Appendicitis Flashcards
1
Q
appendicitis
A
inflammation of appendix
- pathogens get trapped due to obstruction at point where appendix meets the bowel
> inflammation
> gangrene and rupture
> faecal contents in peritoneal cavity > peritonitis
2
Q
symptoms
A
central pain migrating to RIF anorexia nausea one or two vomits may not have moved bowels
3
Q
signs
A
mild pyrexia mild tachycardia localised pain in RIF guarding rebound- ruptured appendix
4
Q
rosving sign
A
pressing on left causes pain in right
5
Q
psoas
A
patient keep right hip flexed
6
Q
obturator
A
felxing hip internally and rotating
7
Q
diagnosis
A
clinical and raised inflammatory markers
- CT useful to confirm
- diagnostic laparoscopy
- FBC- raised WCC, CRP
8
Q
management
A
removal of inflamed appendix
analgesia, antipyretics
