Appendicitis

in #study8 years ago (edited)

Inflammation of the vermiform appendix is known as appendicitis.

inflamed appendix.jpg

position of appendix

Appendicitis occurs in appendix. appendix is usually located in right quadrant of abdomen. the base of it is located 2 cm beneath the ileocecal valve that separate the large intestine from small intestine.
appendix is also known as a vermiform appendix. it is about the 9 cm in length and the range is 2 to 20 cm. diameter is 8 mm.

cause of acute appendicitis

Faecolith
intestinal parasites
lymphoid hyperplasia
Ca of caecum
carcinoid tumor etc

the risk factor of acute appendicitis

extreme age
diabetes mellitus
immunosuppression
previous abdominal surgery etc

how could you understand that you may attack by acute appendicitis

some symptom is associated in case of f acute appendicitis such as shifting pain, pain shifts to the right iliac fossa, anorexia, nausea and vomiting.

confirmation could be possible by medical examnination

1.Muscle guarding and
2.rebound tenderness present.


3.But in case of deep palpation #McBURNEY's point tenderness present.

4.bowel aound present

after showing this sign symptoms, differential diagnosis could be

ureteric stone, twisted ovarian cyst, peptic ulcer disease, acute cholecystitis, acute pancreatitis.

Investigation

For confirm you should have do complete blood test of differential count of WBC, urine R/M/E, RBS, serum creatine, ultrasonography and x ray of abdomen.

After different examination and investigation if acute appendicitis is confirmed you will go to the next step of treatment.
#conservative treatment
nothing by mouth
IV fluid
intravenous antibiotics
#emergency treatment
#emergency appendicectomy

appendicectomy is done by different type of incision such as #gridiron #robertsonmorison muscle cut #rtlowerparamedial incision.
the grid iron incision are usually use the most. i want to share a video of gridiron..

if you want to know about it more clearly or someone who is interested about my today's topic , you may go to this page and have fun..https://www.webmd.com/digestive-disorders/picture-of-the-appendix

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