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Acute Appendicitis: Diagnosis & Treatment

📑 5 slides 👁 25 views 📅 2/11/2026
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Overview of Acute Appendicitis

Inflammation of the appendix requiring urgent medical attention

Overview of Acute Appendicitis
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Key Differential Diagnoses (1)

  • Gastroenteritis: Diffuse pain with vomiting/diarrhea, no localized tenderness
  • Mesenteric lymphadenitis: Common in children post-viral infection
  • UTI/Renal stone: Flank pain with dysuria/hematuria
  • Gynecological causes: Ectopic pregnancy, ovarian torsion in females
Key Differential Diagnoses (1)
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Key Differential Diagnoses (2)

  • Crohn's disease: Chronic diarrhea + weight loss with RLQ pain
  • Appendiceal abscess: Fever/chills with localized tenderness
  • Meckel's diverticulitis: Mimics appendicitis in children
  • Right-sided diverticulitis: More common in elderly patients
Key Differential Diagnoses (2)
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Treatment Protocols

  • Initial management: NPO, IV fluids, pain control with antiemetics
  • Antibiotics: Ceftriaxone+Metronidazole pre-op for uncomplicated cases
  • Laparoscopic appendectomy preferred (shorter recovery, less pain)
  • Open surgery for perforated cases or abscess drainage
Treatment Protocols
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Critical Care Points

  • Monitor for perforation signs: rigidity, rebound tenderness, high fever
  • Nursing care: Vital checks, IV management, wound care
  • Post-op: Early ambulation, diet progression, activity restrictions
  • Key reminder: Appendicitis is surgical emergency to prevent sepsis
Critical Care Points
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