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Appendicitis - case 124 questions and answers
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Appendicitis - case 124 questions and answers
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Appendicitis - case 124 questions andanswers
appendix - Answer-- finger-like appendage 10 cm (4inches) long, just below ileocecal
valve
- fills with food and empties into cecum BUT prone to obstructions = possible infections
population at risk of appendicitis - Answer-- leading digestive disease resulting in
hospitalization and surgery
- more common between ages 10-30
Patho of appendicitis - Answer-- appendix becomes inflamed and edematous from
kinking/occlusion by hard mass of stool/ tumour/ foreign body
- eventually inflamed appendix fills with pus
major complication of appendicitis - Answer-perforation of the appendix
- can lead to peritonitis, abscess formation or portal pylephlebitis (inflamed thrombus in
portal vein)
CM of appendicitis - Answer-- vague epigastric, periumbilical or RLQ pain
- pain is dull to sharp, poorly localized to localized
- local tenderness at McBurneys point in up to 50% of cases
- usually accompanied by low grade fever + nausea
- rebound tenderness
CM of ruptured appendix - Answer-Pain more diffuse
- abdominal distention as a result of paralytic ileus
- constipation
Ax and Dx findings of appendicitis - Answer-- complete physical ax
- CBC, WBC
- abdominal xray, US, CT
- pregnancy test to rule out ectopic pregnancy
- diagnostic laparoscopy
T/F: perforation from appendicitis generally occurs 12 hours after onset of pain -
Answer-FALSE
- 24h after onset of pain
- fever 37.7 or greater
- toxic appearance
- continued abdominal pain or tenderness
T/F: although uncommon in the elderly, appendicitis can appear to be a bowel
obstruction in this population - Answer-TRUE
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