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Appendicitis is an inflammation of the appendix (appendix).
The appendix is a small protrusion shaped like a finger, which is found in the colon, precisely on the border with the small intestine.

Appendicitis often occurs between the ages of 10-30 years.

Cause

The cause of appendicitis is not fully understood. In most cases, the inflammation and infection of the appendix may preceded by a blockage in the appendix, another cause is already known:

• 60% lymph node hyperplasia
• 35% stool becomes hard
• 4% foreign matter
• 1% stricture lumen by carcinoma

Symtomps

Appendicitis has a unique combination of symptoms:

1. Nausea, vomiting and severe pain lower right abdomen.
2. Pain may be sudden starts in the upper abdomen or in around the navel, then nausea and vomiting.
3. After several hours, the nausea disappeared and the pain moved (Shifting pain) to the lower right abdomen. If your doctor pressing this area, the patient felt dull pain and if this emphasis is released pain can increase sharply
4. Fever may reach 37.8 to 38.8 degrees Celsius.
5. Anorexia or decreased appetite
6. Diarrhea can be accompanied or Pain In the Urine
7. In infants and children, the pain is a thorough, in all parts of the stomach.
8. In the elderly and pregnant women, the pain is not too heavy and in this area pain is not too pronounced.
9. If the appendix ruptured, general abdominal pain, rigidity and fever can be severe.
10. Infection that gets worse can cause shock

Diagnosis

There are clear symptoms of acute appendicitis on physical examination:

1. Found tenderness at Mc Burney point lower right abdomen.
2. Pain on digital rectal examination on the clock 10-12

Laboratory tests:

1. Shows the number of white blood cells (Leukocytes) slightly increased
2. White blood cell counts segment / stem (Diff. Count) increased from the normal value.

Radiology test:

On ultrasound transducer Found emphasis on pain in the lower right abdomen. Sometimes found a picture of mass infiltrates the lower right abdomen area that has been complicated in the appendix.

MANAGEMENT AND TREATMENT

Surgery is done immediately, to prevent the occurrence of rupture (burst), abscess formation or inflammation of the lining of the abdominal cavity (peritonitis).

Surgery is done immediately to reduce the mortality rate in acute appendicitis
In nearly 15% of appendectomy, the appendix was found normal. But the postponement of surgery until the cause of stomach pain can be fatal.

An infected appendix can rupture in less than 24 hours after symptoms develop.

Even though not the cause appendicitis, appendicitis remains lifted. Then the surgeon will examine your stomach and try to determine the actual cause of pain.
Patients can go home from the hospital in 2-3 days and recovery is usually quick and perfect.
A ruptured appendix, the prognosis is more serious. 50 years ago, cases of rupture often were fatal. With antibiotics, the death rate approaches zero.

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