1. Non-Modifiable Factors Modifiable Factors
low fiber diet
age from 10 to 30 y/o; low intake of water that
age 24 y.o. leads to constipation
restraining of bowel
movement during training
Obstruction by fecalith,
gallstones or foreign
material
twisting/spasm
Fluid builds up inside the appendix & microorganism
proliferates
General
Appendiceal wall become inflamed &
Periumbilical
purulent exudates forms
Pain
Appendix become swollen & blood vessels in the wall are compressed
Increase congestion & pressure within the appendix
The wall of the
The wall of the appendix become
appendix appears
ischemic & necrotic
blackish
Increase permeability of the wall
Abscess formation
or localized Bacteria & toxins escape through the
bacterial peritonitis wall into the surrounding area
Appendix ruptures or perforates
Generalize
Release of its contents into the peritoneal cavity
d Peritonitis
Nausea & vomiting -Rapid board
Pain in LRQ of the abdomen(classically like abdomen
@Mcburney’s point midway bet. The
umbilicus & the iliac crest -Tachycardia
Pain may subside temporarily but when pain
recurs it is steady, severe abdominal pain -Hypotension
presence of Psoas sign
low grade fever & leukocytosis
(as inflammation develops)