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Flashcards in Appendicitis Deck (7)
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1

Acute appendicitis occurs when..

The lumen of the appendix becomes obstructed by a hard discrete mass of thickened/congealed feaces

2

epidemiology

affects all age groups
rare in very young and very old

3

typical clinical symptoms

onset of central abdominal pain which then becomes localised to the RIF

accompanied by anorexia and sometimes V+D

4

clinical signs

pt is pyrexial, with tenderness and guarding in the RIF due to localised peritonitis

may be a tender mass in the presence of an appendix abscess

5

investigations

raised WCC, C-reactive protein and ESR (not specific)

ultrasonography: inflamed appendix ?appendix mass

CT is highly sensitive and specific

6

management

surgical

open surgery or laparoscopically

conservative Tx for a mass: IV fluids and antibiotics

7

complications

arise from gangrene and perforation --> localised abscess formation or generalised peritonitis