Wk 5 Lower GI Flashcards
What are 5 disorders of the lower GI?
Appendicitis Peritonitis Irritable bowel disease: Crohn's IBD: Ulcerative Colitis Diverticulosis/Diverticulitis
Inflammation of the appendix
appendicitis
What is the etiology of appendicitis?
The appendix becomes obstructed which leads to inflammation
What is the biggest issue we are concerned about when it comes to appendicitis?
Not the inflammation but the complications
What are the complications of appendicitis? (3)
Gangrene
Abscess formation
Peritonitis
What is the classic pain that is associated with appendicitis?
RLQ in the periumbilical area
What other type of pain is associated with appendicitis?
Rebound pain
What is rebound pain?
Pain that is severe after release of palpating hand
What does it mean if the pain suddenly goes away in appendicitis?
It can indicate that the appendix has ruptured
If the appendix ruptures, what is the patient at very high risk for?
Peritonitis
What age do most people experience appendicitis?
10-12 years of age
Describe the pain a patient will have if they are experiencing appendicitis?
Begins as dull, steady pain in periumbilical area
What are 3 generalized symptoms of appendicitis?
Fever (low grade)
Nausea
Anorexia
How is appendicitis diagnosed? (4)
Clinical signs and symptoms
Leukocytosis
Abdominal sonogram
Exploratory laparotomy
What does pain at McBurney’s point possibly indicate?
Pain at right lower quadrant, appendicitis
