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Appendicitis Exam Questions with Complete Solutions
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Appendicitis Exam Questions with Complete Solutions
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Appendicitis Exam Questions withComplete Solutions
Etiology - Answer-Lymphoid cells in the mucosa of the appendix of the appendix create
a lymphoid pulp that aids immunologic function.
*The lymphoid tissues atrophies with age and can obstruct the appendix, leading to
appendicitis.*
Around what ages is appendicitis more prevalent? - Answer-Age consideration:
Appendicitis is commonly highest incidence ages 10-30 years age group.
Men are twice as likely to have appendicitis on the 10 - 30 age range, but rates are
equal for men and women over the life span.
where is the appendix located? - Answer-The appendix is located near the ileocecal
valve and is considered a true diverticulum of the cecum.
The orifice opens into the cecum.
Pathophysiology: how does the appendix become inflamed? - Answer-Obstruction is
thought to be the primary cause
Obstruction caused by hard feces, calculi, lymphoid hyperplasia, and infectious process,
or a benign or malignant tumor
When the lumen of the appendix is obstructed, it becomes filled with mucus and
distends, increasing the intramural pressure.
Increased pressure causes thrombosis and occlusion of the small vessels and stasis of
the lymphatic flow.
The wall becomes ischemic and then necrotic eventually leading to bacterial overgrowth
and perforation (rupture).
Note added by faculty: Know the term for Hard Feces - Fecalith
Primary cause of appendicitis? - Answer-Obstruction is thought to be the primary cause
Obstruction caused by hard feces, calculi, lymphoid hyperplasia, and infectious process,
or a benign or malignant tumor
Clinical Manifestations - Answer-The most common symptoms is PAIN.
Classic signs and symptoms:
Right lower quadrant abdominal pain
anorexia
Nausea
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