Dorry SegevMD and Paul ColombaniMD FACS

Acute appendicitis continues to be one of the most common causes of abdominal pain in both the adult and pediatric populations, with a lifetime risk of about 6%. It is the most common surgical emergency in the child. The etiology of appendicitis varies from lymphoid hyperpla-sia in children and teenagers to appendicolith or tumor in adults, but the common pathophysiology is thought to consist of appendiceal outlet obstruction leading to inflammation, venous congestion followed by ischemia, and necrosis. The natural history includes either localized perforation, in the form of phlegmon or abscess, or free perforation with peritonitis. Diagnosis remains a clinical one and treatment remains surgical, but the roles of computed tomography (CT), percutaneous drainage, interval appendectomy, and minimally invasive surgery are evolving.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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