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Appendicitis

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17 views

Appendicitis

Uploaded by

pieroe.1505
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Universidad Nacional Mayor de San Marcos

(Universidad del Perú, Decana de América)


Facultad de Medicina "San Fernando"
Estudios Generales

Appendicitis
Group 4
Aro Palma, Alejandra Estefania
Ayarsa Chumbes, Luis Antonio
Cabrera Espinoza, Orlando Hector
Jaico Saavedra, Piero Emerson
Morales Espinoza, Nayeli Nicole
Rios Chavez, Melhany Antuaneth
HISTORY OF APPENDICITIS
"apendix" (Word latin)
Word derived
"itis" (Greek suffix)

Giacomo Berengario da Carpi


1521 The first time the cecal appendix as an anatomical element.

Jean Fernel
1554 The first known description of appendicitis as an autopsy finding.
Appendicitis is an inflammation of
the appendix.

Appendicitis

¿What is causes pain in


the right lower
abdomen.
appendicitis?
¿What are its Some of the symptoms of appendicitis:

symtopms?
Acute appendicitis Chronic appendicitis

Characterized by Although it is not very


obstruction of the common, it is a condition
appendicular lumen characterized by recurrent
pain in the right iliac fossa
lymphoid hyperplasia for an average time of 2

Types fecaliths
bones of small animals
years of evolution.

of seeds
Differences

appendicitis most common surgical emergency cases are infrequent

increased incidence during young


in any stage of life
adulthood

diagnosis is made with a complete complementary tests (blood


clinical history (physical count, C-reactive protein,
examination + interpretation of ultrasound and histological
laboratory tests). examination)
Diagnosis
Blood test
-leukocytosis
-Dehydration
Urine analysis
-Urinary tract infection
-Kidney stone
Diagnostic imaging
-Ultrasound(High specificity in
children)
-Computed Tomography (High
specificity)
-Radiography (Low specificity)
Medicines
analgesics, sedatives and antibiotics in the pre and postoperative
period.
Laparoscopic
Open appendectomy
appendectomy
A direct incision is made over It is carried out under general anesthesia.
the abdomen. A nasogastric tube and urinary catheter
are used.
The patient is
Treatment under general
It usually uses three access ports.

A trocar is placed at the


anesthesia and
level of the umbilicus
the patient is and two trocars are
placed in a placed in the
supine position. suprapubic region and
in the left iliac fossa.
The abdomen is inflated
A McBurney or with carbon dioxide gas.
Rocky-Davis This process allows the
incision is surgeon to see the
made. appendix more easily.
Case Analysis

A 26-year-old Who presents The results of her


female patient fever, vomiting, blood test were:
with pain in the dehydration and Leukocytes over
epigastrium that pain on palpation 10000 and
migrates to the at the McBurney Hemoglobin 10.6.
Right Iliac Fossa point
Diagnosis

Pain near the right


iliac fossa
Symptons of
Fever
Acute
Spontaneous vomitang
Apendicitis
Pain at the McBurney
point
Treatment

Medical steps:
Not to ingest anything
orally
Fluids will be administered
intravenously
Diclofenac 75 mg/12 hr will Surgical Procedure:
me supplied. "Laparoscopic Appendectomy"
This procedure was chosen over
"open appendectomy" because
it is less invasive and gives a
shorter recovery time
References
1.Sánchez- Arias M. Apendicitis crónica, ¿existe o no? Acta méd costarric [Internet]. 2007 [citado el 9 de noviembre de 2022];49(1):47–50. Disponible en:
https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022007000100011

2.Vaquero Sosa E, Muñoz Pino MG, Martínez de León L, García Martos M, Parente Hernández A, Angulo Madero JM. Apendicitis recurrente. Pediatr aten primaria [Internet]. 2020
[citado el 9 de noviembre de 2022];22(85):43–6. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1139-76322020000100009

3.Fallas González J. Apendicitis Aguda. Med leg Costa Rica [Internet]. 2012 [citado el 9 de noviembre de 2022];29(1):83–90. Disponible en:
https://www.scielo.sa.cr/scielo.php?pid=S1409-00152012000100010&script=sci_arttext

4.Laparoscopia [Internet]. Medlineplus.gov. [citado el 9 de noviembre de 2022]. Disponible en: https://medlineplus.gov/spanish/pruebas-de-laboratorio/laparoscopia/

5.Guanche LQ. Apendicitis aguda: clasificación, diagnóstico y tratamiento [Internet]. Sld.cu. [citado el 9 de noviembre de 2022]. Disponible en:
http://scielo.sld.cu/pdf/cir/v46n2/cir11207.pdf

6.Diagnóstico de la apendicitis [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases. NIDDK | National Institute of Diabetes and Digestive and Kidney
Diseases; 2022 [citado el 9 de noviembre de 2022]. Disponible en: https://www.niddk.nih.gov/health-information/informacion-de-la-salud/enfermedades-
digestivas/apendicitis/diagnostico

7.Rodríguez Fernández Z. Tratamiento de la apendicitis aguda. Rev cuba cir [Internet]. 2019 [citado el 9 de noviembre de 2022];58(1). Disponible en:
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932019000100010

8.Síntomas y causas de la apendicitis [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases. NIDDK | National Institute of Diabetes and Digestive and
Kidney Diseases; 2022 [citado el 9 de noviembre de 2022]. Disponible en: https://www.niddk.nih.gov/health-information/informacion-de-la-salud/enfermedades-
digestivas/apendicitis/sintomas-causas
Thank you

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