Acute Appendicitis Case Study

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.

Abdomen: The lipases appeared unremarkable. The liver, spleen, gallbladder adrenals, kidneys, pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seemed consistent with acute appendicitis. All the structures of the abdomen appeared unremarkable. No free air was seen.

b) Place hand above right knee and ask pt to raise the leg to meet your hand. Pain may indicate appendicitis.

Patient might experience mild or sever pain, crampy, and aching that is similar to appendicitis. Passing of gas or stool elimination may reduce the adverse effect of pain. According to spivak & deSouza (2008), patient that are of high risk are those with the history of low-fiber diet, constipation, high intake of red meat, severe dehydration, and aging. The diagnostic tests are barium enema which determines number of diverticula, CBC indicates present of anemia, colonoscopy exposes present of diverticula, CT scan reveals changes in the colon wall, GI bleeding scan that identifies active bleeding, and CBC with differential reveals leukocytosis.

Thus allowing me to form a differential diagnosis and rule out certain causes, such as; constipation, and indigestion. Subsequently, the physical examination enabled me to confirm a diagnosis of acute abdomen. As the patient was not experiencing any worrying (red flag) symptoms associated with abdominal emergencies, such as; appendicitis or pancreatitis. However, I did forget certain aspects of the physical examination and had to be prompted by the MO. Although with more practice such incidence would be reduced.

Appendicitis is defined as an inflammation of the inner lining of the appendix that spreads outwards to its other parts.. Variations in the position and size of the appendix, age of the patient, and degree of inflammation make the clinical presentation of appendicitis very inconsistent between patients. The most common symptom of appendicitis is abdominal pain. Appendicitis symptoms begin as periumbilical or epigastric pain migrating to the right lower quadrant of the abdomen. An inflamed appendix near the urinary bladder or ureter can cause hematuria or pyuria. Appendicitis is most common between the ages of 10 and 40, and the median age is 28. Appendicitis tends to affect males more so than females. In 2013 it resulted in 72,000

In this study, out of 112 patients operated for acute non perforated appendicitis, 72 patients were male and 40 patients were female, a ratio of 1.8:1. The patients' age ranged from 18 to 55 years with a mean age of 26 years, the majority of cases lie in a range between 20-32 years. As shown in Table 1, there is no significant difference regarding patients' age, sex, medical comorbidities (diabetes, liver disease, renal disease, hyperlipidemia, heart disease), fever, leukocytosis, radiologic findings (appendiceal diameter, presence of free fluid) or operative time between the two groups.

Introduction A clinical audit is an approach used to determine if healthcare is administered in the most effective and appropriate manner whilst meeting internationally recognized standards. The National Institute for Health and Care Excellence (NICE)(1) recently updated published standards of care for management of Acute Upper Gastrointestinal bleed (UGIB). The medical records of eighty-seven patients who presented with an upper gastrointestinal bleed over a three month period from December 2013 to February 2014 to the Port of Spain General Hospital (POSGH) were audited. Results showed that recommendations in the NICE guidelines were followed accordingly. Acute upper gastrointestinal bleed (UGIB) can be defined as bleeding from a source (duodenum,

A frequent pediatric problem in the emergency room is acute pain in the abdomen. The most common cause of surgery with acute abdominal pain in children is appendicitis. Sonography is proven to be effective in diagnosing appendicitis in children, while being cost-effective and free from radiation and contrast reactions. This study reviewed the effectiveness of sonography in diagnosing emergency room pediatric patients with acute abdominal pain. This retrospective-chart review used 775 pediatric patients within a 17-month study period. Researchers reviewed each patient’s ultrasound results for appendicitis and a final diagnosis of appendicitis was made based on the excised appendix’s histology report. The data presented a sensitivity of 96.4%

When you’re young, the most common injuries are: a broken arm, a sprained ankle, or a skinned knee and elbow. Not a ruptured appendix. In fact, the chance of developing appendicitis is about seven to fourteen percent. Although it is most prevalent in children and young adults, and one of the most common operations today, it was unfamiliar to my parents.

Regardless of the appendix’s unique purpose in the body when it becomes inflamed and infected the main treatment is removal. Inflammation of the appendix is most commonly seen in the young population between the ages of 10 and 30 years of age. Despite this, acute appendicitis can happen at any age from infancy to geriatric. Appendicitis occurs more in males in the ages of 10-20 years, but the distribution between male and females is even in all other ages (Schub, T., & Kornusky, J. (2016). Appendicitis, Acute. CINAHL Nursing Guide)

Materials and Methods: 2573 Saudi Arabian patients treated surgically for acute appendicitis between January 2003 and December 2012 were reviewed. Inclusion criteria included adult patients. diagnosed initially

A nineteen year old, white female is admitted to the emergency room with sharp pain in the abdomen and no previous medical history. The symptoms the patient reports include slight abdomen pain accompanied by vomiting and a low fever beginning a few days before seeking medical help. A few days later, the abdomen pain worsens and moves above the appendix. The patient reports that the pain continued to worsen and then began to feel much better. The night the patient was admitted to the hospital, she says that the pain had come back and was now worse than it had ever been (1). Upon arrival at the hospital a nurse will examine the patient and various exams will be performed; these will include an exam to see if the abdomen is inflamed, a urine test,

The reported accuracy of sonography ranges from study to study. This could be due to the fact that ultrasound is an operator-dependent technique, so individual skill is a crucial factor in detecting AA (Pinto et al., 2013). There can also be difficulties in scanning certain populations, such as obese patients, leading to inadequate compression of the right lower quadrant and decreased visibility (Pinto et al., 2013). Variability in the location of the appendix can also explain the varying accuracies (Pinto et al., 2013). Evidence shows that it is easier to see an inflamed appendix than a normal appendix when using sonography, so it is a better tool for detecting acute appendicitis than disproving the condition (Pinto et al., 2013). Lastly, there is wide agreement that early diagnosis provides the best treatment outcome (Pinto et al.,

“Abdomen is a Pandora’s magical box which cannot be explained unless opened”. My interest in Gastro intestinal pathology arouse during the post-graduation period due to the wide implications it focus. It is a sophisticated and complex area