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Appendicitis Exam Test Guide Questions and Answers
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Appendicitis Exam Test Guide Questions and Answers
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Appendicitis Exam Test Guide Questionsand Answers
Why is the appendix so prone to *obstruction & infection?* - Answer-• *Empties
inefficiently* into cecum.
• Has a *small lumen.*
Appendectomy is... - Answer-...the *most common cause* of emergency abdominal
surgery.
Appendicitis typically occurs when? - Answer-• *10-30 years.*
• More common in *males.*
• Familial predisposition.
The appendix becomes inflamed & edematous as a result of becoming *kinked/
occluded by..* - Answer-*1) Fecalith:*
• Hardened mass of stool.
*2) Lymphoid hyperplasia:*
• secondary to inflammation / infection
*3) Foreign bodies or tumors:*
• ex: fruit seeds
Once obstructed, the appendix becomes... - Answer-Ischemic → bacterial overgrowth
occurs → gangrene *or* perforation
Perforation occurs within... - Answer-*6-24 hours after onset of pain:*
• Leads to peritonitis
Clinical manifestations in 50% of ppl with appendicitis: - Answer-• Vague *periumbilical*
pain.
• Pain progresses to *RLQ.*
• N, V
• Constipation
• Anorexia
• Low-grade fever (99 - 100.5°F)
Lab assessments of appendicitis: - Answer-*Leukocytosis*
• 10-18 with a shift to the left (immature WBC).
• X-ray
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