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Appendicitis, Peritonitis Exam Questions and Answers
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Appendicitis, Peritonitis Exam Questions and Answers
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Appendicitis, Peritonitis ExamQuestions and Answers
define appendicitis - Answer-acute inflammation of the vermiform appendix, the small
finger like pouch attached to the CECUM of the colon
can occur when the lumen of the appendix is obstructed / blocked
common betw 20-30 yrs
clinical manifestations of appendicitis - Answer-• abdominal pain followed by nausea
and vomiting
• pain originating in epigastric or periumbilical area and shifting to the RIGHT LOWER
QUADRANT (MCBURNEY'S POINT)
• anorexia after pain
• urge to defecate or pass flatus
• muscle rigidity and rebound tnederness
• normal or slightly elevated temperature
• increased white blood cell WBC count w/ possible increased segmented neutrophils
lab findings for appendicitis - Answer-increased white blood cell WBC count w/ possible
increased segmented neutrophils
lab findings dont establish the diagnosis though
ultrasound shows enlarged appendix;
computed tomography (CT) scan can be used for diagnosis and reveal the presence of
a fecalith
what clinical manfiestation characterizes PERFORATED APPENDIX WITH
PERITONITIS - Answer-•abdominal pain that INCREASES with cough or movement
• pain is RELIEVED by FLEXION of the RIGHT HIP or KNEES
complications of appendicitis - Answer-• gangrene - life threatening (can occur within
24-36 hours)
• perforation- may develop within 24 hrs
• perforation of appendix results in peritonitis
nonsurgical management of appendicitis - Answer-• NPO
• administer IV fluids as prescribed to prevent fluid and electrolyte imbalance and to
replace fluid volume
• SEMI FOWLER's position so that abd drainage can be contained in lower abdomen
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