Most common abdominal emergency
Acute obstruction of appendiceal lumen results in distension followed by organ ischemia, bacterial overgrowth, and eventual perforation of the viscus
Abdominal pain: Primary symptom:
35% of patients have appendix located within 5 cm of “normal” location.
Retrocecal appendix (28–68%):
Airway, breathing, and circulation management (ABCs)
Fluid resuscitation with LR or 0.9% NS
IV fluids, correct electrolyte abnormalities
Surgical intervention of acute appendicitis
Observation or further diagnostic workup if diagnosis is uncertain
Pediatric and geriatric patients present atypically and have increased perforation rates
Imaging is not required in a classic presentation of acute appendicitis
Appendicitis cannot b...
Basaran A, Basaran M. Diagnosis of acute appendicitis during pregnancy: A systematic review. Obstet Gynecol Surv. 2009;64(7):481–488.
Hennelly KE, Bachur R. Appendicitis up...
540.1 Acute appendicitis with peritoneal abscess
540.9 Acute appendicitis without mention of peritonitis
541 Appendicitis, unqualified
540.0 Acute appendicitis with generalized peritonitis
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