APPENDICULAR PERFORATION

1. APPENDICULAR PERFORATION

2. DEFINITION
Appendicitis is the
infection or inflammation
of the appendix that lead
to lower abdominal pain.

3. ETIOLOGY
Book Description
•Obstruction of Appendix
lumen occur with feaces.
•Fecal impaction.
•Infection in GI tract
inflammatory bowel
disease.
•It more commonly occurs
between the age of 10 and
30 years
Client s Presentation
•Obstruction of appendix

4. PATHOPHYSIOLOGY
DUE TO ETIOLOGY
INCREASE INTRALUMINAL PRESSURE
DISTENDED WALL OF APPENDIX CONTIUAS MUCUS SECRETION IN
APPENDIX LUMEN
APPENDICITIS
DECREASE BLOOD SUPPLY
DECREASE OXYGEN AND NUTRITION TO TISSUE
APPENDIX WALL EROSION AND BREAKUP STATED
APPENDICULAR PERFORATION

5. SIGN AND SYMPTOMS
BOOK DISCRIPTION
• Right lower quadrant pain is
present
• Low great fever
• Nausea and vomiting
• Loss of appetite
• Complication –diarrhea
fecal tenderness
• Abdominal tenderness
• Obstruction sign
• Rousing sign
CLIENTS PRESENTATION
• Right lower quadrant pain is
present
• Loss of appetite
• Tenderness
• Vomiting
• Fever

6. DIAGNOSTIC TEST
BOOK DISCRIPTION
• History collection
• Physical examination
• X-ray
• CBC
• USG
• Loproscopy
• Urine examination
• MRI
• CT scan
CLIENT PRESENTATION
• History collection
• Physical examination
• X-ray
• CBC
• USG
• Urine examination

7. SURGICAL TREATMENT
BOOK DISCRIPTION
• Surgery is appendectomy
CLIENTS PRESENTATION
• Explorative appendectomy
surgery

8. COMPLICATIONS
BOOK DISCRIPTION
• Perforation of the appendix
• Daralytic illness
CLIENTS PRESENTATION
• Perforation

9. ANY DOUBTS
?