appendicitis pg2226

Question 1

appendicitis is common between what ages?

Answer 1

10-35. most common between 20 and 35

Question 2

the majority of luminal blockages are caused by what?

Answer 2

fecalith (most common)
immune response/expansion of lymph tissue (e.g. viruses, vaccinations like rota virus in children)
neoplasms

Question 3

typical presentation of appendicitis:

Answer 3

LRQ pain preceded by peri umbilical pain over the couse of 12-24 hrs.
fevers
Rovsigns
Rebound tenderness
obturator sign
psoas sign

nausea/anorexic

Question 4

patients with diffuse peritonitis should be suspected of having what?

Answer 4

perforated appendix

Question 5

all women with progressively worsening SX should be evaluated for what two things?

Answer 5

beta HCG and a pelvic exam to rule out PID (pelvic Inflammatory Disease)

Question 6

gold standard for diagnosis of appendicitis?

Answer 6

CT scan

Question 7

labs for appendicitis

Answer 7

CBC
Fecal occult
UA

Question 8

all patients with suspected appendicitis need what?

Answer 8

broad spectrum antibiotics

4 days of IV antibiotics. Etrapenem

Question 9

Gold standard definitive treatment for appendicitis?

Answer 9

appendectomy

Question 10

symptomatic management of appendicitis

Answer 10

NPO
Pain control
Two large bore IV
IV fluids