Appendicitis
By
Likhila abraham
ABDOMEN
Appendicitis
Appendicitis is a condition in which
the appendix becomes swollen,
inflamed, and filled with pus. The
appendix is a small ...
Etiology
pathophysiology
Clinical
manifestations

pain
Vomitting
Fever
Rebound
tenderness
Mc burniys
point
OTHER SYMPTOMS
•Progressively worsening pain
•Coughing or sneezing is painful
•Nausea
Vomiting
•Diarrhoea
•Inability to pa...
Diagnostic measures
Obturator sign
If an inflamed appendix is in contact with
the obturator internus, spasm of the muscle
...
Rovsing's sign
Continuous deep palpation starting
from the left iliac fossa
upwards (counterclockwise along
the colon) may...
Psoas sign
Psoas sign or "Obraztsova's sign" is
right lower-quadrant pain that is
produced with either the passive
extensi...
Aure-Rozanova sign
Dunphy's sign
Kocher's (Kosher's) sign
Bartomier-Michelson's sign
MANAGEMENT
PHARMACOLOGICAL
MANAGEMENT
uncomplicated cases antibiotics are
used to treat the patient
SURGICALMANAGEMENT
App...
Complications
Peritonitis
sepsis
Risk for deficient fluid volume
related to preoperative vomiting.
.1.

2. Acute pain related to distention of
the intestin...
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Appendicitis

  1. 1. Appendicitis By Likhila abraham
  2. 2. ABDOMEN
  3. 3. Appendicitis
  4. 4. Appendicitis is a condition in which the appendix becomes swollen, inflamed, and filled with pus. The appendix is a small pouch shaped like a small finger. It is on the right side of the abdomen, connected to the colon. (MED ENCYCLOPEDIA)
  5. 5. Etiology
  6. 6. pathophysiology
  7. 7. Clinical manifestations pain
  8. 8. Vomitting
  9. 9. Fever Rebound tenderness Mc burniys point
  10. 10. OTHER SYMPTOMS •Progressively worsening pain •Coughing or sneezing is painful •Nausea Vomiting •Diarrhoea •Inability to pass gas (break wind, fart) •Fever
  11. 11. Diagnostic measures Obturator sign If an inflamed appendix is in contact with the obturator internus, spasm of the muscle (called the obturator sign) can be demonstrated by flexing and internal rotation of the hip. This maneuver will cause pain in the hypogastrium.
  12. 12. Rovsing's sign Continuous deep palpation starting from the left iliac fossa upwards (counterclockwise along the colon) may cause pain in the right iliac fossa, by pushing bowel contents towards the ileocaecal valve and thus increasing pressure around the appendix
  13. 13. Psoas sign Psoas sign or "Obraztsova's sign" is right lower-quadrant pain that is produced with either the passive extension of the patient's right hip (patient lying on left side, with knee in flexion) or by the patient's active flexion of the right hip while supine.
  14. 14. Aure-Rozanova sign Dunphy's sign Kocher's (Kosher's) sign Bartomier-Michelson's sign
  15. 15. MANAGEMENT PHARMACOLOGICAL MANAGEMENT uncomplicated cases antibiotics are used to treat the patient SURGICALMANAGEMENT Appendectomy (sometimes called appendisectomy or appendice ctomy
  16. 16. Complications Peritonitis sepsis
  17. 17. Risk for deficient fluid volume related to preoperative vomiting. .1. 2. Acute pain related to distention of the intestinal tissue by inflammation. 3. Anxiety related to change in health status

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