Appendicitis

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.

A friend of mine went to the emergency department because she had severe pain in her right lower abdomen. She received a laparoscope and was notified that she required surgery immediately to get her appendix removed. While the on-call anesthesiologist was caring for a mother in labour leaving her and other patients waiting for care. She waited several hours to get access to an anesthesiologist to receive medical care before her surgical procedure. After her surgery, the surgeon stated her appendix was really severe, and they were lucky enough to perform surgery before it ruptured. If she had waited longer her appendix could’ve ruptured, and it would’ve been very dangerous and life-threatening. Based on this experience I will examine how

Edna, T., Talabani, A. J., Lydersen, S., & Endreseth, B. H. (2014). Survival after acute colon diverticulitis treated in hospital. International Journal of Colorectal Disease,29(11), 1361-1367. doi:10.1007/s00384-014-1946-3

Children ages 10-19 years are most commonly diagnosed with appendicitis. Appendicitis is often more difficult to diagnose in children than adults, because of this about 10-20 percent of kids with appendicitis will suffer from a perforated appendix before being treated. When the appendix is blocked, it becomes inflamed and bacteria can overgrow in it. Blockage can be due to stool, inflammation of lymph nodes in the intestines, or infections like parasites. A perforated appendix is one of the complications of acute appendicitis. If appendicitis is left untreated, ischemic necrosis of a portion of appendixes wall may occur, leading to perforation. This then allows the contents in the appendix to leak out into the rest of the abdomen, potentially causing other infections, such as septicemia. This can be a life threatening

3 diagnoses for Miss potts who just an appendectomy are her pain level is 9 out of 10, deep berating and coughing. For her goals are painless form her appendectomy surgery, make her comfortable feeling staying in bed and trying to encourage for fluids for QNS (quantity not sufficient) lab. Intervention for miss potts is provide ice bag for the pain, keep at rest in semi-fowler’s position for make her comfortable feeling. Monitor Input and output for urine; provide the clear liquids in small amount s for QNS (quantity not sufficient).

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%

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

When the surgeon came out to update my parents he said, “Well, in the doctor's world, we say, We hit the Jackpot with your daughter.” He went on to explain my appendix was healthy, but I had Meckel's Diverticulitis. My surgeon was thrilled with the diagnosis because according to him this is a condition he has always studied in a book, but never had the opportunity to treat a case for himself. Meckel’s Diverticulitis is an extra piece of tissue attached to the small intestine that once it becomes inflamed must be removed. Unfortunately for me, I was the guinea pig the surgeon’s had the opportunity to study a condition only 2 to 3% of people are born

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

Surgical wound that results from delayed healing in a gastro-surgical ward is one of the most challenging tasks for us. Any dehisced wound that is complicated by wound infection and in relation to malnutrition, age, and different comorbidities are one of the dilemmas that are regularly happening in our ward. Wound management in our ward will require a rigid assessment in every shift of the day, this will require proper wound assessment and referral to the healthcare team when there are any changes to the wound or there is no progress in the healing for wound. Various changes of dressings are also used to pack the wound, and this will also depend on individual nurses that are assessing the wound. There is also a common practice of trial

This specific point corresponds to the base of the appendix. When RLQ pain is suspected to be caused by the appendix, diagnosis can be confirmed by applying pressure at McBurney’s point (Regmi, 2018). As it is the most tender area of the abdomen and used to detect deep tenderness, it is clear to determine whether inflammation of the appendix has occurred. Therefore, it is significant in determining whether this diagnosis is accurately an acute appendicitis or could be further complications within the same

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