Condition Info - BotMed Application

ConditionName

Appendicitis

ConditionDescription

Symptoms

RLQ; suprapubic pain; periumbilical pain; sometimes epigastric pain;
RUQ (subhepatic appendicitis);
Sudden onset of colicky pain that progresses to constant pain that progresses to constant pain; 
Pain worsen with movement or coughing; 
Vomiting after onset of pain sometimes;
Loss of appetite (not common in elderly); 
Low-grade fever that may worsen as the illness progresses;
Constipation or diarrhea;
Abdominal bloating; Flatulence;

PhysicalFindings

McBurney’s Point (+); 
Rebound tenderness (+); 
Psoas Sign (+); 
Rovsing’s Sign (+); 
Obturator Sign (+)

ClinicalTests

CBC with diff (nl of WBC can't R/O appendicitis);
US; 
CT with contrast; 
Laparoscopy;

RiskFactors

10-20 y/o

IsRedFlag

IsNPLEX

Consequence

Peritonitis --> Death;

ProgressionFromCondition

TreatmentOptions

Emergency surgery;
CT showed abscess – drainage;

PharmOptions

NPO and IVF;
Pain control (morphine);
Antibiotics;

24-72 hours of onset – surgery;
5 days with pain RLQ – antibiotics, IVF, bowel rest, surgery after 8 weeks;

WebLink

https://www.merckmanuals.com/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/appendicitis