Appendicitis is one of the most common surgical diagnosis in the emergency department. Recent

Appendectomy is the surgical removal of the appendix, which is a long narrow tube that attaches to the first part of the colon. It’s located in the lower right side of the abdomen. The appendix is a vestigial organ, and it has no known relevant function.

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

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.

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).

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.

“The most clinically significant post-operative pulmonary complication is bronchitis and pneumonia (Pusey-Reid).” According to the CDC, over three billion dollars is spent annually on PPC’s. The average time spent in a hospital following an abdominal surgery is four days, however after developing a PPC, patients time spent in the hospital can easily be extended to double- a total of eight days (Henderson). This additional time is then a concern for the hospital considering they are then respectively at fault for this hospital-acquired infection. This takes away additional beds that are needed for other patients and prolonged stays. Post-operative pulmonary complications should be completely preventable if taking the right precautions against such infections.

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.

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,"

The findings are enough to diagnose Mr. M.W. with complicated appendicitis. There are not additional tests are not required. When Pneumoperitoneum visualized via imaging, immediate surgery

In some cases, ultrasound is a great technique in detecting and diagnosing acute appendicitis. In other cases, CT is a more precise and accurate tool. There is variation in the accuracy, sensitivity, and specificity of US, but accuracy seems to be higher when performed by a skilled and experienced radiologist. US does have some advantages over CT in diagnosing, and it is an accurate tool in diagnosing acute appendicitis in pregnant women. However, the most accurate results seem to come from the combined use of US and CT, or MRI alone. Lastly, there are better treatment outcomes when a clinical scoring system is used with US.