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Appendicitis Exam Questions and Answers
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Appendicitis Exam Questions and Answers
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Appendicitis Exam Questions andAnswers
What is the purpose of the Appendix? - Answer--Maintains Gut Flora
-Stores Good Bacteria after diarrhea
-Some say function is unknown
Where is the appendix located? - Answer--RLQ (McBurney's point)
-Below Ileocecal Valve in Large intestine in the RIGHT iliac region.
What are the causes of an Appendicitis? - Answer-Tumor, Foreign Body, Edema of
Lymph, Parasites, Stones, Fecalith, Seeds, Pinworms.
What is a fecalith? - Answer-stone made of hardened feces stuck in appendix
Explain step by step the disease process, starting with the obstruction: - Answer-
Obstruction -> Distention, Inflammation, Edema, Ulceration, Infection -> Perforation (if
untreated) -> Pus and fluid moving through hole -> Peritonitis (Inflammation of organ
lining)
What are Appendicitis risk factors? - Answer--Adolescent Men
-Diets low in fiber or high in carbs
-GI infections
-Rapid Weight Loss
Ways to prevent appendicitis? - Answer--High Fiber Diet
-Anything that helps bowel elimination
What are Generalized Appendicitis Symptoms? - Answer--RLQ pain at Mcburneys point
-Pain worsens when moving or coughing, extension or rotation or right hip
-Rebound Tenderness
-Fever
-Anorexia
-Nausea & Vomiting
What symptoms of appendicitis do OLDER adults experience that is different than
generalized? - Answer--Less pain, more local tenderness (can cause a delayed
diagnosis, 1/2 have no rebound pain, 1/4 have no RLQ tenderness)
-Signs of Confusion
-1/2 are not feverish (afibrile)
-More Virulent (Harmful/Severe) Course
What is McBurney's sign? - Answer-To assess for appendicitis. Rebound tenderness
and sharp pain is present when McBurney's point is palpated.
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