APPENDICULAR PERFORATION & ITS TREATMENT.pptx

APPENDICULAR PERFORATION

1. APPENDICULAR PERFORATION

2. DEFINITION Appendicitis is the infection or inflammation of the appendix that lead to lower abdominal pain.

3. ETIOLOGY Book Description Obstruction of Appendix lumen occur with feaces . Fecal impaction. Infection in GI tract inflammatory bowel disease. It more commonly occurs between the age of 10 and 30 years Client s Presentation Obstruction of appendix

4. PATHOPHYSIOLOGY DUE TO ETIOLOGY INCREASE INTRALUMINAL PRESSURE DISTENDED WALL OF APPENDIX CONTIUAS MUCUS SECRETION IN APPENDIX LUMEN APPENDICITIS DECREASE BLOOD SUPPLY DECREASE OXYGEN AND NUTRITION TO TISSUE APPENDIX WALL EROSION AND BREAKUP STATED APPENDICULAR PERFORATION

5. SIGN AND SYMPTOMS BOOK DISCRIPTION Right lower quadrant pain is present Low great fever Nausea and vomiting Loss of appetite Complication –diarrhea fecal tenderness Abdominal tenderness Obstruction sign Rousing sign CLIENTS PRESENTATION Right lower quadrant pain is present Loss of appetite Tenderness Vomiting Fever

6. DIAGNOSTIC TEST BOOK DISCRIPTION History collection Physical examination X-ray CBC USG Loproscopy Urine examination MRI CT scan CLIENT PRESENTATION History collection Physical examination X-ray CBC USG Urine examination

7. SURGICAL TREATMENT BOOK DISCRIPTION Surgery is appendectomy CLIENTS PRESENTATION Explorative appendectomy surgery

8. COMPLICATIONS BOOK DISCRIPTION Perforation of the appendix Daralytic illness CLIENTS PRESENTATION Perforation

9. ANY DOUBTS ?