Inflamed appendix in a girl treated for missed appendicitis after self-induced abortion,Figure - available via license: CC BY 2.0
This pic of an inflamed appendix or know as appendicitis. What do you know about appendicitis? Main signs, symptoms, diagnosis, treatment. Let's share our knowledge.
Appendicits - it is a acute inflammatory condition of appendix . Commonly occurs with acute abdominal colicky pain,which may radiate towards abdomen region.caustive factors may include -roughage in diet ,lacking of nutirious diet,obesity,radiation,chemical agents,etc. It occurs most commonly in children . For treatment purpose apendectomy is mostly prefered,also can be releived if its is minor by medicines . Appendix is a vestigeal organ of human body but it plays vital role also.,may be used in cases of allograft.and appendix is located at end of intestinal tract .microscopically features of appendicits are - infiltration of neutropphils,amd other pmns in mucosa ,lymph nodes infiltration along with denuded mucosal layers, abseces may be seen with patcy epeithelial layers.
For clinical identification there is an important sign known as rebound tenderness at the Mcburney's point , which located 2/3 the distance from the umbilicus and 1/3 to the right anterior iliac fossa, this sign is done in the following manner, we ask the patient to lie in a supine position, the physician puts his hands at that point and pushes it deeply, and suddenly takes off his hands in case there is appendicitis the patient will feel extremely irritated, However there are so many other signs such as obturator sign, rovsing sign... but Mcburney's is the most important one.
For clinical indentification we look upon folllowing features : colicky abdominal pain ,intially around umbillicus but laternloaclised to right illiac foosa .2. Nausea and vomiting 3.pyrexia of mild grade 4abdominal tendrness 5.increased pulse rate . And neutrophilic leucocytosis iwith toxic granules in neutrophils is the most significant factor in lab. Findings . Complications may include - peritonitis ,apendix absecess ,mucocele, portal pylephelbitis , adhesions . In severe cases it may turn into carcinoid tumour and mucinous adneocarcinoma also.
