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Prepared by : Almas khan
Acute appendicitis causes symptoms diagnosis management
Appendicitis is an inflammation of the
appendix, a finger-shaped pouch that projects
from your colon on the lower right side of your
abdomen.
Its the most common abdominal surgical
emergency.
The exact cause of appendicitis is unknown
Its most common in ages group of 20-30 years
Obstruction by fecalith
Inflammation
Foreign body
Neoplasm
Enlarged lymphoid follicles
Intestinal worms
Traumatic injury
Pain : around the umbilicus or epigastrium and
shift to the right iliac fossa with few hours
Anorexia: preceding the pain
Nausea & vomiting
Constipation or diarrhea : mostly patient with
appendicitis develop constipation for few days
before the attack of the pain.
Low grade fever
White & furred tongue
Tenderness at right iliac fossa
Localized guarding over the inflamed
appendix
1)Rovsings sign: pressure on the left iliac
fossa produce pain on the right iliac fossa.
2)Psoass sign: pain on extension of right thigh
with patient lying on the left side.
3)Obturators sign : pain on internal rotation
of the flexed right thigh while the patient
lying in supine position.
4)Rebound tenderness: tenderness in the
right iliac fossa after releasing the pressure.
Acute appendicitis causes symptoms diagnosis management
oBlood CP: leucocytosis ( neutrophilia)
oUltrasound
oX-ray
oCT Scan
Analgesic
Antipyretic
Antispasmodic
Antibiotics
Appendectomy
It may be:
Laparoscopic or open
Acute appendicitis causes symptoms diagnosis management

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Acute appendicitis causes symptoms diagnosis management

  • 1. Prepared by : Almas khan
  • 3. Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. Its the most common abdominal surgical emergency.
  • 4. The exact cause of appendicitis is unknown Its most common in ages group of 20-30 years Obstruction by fecalith Inflammation Foreign body Neoplasm Enlarged lymphoid follicles Intestinal worms Traumatic injury
  • 5. Pain : around the umbilicus or epigastrium and shift to the right iliac fossa with few hours Anorexia: preceding the pain Nausea & vomiting Constipation or diarrhea : mostly patient with appendicitis develop constipation for few days before the attack of the pain.
  • 6. Low grade fever White & furred tongue Tenderness at right iliac fossa Localized guarding over the inflamed appendix
  • 7. 1)Rovsings sign: pressure on the left iliac fossa produce pain on the right iliac fossa. 2)Psoass sign: pain on extension of right thigh with patient lying on the left side. 3)Obturators sign : pain on internal rotation of the flexed right thigh while the patient lying in supine position. 4)Rebound tenderness: tenderness in the right iliac fossa after releasing the pressure.
  • 9. oBlood CP: leucocytosis ( neutrophilia) oUltrasound oX-ray oCT Scan