Appendicitis

Question 1

Appendicitis

Answer 1

Inflammation of the appendix. If untreated, gangrene and perforation may develop within 36 hours. Most common presentation is among men 18 Dash 30 years of age; affects approximately 10% of the population

Question 2

Appendicitis causes

Answer 2

Fecalith
Foreign body
Inflammation
Neoplasms

Question 3

Appendicitis signs/symptoms

Answer 3

Begins with vague, colicky umbilical pain
After several hours, pain shifts to RLQ
Nausea with one to two episodes of vomiting (more vomiting suggested another diagnosis)
Pain worsened and localized with coughing

Question 4

Appendicitis physical findings

Answer 4

RLQ guarding with rebound tenderness

**Psoas sign
**Obturator sign
** positive rovsings sign
Local abdominal tenderness
Low-grade fever

Question 5

Psoas sign

Answer 5

Pain with right thigh extension

Question 6

Obturator sign

Answer 6

Pain with internal rotation of flexed right thigh

Question 7

Positive Rovsing’s sign

Answer 7

RLQ pain when pressure is applied to the LLQ

Question 8

Appendicitis lab/diagnostics

Answer 8

WBC’s 10–20

CT or ultrasound is diagnostic

Question 9

Appendicitis management

Answer 9

Surgical treatment
IV fluids
Pain management