[aktorque]

Watch this video carefully and answer the question below

A 15 year old girl has fever, nausea, and acute abdominal pain and tenderness. Laboratory studies show a neutrophilic leukemoid reaction. A laparotomy and appendectomy are done. Which of the following histologic fingings will establish the diagnosis of acute appendicitis?

a. follicular lymphoid hyperplasia
b. histiocytic infiltrate of the lamina propria
c. lymphoid infiltrate of the mucosa
d. mucosal ulceration
e. neutrophilic infiltrate of the muscularis

 

[struggle]

its E..i think..

 

[struggle]

good question.thanks for posting ..

 

[Amenah]

e. thanks for the question and the video

 

[patelMD]

E)

He gave the answer away haha :happy:

 

[Curacao]

didn't even watch the video. Neutrophils are always the first cells at the side of acute inflammation.

 

[Dra.RecioO]

Correct answer: E

neutrophil within the muscularis is the key point to get the diagnosis

Watch this video carefully and answer the question below

A 15 year old girl has fever, nausea, and acute abdominal pain and tenderness. Laboratory studies show a neutrophilic leukemoid reaction. A laparotomy and appendectomy are done. Which of the following histologic fingings will establish the diagnosis of acute appendicitis?

a. follicular lymphoid hyperplasia
b. histiocytic infiltrate of the lamina propria
c. lymphoid infiltrate of the mucosa
d. mucosal ulceration
e. neutrophilic infiltrate of the muscularis

 

[plasticsurgeon]

A

a. follicular lymphoid hyperplasia

 

[dr.Irina]

e. neutrophilic infiltrate of the muscularis

 

[ricko335]

neutrophilic infiltration of musculais

 

[Hitman]

could any one please explain why the answer ?

Although neutrophils are the first to reach a site of inflammation , in first aid its written that appendicitis is due to lymphoid hyperplasia . so the answer should be A ?????

A or E ?

thanks

 

[kungfu_panda]

E. Neutrophilic infiltration in muscularis mucosa

 

[Dr. Mexito]

Why nor A?

Why is E and not A???... I haven't got that clear yet.

 

[Carina88]

also Goljan says A...

 

[praru]

the answer is E