Wk 4

Question 1

know the mnemonic for appendicitis

Answer 1

P- pain (1st sx)
A- anorexia & N/V
T- tenderness
E- elev. temp
L- leukocytosis
L- lying still
A- asleep (pain comes on while asleep)

Question 2

typical appendicitis sx

Answer 2

• constipation
• indigestion
• epigastric pain shifting to RLQ pain
• anorexia & N/V
• local tenderness
• passing gas- no relief

Question 3

what is the temperature before perforation of the appendix?

Answer 3

less than 102.5

Question 4

what is the temp after perforation of the appendix?

Answer 4

up to 104.5

Question 5

typical ascending appendicitis presentation

Answer 5

flank pain
quadratus lumborum rigidity
fever up to 102.5
w/ distention later

Question 6

typical pelvic appendicitis presentation

Answer 6

first- pain in epigastric/periumbilical or rectal area
pain can localize to suprapubic region
no muscle rigidity 
fever up to 102.5
distention -later

Question 7

typical retrocecal appendicitis presentation

Answer 7

pain localized to right flank
less pain; little muscle rigidity
fever up to 102.5
early distention

Question 8

typical iliac appendicitis presentation

Answer 8

first- epigastric pain
then McBurney’s; psoas muscle rigidity
fever up to 102.5
distention -later

Question 9

functional testing for open ileocecal valve syndrome

Answer 9

iliacus test

Question 10

functional testing for closed ileocecal valve syndrom

Answer 10

quadriceps test

Question 11

possible sx for ileocecal valve syndrome

Answer 11

RLQ pain
dizziness
chronic right shoulder problems
tinnitus

Question 12

possible causes for ileocecal valve syndrom

Answer 12

adrenal imbalances

lack of adequate calcium

Question 13

function of the appendix

Answer 13

storehouse for commensal bacteria

Question 14

know the three homeopathic remedies discussed for acute appendicitis

Answer 14

bryonia
belladonna
iris tenax

Question 15

why does acute appendicitis usu cause constipation?

Answer 15

inflammation causes increased tone of ileocecal valve and decreased peristalsis

Question 16

what are important differentials in women with ssx of appendicitis?

Answer 16

acute salpingitis

ectopic pregnancy

Question 17

what condition may mimic acute appendicitis in children?

Answer 17

mesenteric lymphadenitis

but it’s self limiting