Dr Ed Wallitt
Podmedics - Founder
Video Duration: 12 minutes
"Inflammation of the vermiform appendix"
Very common. 6% lifetime occurence. Max peak during childhood
Obstruction of the lumen of the appendix leading to swelling and venous congestion. May result in necrosis.
Faecolith, lymphoid hyperplasia and tumours (think if older)
Nausea, vomiting and anorexia
Central colicky abdominal pain that moves to RIF.
Unwell +/- signs of sepsis. Foetor oris
Guarding and tenderness over McBurney's point.
Consider Rovsing's sign, Psoas sign and Cope sign.
Urine dipstick + pregnancy test
FBC, CRP, amylase, G&S, clotting
NBM, fluids, analgesia, antibiotics (debated!)
Appendicectomy (open or lap)
May be actively observed if diagnosis uncertain