Pain

Murphys triad

Fever
Vomiting

Grid Iron Incision ( Mc Burneys incision)

Rutherford Morrison incision

midabdominal discomfort

pain

right lower quadrant

Lanze Crease incision

vomiting

Appendicectomy

Right Lower paramedian incision

constipation

Laproscopic incision

temperature is only slightly elevated (eg, 37.8 C)

Fowler-weir incision
Clinical Findings

Rovsing sign

perforation,

Copes psoas test

peritonitis,
abscess,

Blumberg sign

Complications

pylephlebitis.

Copes obturator test

ACUTE
APPENDICITIS

Hyperaesthesia in Sherrens triangle

cases are equally distributed through the three trimesters

Perforated peptic ulcer

Ruptured or twisted ovarian cyst

Appendicitis During Pregnancy

right lower quadrant pain and

tendernessthe classic syndrome
Appendectomy

acute cholecystitis
uretric colic
enterocolitis

Differential Diagnosis

leukocyte count is 15,000/uL

Laboratory Findings

pyelonephritis
mesenteric adenitis.

USG

pancreatitis

Laproscopy
Imaging Studies

CT
X ray

ACUTE APPENDICITIS .mmap - 1/14/2008 -