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Appendicitis NU102
Question | Answer |
---|---|
What is appendicitis? | obstruction or inflammation of appendix leading to edema, infection & ulcers |
What happens within 24-36 hours of appendicitis? | Necrosis & gangrene leading to perforation & bacterial peritonitis |
Where is the INITIAL mild pain of appendicitis felt | Upper abdomen |
AFTER 4 HOURS where is the pain of appendicitis LOCALIZED? | RIGHT LOWER QUADRANT (MC BURNEY's POINT) |
What distinct characteristics of the pain oof appendicitis happens at Mc Burney's point? | rebound tenderness (pain is relieved by palpation but returns when pressure is released) |
Rovsing's sign | Palpation of LLQ causes pain in RLQ |
6 Manifestation of appendicitis | RLQ pain (Mc Burney's Point), low grade temp, anorexia, nausea, vomiting & change in appetite |
Diagnostic tests for appendicitis | WBC with differential(elevated), elevated C reactive protien, ultrasound, ab x-ray & FACT |
What will be the result of ab x-ray for appendicitis? | FECALITH may be visible in RUQ & localized ileus noted |
Appendicitis Diagnosis | ab ultrasound, pelvic exam & Intravenous Pyelogram |
What is th emost effective way to diagnose appendicitis | Ab ultrasound |
Why is a pelvic exam done for appendicitis? | Done to females of child bearing age to rule out gyn disorders & PID |
Why is an Intravenous pyelogram done for appendicitis? | to defferentiate appendicitis from UTI |
5 Complications of appendicitis | infection, perforation (24 hrs after onset), peritonitis, ileus & abcess |
# 1 complication of appendicitis | INFECTION |
4 Treatment of appendicitis | IV fluids, electrolytes, antibiotic, appendectomy (laproscopy or laparotomy) |
Which is the preffered type of appendectomy | LAPAROSCOPY is PREFFERED |
What is a common complaint of clients after a laparoscopy? | GAS PAIN radiating to SHOULDER |
What is done if a client with appendicitis has a high fever? | their blood is cultured to rule out sepsis |
Care of Post Op Appendicitis patient | Give analgesia, NPO-advance diet, antibiotics & wound care |