Appendicitis

Question 1

Definition

Answer 1

Inflammation of the appendix, a finger-shaped much that projects from your colon on the lower right side of your abdomen

Question 2

Aetiology

Answer 2

A blockage in the lining of your appendix that results in infection usually by a faecolith or undigested food

The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus

If not treated promptly, the appendix can rupture

Question 3

Epidemiology

Answer 3

Affects all age groups but is rare in the very young and very old

Question 4

Clinical presentation

Answer 4

Can vary. Can be hard to diagnose in young children, the elderly and women of childbearing age

First symptom:
– pain around belly button, pain may be mild at first
– pain will then move into the right iliac fossa region and become more severe. As the swelling of the pancreas increases

Appetite reduces

May have nausea

Vomiting

Abdominal bloating

Guarding of the RIF
– MAY BE A TENDER MASS (ABSCESS)