Appendicits Flashcards
1
Q
Presentation?
A
Initially central, colicky abdominal pain to vomiting to pain in RIF.
May have altered bowel habit or urinary frequency
2
Q
On examination?
A
Signs of septic shock, tachycardia, fever, distress. Tenderness in RIF (rebound) due to peritonitis.
Rovsing’s sign – pain in RIF when pressing LIF
3
Q
Diagnosis?
A
Exclude pregnancy and UTI
Bloods
Urine
US
4
Q
Mx?
A
ABDE
IV access
IV opioid/antiemetic
NBM - refer to surgeons
