Appendix a Algorithm of acute appendicitis diagnostic
(obligatory)
Pain in right low quadrant of abdomen
Kocher’s sign, local pain, muscle’s resistance
Yes No
Ultrasonic
Pathology of gallbladder,
pancreas, kidneys,
gynaecology
No Yes
Laparoscopy Special
treatment
Acute appendicitis, Surgical pathology Additional
surgery
is absent examination
Appendix b Algorithm of diagnosis and treatment of appendicular mass and abscess
(obligatory)
Mass in right low quadrant of abdomen
Ultrasonic
Mass of caecum Abscess Pathology of kidneys,
gynaecology
Metastasis
in liver,
paraaortic
lymph nodes
No Yes Special
treatment
C
olonoscopy
+ biopsy
Appendicular Appendicular Colonic
mass abscess cancer
Conservative Surgery
treatment
Appendix c Algorithm of acute cholecystitis treatment
(obligatory)
Acute cholecystitis
Signs of general peritonitis
Yes No
Conservative
treatment
Efficacy during 24–48 hours
No
Yes
Gallstones
Yes No
Urgent surgery Plain surgery Conservative
treatment