Appendicitis Flashcards
1
Q
What is appendicitis?
A
Acute inflammation (neutrophillic) of appendicitis
2
Q
Appendix pathology?
A
Muscle coat inflammation, mucosal ulceration and serosal congestion and pus in lumen
3
Q
Who gets appendicitis?
A
More common in children but can occur in adults
Peaks again in elderly
4
Q
Things which can trigger onset of appendicitis?
A
Faecoliths (dehydration)
Lymphoid hyperplasia
Parasites
Tumours (rare)
5
Q
How does appendicitis present?
A
Vomiting Abdo pain RIF tenderness Increased WCC Mild pyrexia/tachycardia Rosving's Flexing right hip lifts inflammed appendix and eases pain
6
Q
What is Rosving’s?
A
Pressing on left causes pain on right
7
Q
How is appendicitis diagnosed?
A
US useful in women and children
CRP and WCC analysis
Urinalysis
Abdominal X ray to rule out other causes
8
Q
How is appendicitis treated?
A
Appendectomy
Analgesia
Anti-pyretics
9
Q
Complications of appendicitis?
A
Peritonitis Rupture Abscess Fistula Sepsis & liver abscess
