Appendicitis
Definition:
An inflammation of vermiform appendix
Pathophysiology
Obstruction of lumen due to food, adhesions and lymphoid
hyperplasia leads to favourable growth media of bacterial flora leads to
infection
Etiology :
Obstructive agents and infective agents
Bacteria such as e coli, coliforms, bacteroids
S/S
Flank pain, retrocecal pain, rebound tenderness, pain at Mc
Burney's point, anorexia, vomiting
Medical & nursing management:
Antibiotics - ampicillin, gentamicin
Maintain bed rest, IV fluids, NPO status
Appendectomy
Distinctive facts:
McBurney's triad - pain, vomiting, fever
Positive rovsing sign, obturator sign and psoas sign
Prognosis: With an early operation, the chance of death from
appendicitis is very low.
Complications:
Perforation , peritonitis
Very informative
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