Appendicitis

What is appendicitis?

Appendicitis is a common cause of abdominal pain that occurs in the appendix – a hollow worm-like structure attached on one end to the colon (cecum) and is freely mobile at the other end. The appendix varies in length between 2 and 4 inches. It contains debris and sometimes little stones called “fecaliths.”

Appendicitis occurs when the stones (fecaliths) enlarge enough that they block the entrance to the appendix from the colon. The E. coli bacteria normally present in the appendix start invading the wall of the appendix causing acute inflammation. Pus begins to form in this closed off space (called an abscess) leading to rapid deterioration. The jordans for sale inflamed wall of the appendix produces an inflammatory secretion that is under pressure. These factors make it possible that within only a few hours there can be a rupture of the appendix and a spread of infection into the abdominal cavity (peritonitis).

Once the pus is pouring into the abdominal cavity, all of the bacteria flow with it into the space between the bowels and the back of the abdominal cavity. Bacteria can very quickly invade the blood stream and cause a dangerous form of blood infection nfl jerseys cheap (septicemia).

What are the signs and symptoms of appendicitis.

Typically the onset of appendicitis is acute with central or upper central pain in the abdomen, which will change within a few hours to lower abdominal pain migrating into the right lower abdomen. Other signs and symptoms include:

  • Vomiting – occurs after the onset of pain;
  • Involuntary reflex tightening of the abdominal wall;
  • Walking with a limp;
  • Fever;
  • Fast heart cheap authentic jordans beat; and
  • Nausea.

How is appendicitis diagnosed?

The diagnosis of appendicitis is clinical with the physician relying heavily on physical examination to identify tenderness in the right lower abdomen and rebound tenderness (when the examining hand suddenly lets go of the pressure). A rectal examination, depending on the location of the appendix, will show tenderness as well.

Other diagnostic tests include blood tests and urinalysis (used to rule out kidney stones or cheap nba jerseys urinary tract infection). In the acute appendicitis case there is no room for CT scans and ultrasounds, but in a complex perforated case with abscesses this may be done prior to surgery.

How is appendicitis treated?

Once the clinical diagnosis of appendicitis has been made, surgery needs to be arranged as soon as possible. Patients can be placed under general anaesthesia if they have fasted for 6 hours prior. Keeping this in mind it is important to keep a person that consumptie-laboratorium is brought to the hospital for abdominal pain away from food and drink to help reduce the delay in being admitted for surgery.

The surgeon will decide whether to remove the fake oakleys appendix through a stabbing wound (laparoscopic appendectomy) or through a 1- to 2-inch incision (appendectomy). The surgery will take only 45 minutes in a straightforward case, but can be 2 hours for a complex perforation. Depending how much surgery had to be performed, the post-surgical recovery varies from only a few days to 2 or 3 weeks.

This entry was posted by admin on Friday, April 2nd, 2010 at 8:08 am and is filed under Uncategorized . You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.