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Gaston College NUR 112 Appendicitis Exam Questions and Answers
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Gaston College NUR 112 Appendicitis Exam Questions and Answers
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Gaston College NUR 112 AppendicitisExam Questions and Answers
Textbook Notes: - Answer-Notes on appendicitis
Definitions:
Appendicitis - Answer-Inflammation of the vermiform appendix, is a common cause of
acute abdominal pain.
Definitions:
McBurney point - Answer-This is located midway between the umbilicus and the
anterior iliac crest in the right lower quadrant. It is the usual side for localized pain and
rebound tenderness due to appendicitis.
What causes Peritonitis: - Answer-Peritonitis resulting from appendix rupture with bowel
contents leaking into the abdominal cavity
Clinical manifestations of Peritonitis: - Answer-High fever, acute severe abdominal pain,
abdominal distention, resultant death if not treated aggressively and rapidly
Removal of the ruptured appendix
Antibiotics
Fluid resuscitation
Supportive treatment to maintain vital signs
Pathophysiology: - Answer-· The obstruction of the appendix is often caused by a hard
mass of feces (fecalith). Other obstructive causes include a calculus or stone, parasites,
edema of lymphoid tissue, a tumor, or a foreign body. Following obstruction, the
appendix becomes distended with fluid secreted by its mucosa. Pressure within the
lumen of the appendix increases, impairs its blood supply, and leads to inflammation,
edema, ulceration, and infection. The purulent exudate formed causes further distention
of the appendix. If treatment is not initiated, tissue necrosis and gangrene result within
24-36 hours, leading to perforation. This allows the contents of the GI tract to flow into
the peritoneal space of the abdomen, resulting in peritonitis, inflammation and bacterial
infection of the entire abdominal area.
Treatment of Peritonitis: - Answer-Removal of the ruptured appendix
Antibiotics
Fluid resuscitation
Supportive treatment to maintain vital signs
Risk factors: - Answer-Adolescent boys are at greatest risk, although fecaliths can occur
in both genders at any age. Individuals whose diet is low in fiber or high in
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