Appendicitis
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This is characterised by inflammation of the appendix, and usually requires urgent surgical intervention.
Clinical presentation
- Sudden peri-umbilical pain often migrating to the right iliac fossa
- Nausea and vomiting
- Loss of appetite
- Fever
- Constipation or occasionally diarrhea
- Bloated abdomen
- Rebound tenderness
- Guarding and rigidity
- Right iliac fossa tenderness
- Right iliac fossa rebound pain
- Severe persistent abdominal pain
Investigations
- FBP
- Urinalysis
- Pregnancy test in females
- LFT
- Lipase/amylase excludes pancreatitis
- Abdominal USS
- CT scan
Complications
- Perforation/peritonitis
- Appendicular abscess
- Appendicular mass
Pharmacological management
B: ceftriaxone (IV) 1g 12hourly for 5-7days
AND
B: metronidazole (IV) 500mg 8hourly for 5-7days
AND
A: diclofenac (IM) 75mg 8hourly for 3days