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"description": "Comment diagnostiquer une appendicite ?\nQuels tests sanguins sont utiles ?\nQuels signes cliniques indiquent une appendicite ?\nL'imagerie est-elle toujours nécessaire ?\nPeut-on confondre l'appendicite avec d'autres maladies ?",
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"@type": "Question",
"name": "Comment diagnostiquer une appendicite ?",
"position": 1,
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"text": "Le diagnostic repose sur l'examen clinique, l'échographie et la tomodensitométrie."
}
},
{
"@type": "Question",
"name": "Quels tests sanguins sont utiles ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une numération formule sanguine peut montrer une élévation des globules blancs."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une appendicite ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur dans le quadrant inférieur droit, fièvre et nausées sont des signes clés."
}
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{
"@type": "Question",
"name": "L'imagerie est-elle toujours nécessaire ?",
"position": 4,
"acceptedAnswer": {
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"text": "Pas toujours, mais elle est recommandée si le diagnostic est incertain."
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"@type": "Question",
"name": "Peut-on confondre l'appendicite avec d'autres maladies ?",
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"@type": "Question",
"name": "Quels sont les symptômes typiques de l'appendicite ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur abdominale, perte d'appétit, nausées et vomissements sont fréquents."
}
},
{
"@type": "Question",
"name": "La douleur de l'appendicite est-elle constante ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "La douleur commence souvent autour du nombril puis se déplace vers le bas à droite."
}
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{
"@type": "Question",
"name": "Y a-t-il des symptômes atypiques ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, chez certains patients, la douleur peut être moins localisée ou plus diffuse."
}
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{
"@type": "Question",
"name": "L'appendicite peut-elle provoquer de la fièvre ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une légère fièvre est courante en cas d'appendicite."
}
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{
"@type": "Question",
"name": "Les enfants présentent-ils les mêmes symptômes ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les enfants peuvent avoir des symptômes moins typiques, rendant le diagnostic plus difficile."
}
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{
"@type": "Question",
"name": "Peut-on prévenir l'appendicite ?",
"position": 11,
"acceptedAnswer": {
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}
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{
"@type": "Question",
"name": "Une alimentation peut-elle réduire le risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation riche en fibres peut potentiellement réduire le risque d'appendicite."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux d'appendicite peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "L'hygiène joue-t-elle un rôle dans la prévention ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Bien que l'hygiène soit importante, elle n'a pas d'impact direct sur l'appendicite."
}
},
{
"@type": "Question",
"name": "Les infections intestinales augmentent-elles le risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines infections intestinales peuvent être associées à un risque accru d'appendicite."
}
},
{
"@type": "Question",
"name": "Quel est le traitement standard de l'appendicite ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'appendicectomie, l'ablation chirurgicale de l'appendice, est le traitement standard."
}
},
{
"@type": "Question",
"name": "Des antibiotiques sont-ils nécessaires ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antibiotiques sont souvent administrés avant et après la chirurgie."
}
},
{
"@type": "Question",
"name": "Peut-on traiter l'appendicite sans chirurgie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Dans certains cas, un traitement antibiotique seul peut être envisagé, mais c'est rare."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de l'appendicite ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la péritonite, l'abcès et l'obstruction intestinale."
}
},
{
"@type": "Question",
"name": "Quel est le temps de récupération après une appendicectomie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La récupération prend généralement de 1 à 3 semaines, selon la méthode chirurgicale."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications de l'appendicite non traitée ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la péritonite, l'abcès et la septicémie."
}
},
{
"@type": "Question",
"name": "Comment se manifeste une péritonite ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La péritonite se manifeste par une douleur abdominale intense, de la fièvre et des vomissements."
}
},
{
"@type": "Question",
"name": "Un abcès peut-il se former après une appendicite ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un abcès peut se former autour de l'appendice enflammé si non traité."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une septicémie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une fièvre élevée, des frissons, une confusion et une pression artérielle basse."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications surviennent dans environ 5 à 10 % des cas d'appendicite."
}
},
{
"@type": "Question",
"name": "Qui est le plus à risque d'appendicite ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les adolescents et les jeunes adultes sont les plus à risque d'appendicite."
}
},
{
"@type": "Question",
"name": "Les hommes sont-ils plus touchés que les femmes ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les hommes ont un risque légèrement plus élevé d'appendicite que les femmes."
}
},
{
"@type": "Question",
"name": "Les antécédents d'appendicite augmentent-ils le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, avoir des antécédents d'appendicite augmente le risque de récidive."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il le risque d'appendicite ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des études suggèrent que le tabagisme pourrait être un facteur de risque d'appendicite."
}
},
{
"@type": "Question",
"name": "Les maladies inflammatoires de l'intestin sont-elles un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les maladies inflammatoires comme la maladie de Crohn peuvent augmenter le risque."
}
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Myocardial fibrosis, measured using cardiovascular magnetic resonance extracellular volume (ECV), is associated with adverse outcome in heart failure with preserved ejection fraction, but the mechanis...
The aim of this study was to investigate the functional networks in subjects with reversible cerebral vasoconstriction syndrome (RCVS) using resting-state functional magnetic resonance imaging (rs-fMR...
We prospectively recruited patients with RCVS and healthy controls (HCs) between February 2017 and April 2021. The rs-fMRI data were analyzed using graph theory methods. We compared node-based global ...
