf whatsapp messages kar kay rabta karein. Call bilkul nahin karni plz. Yaad karwany kliay Miss call bhi na karein. Hum free ho kar bari bari har messages ka reply krty hain.

[@2minsummary99]

This is amazing... Even non doctors can easily understand this examinations. Simply awesome! It is one of the best videos I encountered during these days.... It made my day! Thanks a lot sir!

[@drimtiazhussain]

Thanks.I have started new series of Clinical Examinations. This may be beneficial for medical students as well as Doctors who Are Going to Appear in their Clinical Exams

[@DoctorsHub]

Great and useful video from the point of practice and clinical examination.

[@theworldofknowledge8921]

Ap ki video boht zida informative hoti hy this video is very informative for me

[@NaveedAhmad-lc8ff]

Awesome, very simply elobrated, even after many years I am able to revise due to this video😊😍

[@sanjaynain709]

Thanks a lot dr sir, really so sweet videos, love from India 🥰🎉

[@increiblesstudio5299]

very Nice sir even simple and layman can easily understand

[@hamdshahzad6478]

You best surgeon.

[@anumnisar5655]

video is infromative but one advice kindly do not put music .

[@drimtiazhussain]

Appreciate your concern. We try not to put music while content is being discussed or explained.

[@dentalupdatesbydrtalhaasha7132]

Informative video

[@amitmishra5258]

Thank you very much sir

[@DrAltafSheikh]

Nice description

[@Cartoons12338]

Thanks sir g for this video 😘 Shaban ho sir g

[@amitmishra5258]

Very helpful for clinical

[@drimtiazhussain]

Thanks for the feedback

[@iqbalhussain8683]

It's long video as usual but very interesting and never divert the attention of audiences. Excellent 👌 content and elaboration Keep it up 👍

[@drimtiazhussain]

Thanks a lot😊😊

[@Safestreet]

Great video to learn acute abdomen from!

[@drimtiazhussain]

Glad you liked it!

[@hooriahassan3033]

v nice video keep it up sir

[@drimtiazhussain]

Thanks for watching. Please keep sharing with friends who could benefit.

[@KSRamay]

Good video for trainees

[@drimtiazhussain]

Thanks a lot

[@rahulsharmavv]

sir.....ultrasound report shows 5.5mm appendix.....do we need to go for surgery ??? Please reply sir.....because my father is suffering form worsening pain He has abdominal Tuberculosis also..... What should we do sir ??

[@imrannazirnazir4995]

Good One sir

[@drimtiazhussain]

Thanks and keep watching and sharing with your friends

[@sanarasheed1928]

I m also one of ur student,I want and I wish to have speed like you Have while performing Surgrey....

[@tehreemshazadi9338]

Well explained 👍

[@drimtiazhussain]

Thanks a lot for feedback

[@ayeshaashraf1135]

Very nice videos, please sir make more videos on examination according to guidelines with ruling out other differentials of the presenting complain I have to appear for amc clinical so your videos shall be helpful

[@drimtiazhussain]

Very soon IA

[@lakshmikanth3874]

Hii Sir Apendix Can we find through altra sound or not plz let me know

[@dr.ankitsingh6388]

Thanks Doc saab

[@drimtiazhussain]

Thanks

[@zareenakhan1536]

Sir its best👌

[@drimtiazhussain]

Thanks for watching. Keep watching and share with your friends. It may be very useful. Subscribe and press bell button to our channel so that we may send you new videos every time we launch about examination.

[@manzoor1102]

Good work

[@drimtiazhussain]

Thanks for the feedback.

[@ShahidAli-wx3qs]

Carry on boss

[@drimtiazhussain]

Alhamdulillah! We will continue this series InshaAllah.😊

[@ammadalik027]

Sir I am 998th subscriber of your channel

[@drimtiazhussain]

Done.

[@mriasatbhatti7633]

Nice and good sir g

[@drimtiazhussain]

Thanks. Keep watching and sharing with your friends and patients and doctors.

[@mominjan1088]

Good job

[@drimtiazhussain]

Thanks for the feedback.

[@ayeshaashraf9325]

Good work Sir👍

[@drimtiazhussain]

Thanks. You watched it

[@raanashahid4076]

Yes v good work for students indeed

[@amnamohsinraza6303]

Good one sir.. Also include abdominal examination and general physical examination in the beginning especially pulse

[@drimtiazhussain]

InshAllah! We have started this series and new videos of clinical examination will be added from time to time. Subscribe and press bell icon so that we will send you the moment we upload new video and you couldn't miss it. Also share our channel link with your friends' circle.

