INTRODUCTION:-

Appendicitis is also called the epityphilitis it is the

infection or inflammation of appendix the tiniest
part of the bowel a warm like out ponching of the
bowel at the junction of the small and large
intestine. the appendix is an organ at the begning of
the large intestine (caeam) It measures about 7-
15cm long and 0.5-1.5cm wide.
DEFINITION:-
Appendicitis is an inflammation (severe
irritation) of vermifrom appendix, (as small
ginger like appendage attalhed to cecum just
bellow the ilexecal voluve)
ANATOMY AND PHYSIOLOGY
TYPES:-

 Acute appendicitis
 Chronic appendicitis
 Acute appendicitis:-
Acute appendicitis occurs
when the vernitarm appendix is compleiely
obstrurted.
 Chronic appendicitis:-
chronic appndicitis is an
inflamation that can last for a long time.
chronic appndicitis occurs due to inframmation
and obstraction of the appendix.
CAUSES:-

1. Fecal calculas
2. Fecal mass
3. Mucosal wleration
4. Stri cture
5. Most common in emergency abdominal
surgery
6. Viral intection
7. The bowel by adhesion
PATHAOPHYSIOLOGY
CLINICAL MANIFESTATIONS
DIAGNOSTIC EVALUATIONS

1. History taking
2. Physical examination
3. Loboratory tests
4. Lmaging tests
MANAGEMENT
1. Medical Management
2. Surgery Management
3. Nursing Management
 Medical Management :-

Medical treatment may be used if

surgery is not available if a person is not well enough to
undergo surgery or if the diagnosis is unclear A soft diet is
low in tiber and easily
breaks down in the gastrointestinal toaet a blood
spectrwm antibiotic.
Medicine :- Metronidazole – 500mg /3 time daily
Ceturoxime or angumentin – 1.2gm/8 hrs.
Given through the veins
 Surgery Management :-
Remove the appendix is
called appendectomy is the strandard treatment for
appendicitis.
Can be done two way
1. Older method-laparotomy :- the removes the
appendix through a single incision in the lower right
area of the abdomen.
2. New method- laparoscopic :- surgery uses several
smaller incisions and special surgical tools fed through
the incions to remove the appendix .
 Nursing management :-

Palients of ter complain of

anooexia, nlausea, vomiting, abdominal diistension
and temporary constipation.
Right lower quadramt rebound tendederness is typical.
Assess for positive obturator sign by flrxing the
palient’s right hip and knee and rotating the leg
internally.
COMPLICATION

1. Perforation
2. Abscess
3. Peritonitis
4. Appendicitis mass
5. Infecrtion
HEALTH EDUCATION

1. It the person as suspated for up appendicitis

he/she must visit the hospital.
2. Instruat the patient to a part symptoms anorxea
,neusea,vomiting have abdominal pain.
3. Advice the patient to take the proper
medication time to time.
4. Advice the patient to take the proper healthy
diet and avid the spicy, oily food.
5. Tell the patient to take bed rest and follow up
care time to time.