APPENDICITIS rete sore Maen he Sein RETROCECAL APPENDICITIS USUALLY OCGURS because OS SOMETHING OBSTRUCTS THE APPENDIX FECALITH LUNDIGESTED MATERIAL a INTESTINAL PARASITES LYMPHOID FOLLICLE GROWTH he (CymPHO.D HYPERPLASIA) some Sees &. = INTESTINES are ALWAYS os SECRETING 4 FLUID & MUCOUS BUILDUP 4 ‘PRESSURE 4 Pevensey semen AFFERENT VISCERAL NERVE FIBERS, CAUSING ABDOMINAL PAINFLORA the GUT lp COU K BACTEROIDES FRAGILIS MULTIPLY a = {7 InMUNE SYSTEM RECRUITS WAITE BLODD CELLS Ogata hia PUGH AND COMPRESS NEARBY BLOOD VESSELS sm IscHeMIn E wecRoss erin xT RA = oe barman met ees ars a BACTERIA INVADE the WALL of the APPENDIX =] 1 sei MnLL beans WEAKER ois 4 eat APPENDIX RUPTURES 4 BACTERIA ESCAPES inte the PERITONEUM and cates PERITONTIS ugly SIGNS & SYMPTOMS * STARTS sath NAUSEA, VOMITING, FEVER Jerooians * PERIUMBILICAL ABDOMINAL PAIN dae to VISCERAL NERVE IRRITATION ‘cums | * 24-AE HOURS, APPENDIX. becomes HORE SWOLLEN ced {he ABDOMINAL WALL ITATES i oe re ina sera! pammietraet NSN ee “Hopes aceewera ieee ke RELLY BUTTONSIGNS & SYMPTOMS ROVSING'S SIGN te OBTURATOR SIGN wif) APPENDIX the PUTS =a Singstar Ea Pr esons san PUSHCONTENTS 6 he BOEL, wuss FERARDS te APPEND ‘pra uaack Ra ORR eve APPENDIX BORDERS the PSORS MUSCLE SIGNS & SYMPTOMS OF PERITONEAL IRRITATION free ABDORINAL GUARDING i> BLUNBERG'S SIGN fy vmemmenr RAPTENRBBORORC OSCLES REBOUND TENDERNESS amor TER RRR “Deer eavention. THEN PAIN DURING RELEASE DIAGNosis es LagoaaToay Tests rowers 3.000 Tests tl he TINE Ste cx caer ues UaeneuTorat mecsornance UD) se ra) Sea¥oRATON of ruUD/eLecTROLYTE MEALANCES ws suannyss & seis RULE OUT GeNerouRIAY CONDITIONS 3 ES TRRITtin F BLADDER / URCTER BY IFLAMED APPENODK rec eewnovsucaests un 9 a s* RULE OUT ECTOPIC PREGNANCY I EALee Cus Beate hee =o) ~rOcEReNMceA PWN CASES dp ae acces rest ADULTS nd han «SERUM PREGNANCY TESTwai * ® BEES morn .nernsroinct tucson weresat Nene bores Hattecamewes neratexane Ye guy TREATMENT me hmromiins SURGICAL REMOVAL OF THE APPENDIX OR APPENDECTOMY “GOAL iste OPERATE EARLY BEFORE ms Ske SETS ras 6 + THOSE u/ CLASSIC FINDINGS $98, x ‘Goinneninre SURGERY u/s a © )\ IMAGING STUDIES ows + DELAYS may RESULT IN PERFORATION or RUPTURE of the APPENDIX, ‘INDIVIDUALS u/ ATYPICAL PRESENTATION WAY NEED FURTHER TESTING & RULE OUT OTHER CAUSES sf ABDOMINAL PAIN Gay APPENDICITIS Senerons Dincosis Ataen& von 2 oom tests FERDWSILICAL Pa Sha oom es) Treaster ven avout * ULTRASOUND rom) Scns + esem Snweys sew ate anconusve ie, OMNES “i Serantfon Sew Samanen tc recs sos 2 ORCC SETI Sten oon fueTURE —ppenroumis TARAS UTony ‘ABDOMINAL. GUARDING ey“ eenessa "