[@amnamohsinraza6303]

@@drimtiazhussain OK sir zror

[@imrannazirnazir4995]

Nyc video

[@drimtiazhussain]

Thanks! Keep sharing.

[@sadiqmeesam]

Very good n informative, I have few queries, 1 . Please also elaborate how to explain the whole examination in some precise words, 2. Should we have not done auscultation 3. Would have been more helpful if actual patient examined, because as you led the examinee to certain symptoms,

[@medzac8794]

Quite helpful 🤠

[@drimtiazhussain]

Glad it helped

[@medzac8794]

@@drimtiazhussain thank you so much sir for such amazing explanation

[@drimtiazhussain]

Thanks for the feedback

[@DoctorsHub]

What is "CHARPAI SIGN"?

[@soobanqamar]

Sir what about markle and dunphy sign? 😉 Any how Great way of explanation Sir, you made learning appendicitis a piece of cake , keep sharing the great knowledge 👍

[@drimtiazhussain]

Thanks for your valuable comments. Markle and Dunphy signs are also elicited in Acute Appendicitis patient. In Dunphy Sign, patient feels abdominal pain on coughing and in Markle sign, patient feel pain in right iliac fossa on jarring due to acute appendicitis. Thanks for pointing out for audience.

[@rohitmaskar3541]

Obturator sign , appendicitis ko confirm krne ke liye hai , ruled out krne ke liye nhi 7.50

[@YourHealthbyDrAmber]

nice

[@drimtiazhussain]

Thanks!

[@harishankarpaswan2054]

Please make more videos on clinical examination

[@drimtiazhussain]

Yes. We will!

[@majidali6906]

Nice

[@drimtiazhussain]

Thanks

[@Noor123195]

Sir,kindly explain difference btw guarding and rigidity,and how do we differentiate clinically???

[@drimtiazhussain]

Guarding is subjective while Rigidity is objective. Guarding is shown by subject(patient) when RIF is palpated in order to protect himself from pain. Patient guards and make voluntarily his abdominal muscle tense. While in Rigidity, patient's abdominal muscles become rigid and goes into spasm beacuse inflammed appendix irritates abdominal muscle. Muscles' spasm is not in control of patient. Clinically, how do we differentiate? In guarding, while doing palpation, patient's muscles will contract at the time of touching to abdomen, and in spasm muscles will already be contracted and tight phase. Hope you understand them.

[@Noor123195]

@@drimtiazhussain Thankyou sir.

[@umarhayat1258]

Great...isse acha koi guide n kr skta

[@drimtiazhussain]

Shukriya

[@shawalahmad1643]

Sir mjhy lower and upper side abdominal pain h feel like gas.. lekn mjhy vomiting or fever kuxh nhi h na hi hilny julny sy pain hota or yeh mjhy 3 months sy hai lekn jab washroom hota hun to aram milta h or mjjy constipation bhi h..kindly bta dy kia problem h

[@drimtiazhussain]

You need proper examination from surgeon.

[@RanaAbbas10]

Sir, I have IBD and Yesterday I got my whole abdomen CT scan report... where it was mentioned that "No gut-related mass lesion seen.Long tortuous appendix noted,retaining oral contrast in 24 hour delayed slices-may be due to recurrent appendicular pathology in appropriate clinical setting." But I don't have such Symptoms like your patient have. I Don't understand If I have appendicitis..

[@drimtiazhussain]

You should have check up from surgeon

[@DoctorsHub]

What is left shift? Can you elaborate it? Why it is called "shift to left"?

[@drimtiazhussain]

Please refer to comments below. There has been full discussion on it with viewer Noor Javed. Thanks

[@DoctorsHub]

@@drimtiazhussain Okay, I got that. Thanks!

[@oshinbhanse1]

For abdo examination flexion at knee joint is necessary to relax abdo muscles !

[@drimtiazhussain]

You are right. It assists

[@areejsarfraz5783]

We have our assessment tomorrow at S1 unit at ganga ram ... Sir Shabbir and sir Faisal are going to take our assessment 😂

[@drimtiazhussain]

Best of luck

[@weng2911]

May I know why gloves is wore as not in OT ? Thanks

[@drimtiazhussain]

Because we were touching patient

[@weng2911]

@@drimtiazhussain is the patient dirty or got germ on his body ? Thanks

[@drimtiazhussain]

These are examination gloves and are used while doing examination. It's a protocol so that hospital acquired infection should not cross either side.

