Appendix becomes inflamed or infected.Â
CT scan. CBC with Diff will show infection.
Â
Surgical removal of the appendix
Perforation may occur and lead to peritonitis and septic shock.
Pain near the umbilicus that moves to the lower right abdomen (RLQ pain)Â
RLQ pain when palpation of left side of abdomen
Rebound tenderness and rigidity in the lower right abdomen.
Nausea, vomiting, anorexia, low-grade fever & chills
Surgery
No PO Meds
And IV Antiobiotics
Pain that goes away = rupture
Side-lying or low semi-fowlers with legs drawn towards the chest
Pain that suddenly goes away without intervention
Avoid laxatives and enemas
Heat/Heating pad for pain management. It can lead to rupture.
A 12-year-old female presents with sudden onset of severe abdominal pain. The pain started in the periumbilical region and migrated to the right lower quadrant over the last 12 hours. She reports nausea, vomiting, anorexia, and has not had a bowel movement for 48 hours. Physical examination reveals rebound tenderness, guarding, and positive Rovsing’s sign. Her vital signs are within normal limits.
