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.

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.

A 54-year-old man presents acutely with anterior NSTEMI and is treated with PCI (Drug eluting stent) to the LAD and placed on DAPT (aspirin 300mg and ticagrelor 75 mg bd). He subsequently develops abdominal pain, which is confirmed as acute appendicitis on CT scan and is referred by the surgical unit for laparoscopic appendicectomy.

Appendicitis happens when the opening from the appendix into the cecum becomes blocked. The blockages is caused by thick mucus or stool that enters the appendix through the cecum. The mucus or stool becomes hard like a rock, and blocks the opening. This rock that is blocking the

Patient F.C. is a 63-year-old African American male, who presents to the emergency department with intense left upper quadrant pain that radiates to his back and under his left shoulder blade; stating, “It feels like I have a knife in my stomach”. He reports the upper abdominal pain is intermittent, onset 3 weeks ago; however, the pain has been increasing in severity for the past four days. He states “he has been feeling very warm with episodes of nausea for the past 4 days” with a noted an 8-10 pound weight loss in the past 45 days. He denies any diarrhea or blood in his stool; however, he notes a reduction in the frequency of his bowel movements.

Primary imaging of abdominal emergencies in childhood is a radiograph of the abdomen, followed by ultrasound. Further imaging depends on the results of these studies (17). The normal appendix may be visible with graded-compression sonography and needs to be distinguished from the pathologic appendix (21,23,24,25). Graded compression technique in ultrasound is commonly used to diagnosis appendicitis (Fig1), The patient should be placed in the supine position for the ultrasound examination, and a high-frequency linear array transducer should be applied to the anterior abdominal wall over the area of maximal tenderness. All studies should be performed in both the transverse and longitudinal planes with a technique referred to as "graded compression,"

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)

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

Twelve-year-old Hispanic male D.C. presented to Advocate Illinois Masonic Medical Center Emergency Department the morning of May 14, 2015, accompanied by his mother, for complaints of abdominal pain and vomiting that began that morning at 0100. While in the ED, D.C. complained of abdominal pain which he rated ten out of ten, so he was given a GI cocktail with Pepto-Bismol, as well as morphine for pain and Zofran for nausea, and his pain decreased to seven out of ten. Due to D.C.’s complaints of abdominal pain, which included his right lower quadrant, the ED physician caring for him ordered an ultrasound of his appendix. This ultrasound was non-diagnostic, as D.C.’s appendix was not visualized. Because he had a clinical

Cross-sectional images that are produced can be viewed either on a computer or can be printed. Computed tomography images of internal organs, bones, soft tissue and blood vessels provide greater detail than the average x-ray (Marieb, & Hoehn, Human Anatomy & Physiology, 2016). To diagnose an appendicitis, it can be seen after a CT scan that an inflamed appendix can be larger than 6mm in diameter and has appendiceal wall thickening and enhancement after contrast media infusion (Wijesuriva, 2007). Ct scans can also reveal further periappendiceal inflammatory changes including free fluid, abscess or inflammatory fat

My client/patient Mr X was admitted to the accident and emergency before been transferred to my station. Mr X was admitted with abdominal pain and loose stools, vascl vagal. Mr X is 66 years old and is still currently waiting on surgery for his gall stones. Mr X is quite independent and is a full-time carer for his wife even though he does have carers