APPENDICITIS

Putu Anggia Dimitri Pramesti

1770121078
SGD 3

Block 4.5 Surgery

Program Studi Pendidikan Dokter
Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa
2021
Journal Reading

• Introduction

• Epidemiology

• Presentation

• Examination

• Management
 Introduction

General Surgery
Inflammation Abdominal Pain
Emergency
 Epidemiology

Lifetime risk is 7%

35.000 appendectomies/ year

Low fiber diet

Children and young adults

 Presentation
• Gradual onset of central abdominal pain

• Pain moves to right iliac fossa after 24 hours

• Fever

• Nausea and vomiting

 Examination

Palpation at
Rovsing’s sign Obturator sign
McBurney’s point

Psoas sign Blood test USG

Management

• Analgesia

• Fluid resuscitation

• Antibiotics (IV)

• Appendectomy
Management
References
Dixon F, Singh A, Acute
appendicitis, Surgery,
https://doi.org/10.1016/j.mpsur
.2020.03.015
THANK YOU