Appendicitis Definition And All

Appendicitis

Appendicitis
Appendicitis

 

  • Inflammation in the vermiform appendix.
  • More prevalence between 20-30 years.

Etiology

Obstruction of lumen by a fecalith (fecal stone that occludes the lumen of the Appendicitis), kinking of Appendicitis and thickening of wall due to excessive growth of lymphoid tissue.

C/M

  • acute abdominal pain in perjumbilical region then shit to right lower quadrant.
  • Pain most intense at e Burney’s point (midway between umbilicus and right anterior superior iliac spine into right lower quadrant)
  • Fever, chills, and tachycardia.
  • Patient lies in side lying position with right leg flexed.
  • Abdominal guarding with flexed legs.
  • Rebound tenderness and abdominal rigidity.
  • Rovsing’s sign-Pain referred to McBurney’s point on palpation of the left lower abdomen.

Diagnosis

Increase WBC count between 11,000-15,000 cells/ul.

Ultrasound and CT scane

Complication

Peritonitis-Inflammation of peritoneal membrane due to rupture of Appendicitis.

Management

  • Avoid heat application (heat can cause rupture of the appendix).
  • Avoid laxative and enema because it may cause rupture of appendix due to increase peristalsis.
  • Administer antibiotic to control infection.
  • Surgical management includes appendectomy (removal of the appendix) by McBurney’s incision (abdominal
  • incision employed for an appendectomy).
  • Provide right side lying or low semi-Fowler’s position to promote comfort.
  • Apply ice packs to abdominal to relieve pain and inflammation
  • Ambulation should begin the day of surgery or the first postoperative day (within 24 hours of surgery)of the appendectomy.
  • Use Penrose drain (a drain made of a piece of small rubber  tubing) in case of rupture of the appendix

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