This document presents a case study of a 35-year-old male farmer, Mr. Namdev J. Kokate, who was admitted to the hospital with a chief complaint of abdominal pain, nausea, and vomiting for the past 5 days. Upon examination and testing, he was diagnosed with acute appendicitis. His history, physical exam findings, lab results, and ultrasound results are documented. He received IV antibiotics and analgesics for treatment and underwent an appendectomy surgery. The case presentation covers his medical history, physical assessment, diagnostic workup, treatment plan, and nursing care.

2. CASE PRESENTATIONON APPENDICITIS
PRESENTEDBY,
Mr. shubhamg. deshmukh
Post basicbscnursing
1st year
Srmmconsawangi(m.)
wardha

3. HISTORY COLLECTION

4. PATINT BIODATA
 Name: Mr. Namdev J. kokate
 Age/sex: 35yr./male
 Address borgaon meghe wardha
 Religion: hindu
 Occupation : farmer
 Date of adm.: 16 jan. 2017
 Ward: male surgery no.6
 Diagnosis: appendicitis

5. CHIEF COMPLAINT
 Mr namdeo kokate admitted in A.V.B.R.Hospital on
date 16 jan. 2017 with chief complaint of pain in
abdomen,nausea and vomiting since 5 days.

6. HISTORY OF ILLNESS
 PRESENT MEDICAL HISTORY
Mr namdeo kokate admitted in A.V.B.R.Hospital on
date 16 jan. 2017 with chief complaint of pain in
abdomen,nausea and vomiting since 5 days. He was
undestand certain investigation (usg x-ray blood exa.
etc) and diagnosed as acute pancreatitis.

7. PAST MEDICAL HISTORY
 No any past medical history like that diabetes
mallitus. Hypertension,tuberculosis,etc.

8. PAST SURGICAL HISTORY
No any past surgical history like that family planning
(vasectomy) etc.

9. PRESENT SURGICAL HISTORY
After the diagnosis doctor advice the surgery
appedectomy.

10. PHYSICAL EXAMINATION

11. GENERAL APPEARANCE AND BEHAVIOR
 Naourishment: under nourished
 Body built: well built
 Activity: dull
 Gait: co-ordinate
 Health status: unhealthy
MENTAL STATUS
 Orintaion: orinted time,place,person
 Speech: coherent
 Attention: attended
 Counciousness: councious

12. VITAL SIGN
 Temprature: 100 deg. Fer.
 Pulse: 78 beats/min.
 Respiration: 20 breath/min
 Blood pressure: 125/85mmhg

13. ABNORMAL FINDING
Abdominal palpation
 Inspection: no skin integrity and scar
 Palpation: tendrness (pain in abdomen)
 Auscultaion: no any abnormal bowel sound
 Percusion: no any fluid or gas collection

14. INVESTIGATION
Abnormal finding
 In complete blood count: WBC(4000-11000cumm)
is incresed 13000/cumm
 HB%(13-15gm%) is decreased 11gm%
 In kidney function test: urea(14-18%) is incresd
27%
 In ultrasonography : appendix size is
enlarge(inflamation of appendix)

15. MEDICATION
sr Name of
medication
dose route frequency action
1 Inj.ceftxone 1gm Intra-
venous
BD antibiotic
2 Inj.pan40 40mg Intra-
venous
OD antacid
3 Tab.voveron 100mg oral BD analgesic
4 Tab. B-
compex
25mg oral OD Vitamin
supllemen
tary

16. DISEASE CONDITION

19. DEFINATION

38. DIAGNOSTIC EVALUTION
Book picture Patient picture
History collection done
Physical examination Done
Compleate blood count Done
Hb% total wbc count Done
Urine analysis Done
Abdominal x-ray Done
ultrasonography Done
Ct-scan Not done
MRI Not done

39. MANAGEMENT

41. SURGICAL MANAGEMENT

46. NURSING DIAGNOSIS