A total of 104 RCVS patients and 93 HCs were included in the final analysis. We identified significantly decreased local efficiency of the left dorsal anterior insula (dAI; p = 0.0005) in RCVS patient...
The significantly lower local efficiency of the left dAI, suggestive of impaired central autonomic modulation, was negatively correlated with vasoconstriction severity, which is highly plausible for t...
Currently, no classification system exists to grade the severity of supraglottic stenosis. The aim of this investigation was to (1) develop a novel grading system for supraglottic stenosis that can bo...
A retrospective analysis of patients with supraglottic stenosis at three institutions from 2010-2021 was conducted. After demographic data were collected, two focus group meetings of five laryngologis...
Twenty-eight patients were included. Epiglottic and arytenoid fixation were morphological features associated with worse functional outcomes such as requiring a G-tube or a tracheostomy, respectively....
A grading system for supraglottic stenosis has been proposed with strong inter-rater and intra-rater reliabilities. The proposed system has the advantage of being descriptive of both patient functiona...
3-According to the Oxford Center for Evidence-Based Medicine 2011 level of evidence guidelines, this non-randomized retrospective cohort study is classified as level 3 evidence Laryngoscope, 133:1442-...
Bladder cancer (BLCA) typically has a poor prognosis due to high rates of relapse and metastasis. Although the emergence of immunotherapy brings hope for patients with BLCA, not all patients will bene...
Breast cancer (BC) accounts for the highest incidence of tumor-related mortality among women worldwide, justifying the growing search for molecular tools for the early diagnosis and follow-up of BC pa...
With increasing importance, health-related quality of life (HRQoL) has become a crucial outcome measure of cardiac surgery. The aim of this study was to assess the dynamics of HRQoL change within 12 m...
The cohort of this prospective study included 164 consecutive patients who underwent elective surgery. HRQoL was assessed on the basis of the Short-Form 36 questionnaire at three different times: upon...
In general, physical and mental health status improved within the first year after cardiac surgery. However, after 12 months, 7.9 and 21.2% of patients had clinically significant poorer physical (PCS)...
Although we were able to demonstrate a general improvement in the HRQoL following cardiac surgery, in one-fifth of patients, there was no recovery of mental health status even after 1 year. As this ef...
Health-related quality of life after surviving acute respiratory distress syndrome has come into focus in recent years, especially during the coronavirus disease 2019 pandemic....
A total of 144 patients with acute respiratory distress syndrome caused by COVID-19 or of other origin were recruited in a randomized multicenter trial....
Clinical data during intensive care treatment and data up to 180 days after study inclusion were collected. Changes in the Sequential Organ Failure Assessment score were used to quantify disease sever...
Mortality rate and morbidity after 180 days were compared between patients with and without COVID-19. Independent risk factors associated with high disability were identified using a binary logistic r...
The SOFA score at day 5 was an independent risk factor for high disability in both groups, and score dynamic within the first 5 days significantly impacted disability in the non-COVID group. Mortality...
Resolution of organ dysfunction within the first 5 days significantly impacts long-term morbidity. Acute respiratory distress syndrome caused by COVID-19 was not associated with increased mortality or...
Functional impairment has been proposed as an alternative outcome for quality improvement in pediatric trauma. The functional status scale (FSS) has been used in studies of injured children, but has o...
A retrospective cohort of admissions to a Level I pediatric trauma center between July 2020 and June 2021 was analyzed. Two physicians and two nurse registrars reviewed charts to obtain measures of si...
The cohort included 443 children with a mean age of 7.4 years (standard deviation, 5.4 years) and median Injury Severity Score of 9 (interquartile range, 5-12). The median time per chart to assess FSS...
Chart-based FSS assessment is feasible and reliable, but may require more detailed review for patients with higher level of impairment that require allied health therapy. Validation of chart-based ass...
Prognostic/Epidemiological, Level III....
Emergency General Surgery (EGS) conditions in older patients constitutes a substantial public health burden due to high morbidity and mortality. We sought to utilize a supervised machine learning meth...
We identified community dwelling participants admitted for EGS conditions from the Medicare Current Beneficiary Survey linked with claims (1992-2013). We categorized three binary domains of multimorbi...
We identified 1960 patients (median age 79 [interquartile range [IQR]: 73, 85], 59.5% female). The CART model identified the presence of functional limitations as the primary splitting variable. The l...
More than the presence of chronic conditions or geriatric syndromes, functional limitations are an important predictor of long-term survival and must be included in presurgical assessment....
ICU admission due to COVID-19 may result in cognitive and physical impairment. We investigated the long-term cognitive and physical status of Danish ICU patients with COVID-19....
We included all patients with COVID-19 admitted to Danish ICUs between March 10 and May 19, 2020. Patients were the contacted prospectively at 6 and 12 months for follow-up. Our primary outcomes were ...
A total of 326 patients were included. The 6- and 12-month mortality was 37% and 38%, respectively. Among the 204 six-month survivors, 105 (51%) participated in the 6-month follow-up; among the 202 tw...
Long-term cognitive, functional impairment was found in up to one in four of patients surviving intensive care for COVID-19. Fatigue was present in nearly half the survivors at both 6 and 12 months. H...
