Acute Appendicitis Case Summary

Abdomen: The lipases appeared unremarkable. The liver, spleen, gallbladder adrenals, kidneys, pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seemed consistent with acute appendicitis. All the structures of the abdomen appeared unremarkable. No free air was seen.

As I laid on the floor crying not being able to move, my mother knew something was seriously wrong with me. Have you ever had a pain that hurt so bad you felt like you could not even move? The pain that I was feeling was from something in my abdomen called the appendix. No one could find out that it was wrong with me, but my mother was very persistent with the doctors that one finally found out that it was my appendix.

Discuss potential postoperative laparoscopic abdominal surgery complications. Include assessment findings, diagnostic evaluation, and nursing measures designed to prevent these complications from occurring.

3 diagnoses for Miss potts who just an appendectomy are her pain level is 9 out of 10, deep berating and coughing. For her goals are painless form her appendectomy surgery, make her comfortable feeling staying in bed and trying to encourage for fluids for QNS (quantity not sufficient) lab. Intervention for miss potts is provide ice bag for the pain, keep at rest in semi-fowler’s position for make her comfortable feeling. Monitor Input and output for urine; provide the clear liquids in small amount s for QNS (quantity not sufficient).

Children ages 10-19 years are most commonly diagnosed with appendicitis. Appendicitis is often more difficult to diagnose in children than adults, because of this about 10-20 percent of kids with appendicitis will suffer from a perforated appendix before being treated. When the appendix is blocked, it becomes inflamed and bacteria can overgrow in it. Blockage can be due to stool, inflammation of lymph nodes in the intestines, or infections like parasites. A perforated appendix is one of the complications of acute appendicitis. If appendicitis is left untreated, ischemic necrosis of a portion of appendixes wall may occur, leading to perforation. This then allows the contents in the appendix to leak out into the rest of the abdomen, potentially causing other infections, such as septicemia. This can be a life threatening

Coronary artery disease with a stent, which thrombosed and was re-stented, hypertension, hypercholesterolemia, diabetes type 2, poorly controlled, tubular adenoma of the colon, low B12 noncompliant with B12 replacement, adrenal mass, status post cholecystectomy, polycythemia due to smoking, left total knee replacement.

Primary imaging of abdominal emergencies in childhood is a radiograph of the abdomen, followed by ultrasound. Further imaging depends on the results of these studies (17). The normal appendix may be visible with graded-compression sonography and needs to be distinguished from the pathologic appendix (21,23,24,25). Graded compression technique in ultrasound is commonly used to diagnosis appendicitis (Fig1), The patient should be placed in the supine position for the ultrasound examination, and a high-frequency linear array transducer should be applied to the anterior abdominal wall over the area of maximal tenderness. All studies should be performed in both the transverse and longitudinal planes with a technique referred to as "graded compression,"

Y.Y. is 71-year-old female born on November 27th in 1944. She was divorced in 1993 and lives on her own. The source of the information stated is Y.Y, who seemed to be a reliable source. Y.Y reports to have no present complaints or illnesses and states she is currently not taking any type of medications.

Delayed emptying of the stomach, which may make it difficult to eat or to keep food down temporarily

The aged old open appendectomy has been the main form of corrective surgery for patients who was diagnose with acute appendicitis. However, in the modern era, the laparoscopic approach has become more common and many have questioned its effectiveness and superiority over the appendectomy (Biondi, et al 2016). The laparoscopic approach has been identified for shorter recovery time post operatory, thus resulting in shorter hospital stay, less postoperative pain, faster return to daily activities. These observations influenced, Biondi, et al (2016), to conduct a retrospective observational study at the department of Emergency Surgery, Garibaldi Hospital-Catania during the period of January 2004 and July 2011 with the purpose of identifying the

Regardless of the appendix’s unique purpose in the body when it becomes inflamed and infected the main treatment is removal. Inflammation of the appendix is most commonly seen in the young population between the ages of 10 and 30 years of age. Despite this, acute appendicitis can happen at any age from infancy to geriatric. Appendicitis occurs more in males in the ages of 10-20 years, but the distribution between male and females is even in all other ages (Schub, T., & Kornusky, J. (2016). Appendicitis, Acute. CINAHL Nursing Guide)

Pain can be categorised as either acute pain or chronic pain. Acute pain is short lasting and will commonly subside once healing has taken place (Mac Lellan 2006). It is often a sudden onset and usually lasts less than 6 months. The main example of acute pain would be the pain experienced post surgery. Chronic pain on the other hand is a prolonged and persistent pain that remains long after the normal healing process of 3- 6 months. A common example of such a pain would be chronic back pain (Mac Lellan 2006). For the purpose of this assignment, the management of acute pain post surgery will be discussed with reference to a particular scenario, which followed the care and pain management given to a patient post appendectomy.

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.

In view of these complications, there may be a need to surgically remove the segment of the bowel with missing nerves and reduce the length of the colon too.

All of a sudden, your friend begins non-stop complaining of lower abdominal pain, chills, fever, and a “little” vomiting. Finally, after a few minutes of hearing them wail and moan, you decide to do something about it. The question is: what do you do? So, you do what anyone in this odd predicament would do, you ask google. After some searching on WebMD.com and MayoClinic.org, you conclude that it has to be, without a reasonable doubt, appendicitis. Appendicitis is a serious medical condition in which the appendix becomes inflamed and painful; if ruptured, it can actually be quite fatal. After receiving all of the information you needed, you come to the resolution that there 's no time for you to take your friend to the hospital, so you 're going to do it yourself. After more questionable searching on the dark web, and a little memorization of steps; you prepare your materials. The list of items goes as follows: A kitchen knife (maybe a scalpel, if you’re fancy), a sharpie, lots towels, some liquor, roofies (if you don’t know where to obtain them, they may be substituted with hard liquor), some rope, some gloves, a mason jar, and a sewing needle/needles, and dissolvable floss/string.