Chronic appendicitis - Revision history

Mikael Häggström: Redundant

2020-09-10T22:22:16Z

Redundant

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	~~==Comprehensiveness==~~
	{{Comprehensiveness}}		{{Comprehensiveness}}

Mikael Häggström: Header

2020-09-10T22:08:30Z

Header

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			==Comprehensiveness==
	{{Comprehensiveness}}		{{Comprehensiveness}}

Mikael Häggström: Expanded

2020-09-10T22:07:56Z

Expanded

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	Chronic [[appendicitis]]:		Chronic [[appendicitis]] (including peri-appendicitis):

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	{{Fixation - general notes}}		{{Fixation - general notes}}
			{{Comprehensiveness}}

	==Gross processing==		==Gross processing==
	{{Further\|Appendix}}		{{Further\|Appendix}}
	A major clue to chronic appendicitis is fibrosis.<ref name="SierakowskiPattichis2016">{{cite journal\|last1=Sierakowski\|first1=Kyra\|last2=Pattichis\|first2=Andrew\|last3=Russell\|first3=Patrick\|last4=Wattchow\|first4=David\|title=Unusual presentation of a familiar pathology: chronic appendicitis\|journal=BMJ Case Reports\|year=2016\|pages=bcr2015212485\|issn=1757-790X\|doi=10.1136/bcr-2015-212485}}</ref>		A major visual clue to chronic appendicitis is fibrosis.<ref name="SierakowskiPattichis2016">{{cite journal\|last1=Sierakowski\|first1=Kyra\|last2=Pattichis\|first2=Andrew\|last3=Russell\|first3=Patrick\|last4=Wattchow\|first4=David\|title=Unusual presentation of a familiar pathology: chronic appendicitis\|journal=BMJ Case Reports\|year=2016\|pages=bcr2015212485\|issn=1757-790X\|doi=10.1136/bcr-2015-212485}}</ref>

			{{Moderate-begin}}When the referral and/or history suggests chronic appendicitis, take additional slices for microscopy.{{Moderate-end}}<ref group=notes>It will require additional slices to comfortably rule out acute appendicitis.</ref>

	==Microscopic evaluation==		==Microscopic evaluation==
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	Chronic appendicitis has predominantly ''mononuclear'' infiltrate rather than neutrophilic.<ref name="SierakowskiPattichis2016"/> It must go beyond the normal histological locations of mononuclear leucocytes of the appendix.		Chronic appendicitis has predominantly ''mononuclear'' infiltrate rather than neutrophilic.<ref name="SierakowskiPattichis2016"/> It must go beyond the normal histological locations of mononuclear leucocytes of the appendix.

	Even when chronic appendicitis is detected, also look for acute appendicitis, as well as appendix cancer ({{further\|Appendix\|linebreak=no}})		Even when chronic appendicitis is detected, also look for acute appendicitis, as well as appendix cancer.({{further\|Appendix\|linebreak=no}})

	===Microscopy report===		===Microscopy report===
			{{Moderate-begin}}Note even the absence of acute appendicitis.{{Moderate-end}}

	Example:		Example:
	{\|class="wikitable"		{\|class="wikitable"
	\| [[File:Histopathology of patchy chronic peri-appendicitis.jpg\|100px\|left]] Patchy chronic peri-appendicitis. Negative for ~~suppurative~~ inflammation.		\| [[File:Histopathology of patchy chronic peri-appendicitis.jpg\|100px\|left]] Patchy chronic peri-appendicitis. {{Moderate-begin}}Negative for acute inflammation.{{Moderate-end}}
	\|}		\|}

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Mikael Häggström: Standard

2020-09-10T21:59:43Z

Standard

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	Chronic [[appendicitis]]:		Chronic [[appendicitis]]:

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Mikael Häggström: Started

2020-09-10T21:58:54Z

Started

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{{Top
|author1=[[User:Mikael Häggström|Mikael Häggström]]
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Chronic [[appendicitis]]:

{{Fixation - general notes}}

==Gross processing==
{{Further|Appendix}}
A major clue to chronic appendicitis is fibrosis.<ref name="SierakowskiPattichis2016">{{cite journal|last1=Sierakowski|first1=Kyra|last2=Pattichis|first2=Andrew|last3=Russell|first3=Patrick|last4=Wattchow|first4=David|title=Unusual presentation of a familiar pathology: chronic appendicitis|journal=BMJ Case Reports|year=2016|pages=bcr2015212485|issn=1757-790X|doi=10.1136/bcr-2015-212485}}</ref>

==Microscopic evaluation==
[[File:Histopathology of patchy chronic peri-appendicitis.jpg|thumb|220px|Patchy chronic peri-appendicitis.]]
{{further|Appendicitis}}
Chronic appendicitis has predominantly ''mononuclear'' infiltrate rather than neutrophilic.<ref name="SierakowskiPattichis2016"/> It must go beyond the normal histological locations of mononuclear leucocytes of the appendix.

Even when chronic appendicitis is detected, also look for acute appendicitis, as well as appendix cancer ({{further|Appendix|linebreak=no}})

===Microscopy report===
Example:
{|class="wikitable"
| [[File:Histopathology of patchy chronic peri-appendicitis.jpg|100px|left]] Patchy chronic peri-appendicitis. Negative for suppurative inflammation.
|}

{{Bottom}}