Literature Review Complicated Appendicitis Essay

LITERATURE REVIEW COMPLICATED APPENDICITIS BACKGROUND ON COMPLICATED APPENDICITIS Appendicitis occurs due to several reasons like hyperplasia of the lymphoid, bacterial/viral infection but major cause being as a result of obstruction of appendicle lumen by a faecolith (1). if not managed in time or misdiagnosed it progresses to Complicated appendicitis in form of perforation, peritonitis, formation of phlegmon and abscess and even mortality(2)(3),especially in children the rate of complication has been reported to be very high . Perforation is defined as a hole in the appendix or a faecolith in the abdomen(4) while appendicular mass develops due to walled off perforation which causes a mass when it localizes(forsyth j) and furthers to adjacent viscera and greater omentum and forms a phlegmon (5).below are images of a perforation and a faecolith . A- Hole in the appendix B- Fecalith in abdomen Anatomy Vermiform of the appendix is approximately 5-10cm with its location at the right lower quadrant at the end of the cecum. Although being having its base at the cecum it can have abnormal positions like retroperitoneal, pelvic, extra peritoneal thus leading to different symptoms Pathophysiology Its reported that due to obstruction of the lumen of appendix, it results to intraluminal pressure concurrently bacteria in the appendix multiply causing white blood cells recruitment, pus formation and increased intraluminal pressure, if there is persistence of the obstruction itShow MoreRelatedClinical And Holistic Personal Health Factors Within An Emergency Nursing Framework3362 Words   |  14 Pageswoman with acute abdominal pain requiring emergency assessment, and the subsequent diagnosis of acute appendicitis leading to surgical intervention. The aim of this paper is to explore the patient’s relevant presentation, clinical and holistic personal health factors within an emergency nursing framework. Two key areas of care will be identified to critique and examine in detail: acute appendicitis as an immediate concern, and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) and proton-pumpRead MoreClinical Problem Solving And The Division Of Infectious Disease 2961 Words   |  12 Pagestreated empirically with intravenous ceftriaxone. Gram negative bacilli are unlikely to be a contaminant; the main consideration is whether or not these gram negative bacilli come from a more ?routine? source (e.g., pyelonephritis, cholangitis, appendicitis) or were acquired during her overseas travel. Thus far, none of her physical exam findings or laboratory studies suggest a routine cause. She travelled in areas endemic for melioidosis which may present with sepsis and bacteremia without localizing