Appendicitis

Question 1

What direction does appendicitis start and end in terms of pain direction

Hrs?

Answer 1

Starts in Umbilicus ==> Right Iliac Fossa

Within Hours

Question 2

What is the most common type of abdominal surgery

Answer 2

Appendicitis

Question 3

What is the main cause of appendicitis in young people

Answer 3

Increased lymphoid tissue ==> Occludes Lumen

Question 4

What is the main cause of appendicitis in older people (30+)

Answer 4

Blockage due to Faecolith

Question 5

What clinical sign can be asked of the patient to confirm whether they have it or not for appendicitis

Answer 5

Ask PX to cough, should make it worse

Pressing on area makes it worse

Question 6

What are 5 investigations that can be done for appendicitis

Answer 6

BT ==> Rules out urine infection
Pregnancy test ==> ectopic pregnancy
Ultrasound ==> See if appendix is swollen
CT Scan
Laparoscopy ==> If diagnosis still uncertain

Question 7

What is the main treatment for appendicitis

Answer 7

Appendectomy

Question 8

What are 2 main complications of appendicitis?

Answer 8

Peritonitis ==> IF bursts

Abscess formation ==> Treated with AB