Acute Appendix Pain

HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis, presents to the emergency room after having had three days of abdominal pain. It initially started three days ago and was a generalized vague abdominal complaint. Earlier this morning, the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o. earlier around

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.

diverticulitis. The patient has no diet regimen, which may be the likely cause of his

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.

T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips

The patient complained of right lower quadrant pain and of feeling faint. Dr. O'Donnel documented a chief complaint, a brief history of present illness, and a systemic review of the gastrointestinal system and respiratory system. Dr. O'Donnel also documented a complete examination of all body systems, which included all required elements. Medical decision making was of moderate complexity.

The principal symptoms of Crohn’s disease are diarrhea and abdominal pain. Other symptoms include abdominal cramping and tenderness (often in lower right area), abdominal distention, fever, fatigue, and rectal bleeding. Bleeding may be serious and persistent, leading to a low red blood cell count or anemia. As the disease progresses, malnutrition, dehydration, electrolyte, imbalances, increased peristalsis, and pain around umbilicus may occur. Another symptom to be

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

This patient presented to the emergency department (ED) with pain in his upper right quadrant and flank. He reported experiencing abdominal distention

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.

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.

DS is a 57-year-old white female whit a history of diverticulitis who presents to the clinic for an evaluation of abdominal pain. She stated that she began experiencing left lower quadrant pain last night that worsened through the night and into this morning. The pain is described as dull, occasionally cramping, rated 7/10 in severity. The patient also stated that this pain is similar to previous episodes of diverticulitis. The patient stated that she took Gas-X this morning with little relief. She was able to move her bowels yesterday and this morning, both reportedly normal. The patient denied any fever, chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, melena, hematochezia, or any other symptoms. At this time, there were

According to Laurell, Hansson and Gunnarsson (2013), appendicitis is one the most common differential diagnoses among young males and accounts for a vast number of complaints of acute abdominal pain to the right iliac fossa with nausea and a loss of appetite. The inflamed appendix may develop secondary to blockage from either inflammation or stool and the diagnosis criteria consists of collecting assessment data like, an elevated white blood cell count, c-reactive protein and confirmation with either a computed tomography (CT) or ultrasound (Purysko, 2011). Acute appendicitis requires immediate treatment to avoid spread of infection and prevent the risk of the individual becoming septic. Other non-emergent causes of acute abdominal pain may include gastroenteritis and hernia. An acute cause of abdominal pain in the 50-year-old male would consist of biliary disease like acute cholecystitis (Sullivan, 2011). The individual would most commonly present with four clinical symptoms, a Murphy's sign (palpation with inhalation), acute pain in the right upper abdomen, leukocytosis, and possibly febrile (Schuld & Glanemann, 2015). This disease is an emergency requiring immediate surgical intervention known as a cholecystectomy and is often triggered by biliary obstruction of stones or bacterial infection resulting in possible

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

This is a 65-year-old caucasian female complaining of 3 days of right upper quadrant pain which is sharp, and constant, without radiation. The pain is localized. There is no change with position or eating. Pain is accompanied by intermittent nausea.