Appendicitis symptom

By: Wyatt Farrell


Appendix is a blind tube (have one opening) located at the end of the cecum under the iliocecal junction, and it has each of the gastrointestinal tract tissue layers, it also has lymphoid tissue.

The purpose of the appendix continues to be unknown, however some doctors believe that it provides a role by the body processes immunity especially in children.

Is the most common surgical emergency, of course, if the surgeon can't diagnose appendicitis it's a huge disaster!

Quite often misdiagnosis of acute appendicitis happens due to habit that the doctors develop, which is treating the appendicitis symptoms only, and not going for a full adequate history or possibly a good physical examination to diagnose the sickness correctly.

For example: Someone comes complaining of abdominal pain, and so the doctor prescribes some analgesia without asking further questions or doing any examination.

After 2 or 3 days exactly the same patient comes with perforated appendix!!!

Complications:

Mortality rate and complications in acute appendicitis are extremely minimal in the event the doctor treats the situation early. Plumbing service to take care of acute appendicitis is (24-48 hrs) from the time that the patient developed signs in. Complications of acute appendicitis is extremely serious: Perforation in the appendix can lead to:

Multiple abscesses inside the peritoneal cavity (This might lead to septicemia and death).

Multiple adhesions within the abdomen. (The patient will constantly come complaining of intestinal obstruction then).

Clinical picture:

Presentation isn't necessarily typical.

The percentage of patients who show typical acute appendicitis presentation is just (50-60%) from the cases.

Typical presentation:

Pain starts within the periumbilical region, then after (6-24 hrs) it shifts to the right iliac fossa. Exactly at McBurney's point (point of maximal tenderness).

Why does the pain sensation start at the periumbilical region?

Because initially the pain sensation is visceral that becomes somatic:

So at the first stage in the inflammation the individual will have the pain through the autonomic nervous system. Because the umbilicus area and also the appendix are

innervated with the same segment (T10), the brain wouldn't have the ability to tell where exactly the pain is coming from.

After the inflammation has reached the serosa as well as the parietal peritoneum (innervated through the somatic nerves) gets irritated, then the pain will shift to the correct iliac fossa the location where the inflammation is really.

Regarding retro-cecal appendicitis:

The presentation may not be fast and simple, because the appendix is hiding behind the cecum, so there won't be any clear features on examination the very first time. But after 2-three days the presentation can be very prominent. So don't ignore the patient whether or not the presentation is not typical or clear because at the time that the presentation gets clear, it could be past too far and the patient will be affected greater than he needs to.

Regarding pelvic appendicitis:

The pelvic cavity is really a boney cavity, that's why if you examine the abdomen of an patient whose inflamed appendix is positioned inside the pelvis, you will find out that his/her abdomen is soft and lax without any rigidity and you might miss the identification.

Other associated factors:

The pain sensation can be accompanied with Anorexia, so if the personPer centu2019s appetite isn't suffering from the pain then you have to question your diagnosis.

Nausea & Vomiting can even be among the accompanied symptoms, nonetheless itPer cent's not pronounced. It means that the patient will not likely vomit a great deal, only a couple of times.

Other symptom is Poor quality fever.

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