- Inflammation in the vermiform appendix.
- More prevalence between 20-30 years.
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.
- 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.
Increase WBC count between 11,000-15,000 cells/ul.
Ultrasound and CT scane
Peritonitis-Inflammation of peritoneal membrane due to rupture of Appendicitis.
- 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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