Acute appendicitis is a surgical emergency most frequently caused by an obstruction of the communication between Ilion and appendix. It causes an inflammation of the mucous layer because of the colonization with intestinal bacterial flora. In case of appendix perforation, fecal matter and infected intestinal bodies pierce into the peritoneum and cause acute septic peritonitis. Depending on the infected area, the peritonitis can be local or general; around the inflamed appendix an abscess can appear.

About 10% of the population is expected to develop appendicitis in the near future but the incidence is decreasing. Appendicitis is commonly resolved by appendicectomy, the removal of the appendix. The occurrence of normal appendix removal is 10-20% of the suspected cases.

The inflammation of the appendix usually occurs in men but the chance of removing a healthy appendix is higher in young women. The trickiest situations of appendicitis are seen in children and old people who don't always develop the classical symptoms; this is the major reason for wrong and false diagnosis of appendicitis.

Post ads:
Black Diamond Rocklock Screwgate Carabiner / Waterproof Double Red LED Light with Black Silicone for / CEP Men's Compression Allsport Sleeve / Key-Bak Retractable Reel with 48-Inch Kevlar Cord (Black) / Rockhard Fitness (tm) 3 Loop Bands Set for Exercise (Low, / MLB San Francisco Giants 2012 World Series On-Field Cap, / Columbia Men's Ridge 2 Run II Pant / Russell Outdoors Men's Explorer Short Sleeve T-Shirt / NFL Green Bay Packers Replica Youth Helmet and Jersey Set / Bowflex PR1000 Home Gym / NHL Slapshot Limited Edition 2 Stick Bundle for Nintendo / FROGLUBE PREMIUM CLP Lubricant 4oz Paste and 4oz Liquid / California Innovations Eco Blend 45 Can Freezer Tote / Roller Derby Ventura 950-ZX Men's Inline Skates / Lock Laces / Two Pack of MetalTac Airsoft Speed Loader100 Rds / Sterno Single Burner Folding Stove - 50012 / Gunvault GV2000C-DLX Multi Vault Deluxe Gun Safe

The pain usually appears around the navel or in the epigastria and moves down and right in the right ileal fossa after several hours, when the inflammation process involves the peritoneum. Pains get worse as hours pass, they can awake or keep awaken a patient. The pain tends to get worse while moving or coughing and the person tries to stay still and in an antalgic position to calm the aches.

Next appearing symptoms are nausea, vomiting and sometimes anorexia. Most common is constipation because the inflammation process tends to slow down the intestinal transit. Diarrhea can also occur, mostly without fever when the appendix is localized after the Ilion, in an abnormal position.

Pulse and temperature are normal in the debut period but can increase as the peritoneum is caught or an infection develops.

Post ads:
Timex Global Trainer Speed and Distance GPS Watch / Picnic Time Circo Cheese Set / Kryptonite Keeper 12 Standard Bicycle U-Lock with Bracket / Light-up LED Glow Basketball by Kan Jam Illuminate / Harbinger 130 Classic WristWrap Glove (Black) / Paintballs - 1500 Rounds / Pintoli Style 1067 Men's Comfy Support Travel and Dress / LEGO Drinking Bottle, Blue / Avenir Threaded Presta 48Mm Valve Tube / Okuma Avenger ABF Graphite Bait Feeder Reel / NFL Men's Denver Broncos Heart And Soul Ii Adult Short / Remington RMBT3AAA-B Extreme Track Blood Tracker / Gaiam Tree of Life Yoga Mat / Bushnell H2O 10x42 Porro Prism Waterproof/Fogproof / I Love One Direction Band Wristband 1d Wide 0.47" Bracelet / Hatch WG1000S Cotton Parade Glove with Snap Back (White) / Nike Brasilia 5 Medium Duffel Grip / Darn Tough Vermont Men's Merino Wool Boot Full Cushion

In the right ileal fossa a sensation of tenderness and discomfort can persist. Pain can be worsen by touching the area, and the inflammation of the peritoneum can be also checked by touch methods.

In spite of the suggestive symptoms, a retro-cecal or in the pelvis situated appendix can be missed or misinterpreted. Such cases of appendicitis can only be diagnosed by rectal touché.

Objective clinical tests to prove the inflammation of the appendix are:

1.The Psoas test- from the right side of the patient extend the hip and perform the abduction of the thigh.

2. The obturatory-muscle test- flexing the right thigh and rotating the hip to the interior.

3. The Rovsink test to cause pain in the right ileal fossa while pressing the left ileal fossa.

4. The rebound- pain after releasing the pressure exercised in the right ileal fossa, means the peritoneum is interested.

After the appendix perforation patients may feel less pain, but the rising pulse and other developing symptoms appear showing the peritonitis.

Atypical symptoms for appendicitis are watery diarrhea and vomiting, anorexia and diffuse abdominal pain, shock and confusion in older persons. Pregnant women usually feel the pains higher in the abdomen.

創作者 san9iago3 的頭像


san9iago3 發表在 痞客邦 留言(0) 人氣()