Exam (elaborations)
Appendicitis Exam 2 Questions and Answers
- Course
- Institution
Appendicitis Exam 2 Questions and Answers
[Show more]
Content preview
Appendicitis Exam 2 Questions andAnswers
Appendicitis - Answer-Inflammation of vermiform appendix
Appendicitis affects over _____ % of population. - Answer-7%
What ages is it most common to have a appendicitis? - Answer-Most common in
adolescents and young adults
Appendix - Answer--tubelike pouch attached to cecum just below ileocecal valve
-located in the right iliac region, in McBurney point
The appendix's function is - Answer--Regularly filled, emptied of digested food
Obstruction of proximal lumen - Answer-→ distention, inflammation, edema, ulceration,
infection
If a appendicitis is not treated it can cause - Answer--perforation
-peritonitis
Obstruction can be caused by - Answer--Fecalith
-Calculus
-Parasites
-Edema of lymphoid tissue
-Tumor
-Foreign body
Risk factors - Answer--Adolescent males at greatest risk
-Diets low in fiber or high in carbohydrates
-Gastrointestinal (GI) infections
Prevention - Answer--Cannot be prevented
-Certain dietary habits reduce risk
-High-fiber diet decreases incidence
Initially - Answer-continuous, mild generalized or upper abdominal pain
Over next 4 hours - Answer-pain intensifies, localizes in right lower quadrant (RLQ)
A typical appendicitis symptoms are - Answer--Aggravated by moving, walking,
coughing
-Localized, rebound tenderness on palpation
-Pain increased by extension or internal rotation of right hip
, -Low-grade fever
-Anorexia
-Nausea and vomiting
symptoms in older adults - Answer--Less acute pain, local tenderness in older adults →
delayed diagnosis
-More virulent course
symptoms in pregnant women - Answer--RLQ, periumbilical, right subcostal pain
▪Due to displacement of appendix by uterus
Complications with appedix - Answer--Perforation
-Peritonitis
-Abscess
-Chronic appendicitis
Acutely inflamed appendix can perforate within - Answer-24 hours
Admission to hospital with a possible appendicitis - Answer--IV fluids initiated
-Oral food and fluids withheld until diagnosis is confirmed
Tests to be done to determine a appendicitis - Answer-•Abdominal ultrasound
•Abdominal x-rays
•Intravenous pyelogram
•Urinalysis
•Pelvic examination
•WBC with differential
What diagnostic test is the most effective? - Answer-Abdominal ultrasound
Treatment of choice is appendectomy which can be done by - Answer--Laparoscopic
approach
-Open appendectomy by laparotomy
Pharmacologic therapy prior to therapy - Answer--IV fluids and antibiotic therapy: third-
generation cephalosporin
Antibiotic therapy needs to be repeated during surgery and continued for at least ____
hours postoperatively - Answer-48 hours
Strong analgesics withheld preoperatively to avoid masking sudden disappearance of -
Answer-pain → perforation
Children and adolescents - Answer--Uncommon in children aged <4
-Often progresses to rupture
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectknancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now