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Flashcards in Wk 4 Deck (17)
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1

know the mnemonic for appendicitis

P- pain (1st sx)
A- anorexia & N/V
T- tenderness
E- elev. temp
L- leukocytosis
L- lying still
A- asleep (pain comes on while asleep)

2

typical appendicitis sx

-constipation
-indigestion
-epigastric pain shifting to RLQ pain
-anorexia & N/V
-local tenderness
-passing gas- no relief

3

what is the temperature before perforation of the appendix?

less than 102.5

4

what is the temp after perforation of the appendix?

up to 104.5

5

typical ascending appendicitis presentation

flank pain
quadratus lumborum rigidity
fever up to 102.5
w/ distention later

6

typical pelvic appendicitis presentation

first- pain in epigastric/periumbilical or rectal area
pain can localize to suprapubic region
no muscle rigidity
fever up to 102.5
distention -later

7

typical retrocecal appendicitis presentation

pain localized to right flank
less pain; little muscle rigidity
fever up to 102.5
early distention

8

typical iliac appendicitis presentation

first- epigastric pain
then McBurney's; psoas muscle rigidity
fever up to 102.5
distention -later

9

functional testing for open ileocecal valve syndrome

iliacus test

10

functional testing for closed ileocecal valve syndrom

quadriceps test

11

possible sx for ileocecal valve syndrome

RLQ pain
dizziness
chronic right shoulder problems
tinnitus

12

possible causes for ileocecal valve syndrom

adrenal imbalances
lack of adequate calcium

13

function of the appendix

storehouse for commensal bacteria

14

know the three homeopathic remedies discussed for acute appendicitis

bryonia
belladonna
iris tenax

15

why does acute appendicitis usu cause constipation?

inflammation causes increased tone of ileocecal valve and decreased peristalsis

16

what are important differentials in women with ssx of appendicitis?

acute salpingitis
ectopic pregnancy

17

what condition may mimic acute appendicitis in children?

mesenteric lymphadenitis
but it's self limiting