DEFINITION
Condition in which appendix become inflamed.
HOW TO IDENTIFY CLINICALLY
- Pain- Migratory pain (initial around umbilicus later in the right iliac foss)
- Vomiting
- Fever
CHARACTERESTIC FEATURES/ DIAGNOSTIC FEATURS
- Abdominal pain
- Swollen belly
- Constipation
- Diarrhea
- Inability to pass gas
- Loss of appetite
- Low grade fever
- Nausea and vomiting
- Tenderness & reborn tenderness in right iliac fossa.
LAB DIAGNOSIS
Gold test- contrastenhance computed tomography(CECT)
Initial test- abdominal X-ray, abdominal ultrasound, MRI, CT-scan, urine test, blood test
WARNING SIGNS
- Peritonitis
- Abdominal guarding
- Painful abdomen
- Distended tenderness
- Reboud
- Absent bowl sound
INITIAL MANAGEMENT
- Nill by mouth
- Insertion of Rule’s tube if vomiting
- I.V. Fluids
- I.V. antibiotics- ofloxacin + metrogyl
DEFINITIVE MANAGEMENT
- If no appendicular mass-
SURGERY
- Laparoscopic appendectomy/ open appendectomy.
- If appendicular mass-
- Conservative management (NMB, IV Fluids,IV antibiotics)
- Following interval appendectomy after 6 months.