Case study

Topic
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 Topic

Appendicitis
Definition
Appendicitis is a
medical condition characterized
by the inflammation of the
appendix, a small pouch –like
structure located at the
Junction of a small and large
intenstine.the inflammation of
the appendix is usually caused
by an obstruction ,such as
buildup of hardened stool
foreign object, or even tumor
which leads to bacterial and
subsequent inflammation
Cau
Obstruction;
appendicitis can occur when
the opening of the appendix,
called the appendiceal lumen,
become blocked. This blockage
is
 Often caused by fecal
foreign object, or swallow
lymphoid tissue.
Infection; infection in
the gastrointestinal tract can
also lead to appendix.
Enlarged lymphoid
follicles; lymphoid follicles,
located in the lining of the
appendix.
Trauma; trauma is the
rare case; trauma to the
abdomen can trigger
appendicitis.

Bio data of the patient

 Name
Faisal

Father
Name Ahmad

Mother
Name Razia

Age/sex 16year/male

Reglion Muslim

Address Lahore
Doctor incharge DR.komal

D.o.f 20-may 2018

Diagnosis Appendicitis

Chief complaints
Patient get admitted to the
hospital on 20 may with the
complaints of intermittent
lower abdomen pain since 3
day 2 episide of vomiting and
fever.
Present medical
History
Patient was admitted to the
hospital with complaints of
abdominal pain,vomiting and
fever.

Present
medical History
There is no
significant.
 Past
surgical History
No
significant.

Family
History
Famil Age/ Rela Health
y sex tion Status
Histo with
ry patie
nt
 Ayes Fema Moth Health
ha le er y
Nou Male Fathe Health
man Fema r y
Rafia le Moth Health
Fatim Fema er y
a le moth unheal
er thy

Physical Examination
Height =80cm

Weight=45kg
 Hea

Scalp=clear

Dandruff =No

Pendiculosis=No

Hair
Colo
Textu

E
Eye
Eye
Eye
Pu

Ea
Pina
Hea
Any
Nose
Sec
Sm

M
Col
No
Pre
Sec
Gin
Ne
Lym

Ch
Size
Sha
Abd
Sou

Car
Pul
Hea
Respiratory system
Res
Sha

Re
Any

Vit
Vital Patie Nor Rem
s nt mal ark
signs pulse value
Tem 101f 98.6f Pyre
perat 90be 72- xia
ure ats 80 Tach
Pulse 120/ beats ycar
Bloo 70hg /min dia
d mm s Nor
press 26be 120/ mal
ure ats/ 80hg trac
Respi mins mm hpin
ratio 20/2 a
n 5bre
ath
 Appendix
The appendix is a narrow
larger shaped pouch that
project out from the colon
appendicitis occur when the
appendix become inflamed and
filled with pus.
.

The appendix is at the junction of

small intestine and large intestine .it is
thin tube and four inches long
normally .the
Appendix set in the lower right
abdomen.

Appendicitis
 Appendicitis is occur if you
appendix become inflamed or infected.
The appendix is a small tube, shaped
attached to the large intenstine.

Eti
B
E
F

Pathophsiology
 Due to
etiology factor- obstruction of appendix-
decreased low/drainage of mucous
secretions
Increased
intra luminal pressure of appendix –
distribution of cell membrane of
appendix –

Inflammation of appendix.

Sr.N In book In
o picture patien
 t
1 Continuous pain Present
2 Reduce appetite Absent
3 Nausea/ Present
4 vomiting Present
5 Fever Absent
6 Severe cramps Present
Dirrahea

 Assess the general condition of the

General condition of the patient.
 Assess the vital signs.
 Assess the mutational status of the
patient.
 Assess the pain level of the patient.
 Assess the skin color of the Patient
and sign of dely dration.
 Assess the causes of infection.
 Assess the input and output of the
chart.
 Assess the physical need of patient.

Nursin
g
diagn
osis
oAcute
pain
 related
to
irritatin
g
stomac
h
mucosal
larger
inflamm
ation
oFluid
volume
deficit
related
to toxic
process
 insuffici
ent fluid
intake
and
excess
the fluid
oLoss by
vomitin
g.
oAltered
nutritio
nal
status
less
then
body
 require
ment
related
to lack
of
appetit
e.
oFear,
anxiety
related
to
disease
conditio
n.
Risk
factor
of
appen
dicitis
Extremes
of age
Immunosu
ppressant
Diabetes
mellitus
Pelvic
appendix
Previous
abdominal
surgery

Treat
ment;
Treatment
for
appendiciti
s usually
involves
surgical
removal of
the
inflamed
appendix,k
nown as
appendect
omy. It is
considered
an
emergency
surgery to
prevent
the rupture
of the
appendix
and the
spread of
infection.
Prompt
medical
attention is
crucial in
cases of
suspected
appendiciti
s to avoid
complicati
on and
ensure a
successful
recovery.

Nursin
 g care
plan
of
appen
dicitis
Assessment Nursing D
 Subjective data; Deficit
Patient says that volume re
he has pain in excessive fl
lower region due through v
to which feeling and diarr
restless. evidenc
Patient says not excessive
and don’t have dry sk
knowledge about
many disease Severe in
condition. abdominal
Objective Data ; to infection
The client is evidence b
observed patient exp
Having severe pain and verball
due to Surgery.
On observing the
body temp of the
patient is
increased
metabolic rate.