MAIN DIAGNOSIS:

54 year old, Female, Atok Hgb: 161 PLEURAL EMPYEMA SECONDARY TO

Benguet Hct: 0.46 RUPTURED RETROCECAL APPENDICITIS

Appendicitis Persistent Vomiting,

Atypical Appendicitis:

Dec. Blood Supply in the No documented fever

appendix No abdominal pain
No other assoc GIT symptoms

Ischemia

Necrosis UA: Mod. Bacteria

Bacteremia

Ruptured Appendix Sepsis CBG: 486

Lactic Acidosis mg/dL
(Metabolic Acidosis)
Globular Insulin
Large Retroperitoneal Drip
Abdomen Septic Shock
Abscess Vomiting

Dehydration RBS:
Inc. Intraabdominal Pressure 6.79mmol/L
DEATH
Body weakness
Dec. Sensorium
Retrocrural Space GCS7

Association of different pressure between the

Clammy Extremities
thorax and abdomen as well as lymph flow Diaphoresis
direction Weak Pulses
Hypotension
Tachycardia
DOB Pleural Empyema Tachypnea

ABG: Uncompensated
Met. Acidosis
Tachypnea