1. Appendicitis
By
Likhila abraham

2. ABDOMEN

3. Appendicitis

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. Etiology

6. pathophysiology

7. Clinical
manifestations
pain

8. Vomitting

9. Fever
Rebound
tenderness
Mc burniys
point

10. OTHER SYMPTOMS
•Progressively worsening pain
•Coughing or sneezing is painful
•Nausea
Vomiting
•Diarrhoea
•Inability to pass gas (break wind,
fart)
•Fever

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. 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. 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. Aure-Rozanova sign
Dunphy's sign
Kocher's (Kosher's) sign
Bartomier-Michelson's sign

15. MANAGEMENT
PHARMACOLOGICAL
MANAGEMENT
uncomplicated cases antibiotics are
used to treat the patient
SURGICALMANAGEMENT
Appendectomy (sometimes
called appendisectomy or appendice
ctomy

16. Complications
Peritonitis
sepsis

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