Appendicitis

Question 1

epidemiology?

Answer 1

peak incidence 10-20 y/o

Question 2

symptoms?

Answer 2

• acute abdo pain
  
  • starts central then settles in RIF
• anorexia, nausea and vomiting

Question 3

signs?

Answer 3

• tenderness in mcburney’s point
  
  • 1/3 way from ASIS to umbilicus
• guarding
• rovsing’s sign
  
  • palpation of LIF causes pain in RIF

Question 4

Ix?

Answer 4

Diagnosis mainly clinical based on signs + inflammatory markers but

• CT useful in confirming diagnosis
• USS useful in women to exclude gynae pathology

Question 5

Mx?

Answer 5

surgical - appendicectomy

Question 6

DDx?

Answer 6

• ovarian cysts (w torsion or rupture)
• ectopic pregnancy
• meckel’s diverticulitis
• mesenteric adenitis

Question 7

what is meckel’s diverticulitis?

Answer 7

• malformation of distal ileum
• this can also get infected and inflamed just like appendix