Symptoms And Treatment Of Appendicitis

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.

D.D is a 16 yr old male who was in his usually state of health until he developed right-sided abdominal pain approximately 5 days prior to arriving at the hospital. His pain progressively worsened and spread throughout his abdomen. He also had nausea non-bloody, non-bilious vomiting, some diarrhea, as well as fevers, when pain did not improve he presented to ER. He was admitted and diagnosed with sepsis and perforated appendicitis. He had a laparoscopic appendectomy and a central venous catheter was placed. Following surgery he was then transferred to the med-surg floor. His parents are both Spanish speaking and at the bedside.

Common symptoms of acute appendicitis include abdominal pain, fever, and vomiting. The diagnosis of appendicitis can be difficult in children because the classic symptoms are often not present in young children. As the appendix becomes more swollen and inflamed, it begins to irritate the adjoining abdominal wall which can lead to the localization of the pain to the right lower quadrant. This classic migration of pain may not be seen in children under three years. This pain can be elicited through signs and can be severe. Signs include localized findings in the right iliac fossa.

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 appendix is a small bag on the colon with an unknown purpose. The inner lining of the appendix creates a amount of mucus that travels through the open central core of the appendix and into the cecum.the wall of the appendix also contains lymphatic tissue, a part of the body’s immune system that helps protect it from bacteria and foreign entities. It can become inflamed, fill with pus, infected and can rupture causing an abscess or systemic infection (sepsis).

Moreover, I will tell him about my view that the patient could be suffering from Seroma formation. Therefore, to confirm if it is seroma formation, I will request the doctor to tap on the right side of the patient and check if there are fluid waves on the patient's left side. If the waves appear, then it will be evident that the patient is suffering from Seroma formation. The next course of action will be asking the patient to wear a tummy binder. However, if this does not help the patient to regain comfort, I will recommend to the doctor to aspirate the fluid using a needle and syringe. After that, fibrin glue can be applied as a sealant.

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)

My goals for Y.M. included alleviating pain, educating and preventing potential complications. The administration of pain medications at prescribed intervals helped her manage pain. Also, changes in body positioning can assist in relieving pain as well. For patients that undergo appendectomies, the high Fowler’s position is helpful in alleviating pain because it reduces tension on the incision and abdominal organs (Huether & McCance, 2012). So, I ensured that Y.M. was placed in this position to aid in alleviating her pain. Additionally, throughout the shift, I educated Y.M. on the use of the incentive spirometer to promote optimal lung expansion, which is helpful in preventing post-op pulmonary complications. I also ensured that Y.M. was drinking

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

A 59-year-old male, whose initials have been changed to “J.S.” due to confidentiality purposes, will be the patient for this paper. J.S. was admitted on January 12, 2014 to the Emergency Room (ER) complaining of vomiting every 15 minutes and abdominal pain rated at eight out of ten, on a scale where ten is the highest pain level. J.S. described his abdominal pain as “expanding from the inside of my stomach” (personal communication, January 15, 2014). J.S. was assessed and had an X-ray and Computed Tomography (CT) scan preformed while he was in the ER. The X-ray showed that his small bowel was distended as much as five to six centimeters, and filled with air and gaseous. A CT scan of his abdomen and pelvic region showed a narrowing of the GI tract lumen (J.S., Medical Chart, January 15, 2014). J.S.’s admitting diagnosis was a Small Bowel Obstruction (SBO), which is a form of intestinal obstruction where the lumen of the small intestine

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

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

When evaluating abdominal pain, it remains imperative to obtain a complete history and review of systems from the patient. Obtaining any pertinent medical and surgical history, especially any history pertaining to the gastrointestinal or genitourinary tract, may provide insight into the patient’s current source of pain (Bickley, 2017). The nurse practitioner (NP) should also determine the onset of pain, whether it is acute or chronic, sudden or gradual, and the duration of pain (Bickley, 2017). Furthermore, the description, severity, and location of the pain may assist with determining its cause (Bickley, 2017). Evaluating any relieving and aggravating factors can also assist with forming a diagnosis and should be considered. A thorough review