[@rahulsharmavv]

Sir.....can appendix happen due to tuberculosis

[@drimtiazhussain]

Tuberculosis of last part of small intestine can confuse with symptoms of appendicitis but both are different things.

[@rahulsharmavv]

@@drimtiazhussain sir.....ultrasound report shows 5.5mm appendix.....do we need to go for surgery ??? Please reply sir.....because my father is suffering form worsening pain

[@yahyakhan8198]

Dr sahib ap ka address keya ha ka may apny moinay kaly woha ajawo our ap sy allaj karwa sakon

[@drimtiazhussain]

Ap kahan say hain?

[@jaanvi809]

R u ms surgeon or gyneac🤔

[@tolemchang7403]

Can appendix make nly lower right side back pain

[@drimtiazhussain]

Mostly! In children can be in upper right side of abdomen and also in pregnant ladies

[@tolemchang7403]

@@drimtiazhussain dan it pain also lower right abdomen

[@tolemchang7403]

@@drimtiazhussain sir pls gv ur ph number

[@drimtiazhussain]

@@tolemchang7403 Yes but in females its pain is also confused with right ovarian cyst pain.

[@uwu5843]

is this patient alive? did he need surgery? whether he had more tests if he had stomach pain?

[@drimtiazhussain]

He is fine and alive and living his normal life

[@malikibrar6670]

Sir mujhy b 5 din sy hai pain isi jagha py

[@drimtiazhussain]

Kisi general surgeon say check up karwaein fouran.

[@hamzaiftikhar1229]

Sir kindly dont add background music and use collar mic

[@drimtiazhussain]

This was our old video. Now we are using mic in new videos. Thanks for the suggestion

[@user-pf4ch2nb3b]

Background music ki disturb krti hai

[@drimtiazhussain]

Yeh porani video hai aur ab new videos mein aisa nahin

[@meerabnaveed4562]

Hernia surgry cost

[@drimtiazhussain]

More or less 35K

[@sheezaRajputt4264]

Asalam-0-Alikum sir bat sunY zara

[@drimtiazhussain]

Wslam! Sunaein baat!

[@sheezaRajputt4264]

@@drimtiazhussain sir asla me ek peshnt aye Hain ultrasound krwany tOh usko right side pain hain to kia masla ho sakhta

[@drimtiazhussain]

@@sheezaRajputt4264 Appendix ka pain ho sakta hai, UTI ka pain, female mein Ovary ka masla bhi ho sakta hai. Kisi doctor ko dikhein wo examination kar kay final karay ga

[@sheezaRajputt4264]

@@drimtiazhussain chalen thk hai phir

[@Noor123195]

Sir,What is shift to left??

[@drimtiazhussain]

Excellent Question. This couldn't be explained that's why it was left for those who will ask questions! Coming to your questions. As acute process is going on that's why inflammatory cells starts regenerating their new cells. These are actually immature new neutrophils and are mutinucleated. (Left side)Immature NeutrophilsMature Neutrophils(Right Side). As Immature neutrophils are high in blood circulation so, shift to left become evident. This is one of diagnistic criteria of Acute (Inflammatory) Appendicitis.

[@Noor123195]

@@drimtiazhussain Sir,Why immature neutrophils are high in blood?Why not mature neutrophils???

[@drimtiazhussain]

@@Noor123195 Because, it takes time for new cells to become mature and child takes time to become teen or youg adult but production of cells is too high that they start spilling into circulation from bone marrow.

[@Noor123195]

@@drimtiazhussain Sir,you mean that the demand of neutrophils is increased by body,so they start entering the infection site(before getting matured.

[@drimtiazhussain]

You are right because of infection production is increased

[@dr.tajwalikhan7652]

بیک سائیڈ میوزک بہت برا لگتا ہے دماغ میں درد ہو تا ہے

[@drimtiazhussain]

Ye purani video hai

[@alhadiibrahim1195]

English please

[@OmprakashUpadhaya-hy7qv]

Very good and handsome looking patient 🤭

[@drimtiazhussain]

Yes indeed

[@abdullahrazinomar8831]

wrong examination,,,, intrenal rotation means this?😂

[@tabassumbashir5921]

Boht chhi video hai

[@drimtiazhussain]

Shukriya! Isi trah video dekhti rahein aur share karti rahein