Appendicitis

Question 1

What is it?

Answer 1

Inflammation of the appendix typically secondary to luminal obstruction

Question 2

What are clinical features?

Answer 2

Vague central abdominal pain which migrates to RIF
Anorexia
Nausea and Vomiting

Tenderness over McBurneys point
Rovsings sign
Psoas sign- RIF pain when extending right hip

Alvarado score can help determine

Question 3

What are the investigations?

Answer 3

Bloods
- raised WCC, CRP and neutrophils
Imaging
US 1st line in children and pregnant women
CTAP high specificty

Question 4

gement?

Answer 4

Gold standard laparoscopic appendectomy
Conservative management with abx
- if high risk
- associated with higher recurrence