More Related Content Similar to PPT on Appendicitis by Mr. ASHOK BISHNOI Similar to PPT on Appendicitis by Mr. ASHOK BISHNOI (20) More from Dr Ashok dhaka Bishnoi More from Dr Ashok dhaka Bishnoi (20) PPT on Appendicitis by Mr. ASHOK BISHNOI3. The appendix is a slender, worm-shaped
pouch, averaging 5-10cm in length, that
protrudes from the top of the colon in the
lower right abdomen.
4. Blood & nerve supply: Blood supply by -Appendix artery from
ileocolic artery.
Blood return by -Appendix vein -portalal vein
Nerve supply by -Sympathetic nerve.
8. Types of appendicitis:Four type:
1.Acute simple appendicitis
2.Acute purulent appendicitis
3.Perforation and gangrenous
4.Appendiceal abscess
15. Clinical manifestation:Subjective sign & symptoms Epigastric pain spread to right lower
quadrant.
Malaise
Anorexia
Vomiting
Moderate leukocytosis ( leukocyte in blood)
Rebound tenderness
Constipation
Diarrhea
16. Objective sign & symptoms Pain at
McBurney’s point.(between umbilical &
iliac crest)
Rovsing’s sign: (pain in the right lower quadrant upon
palpation of the left lower quadrant)
Obturator sign: (pain on internal and external rotation of
the hip)
Psoas sign : (pain on active elevation of the legs)
Tachycardia
Tachypnoea
Low grad fever
25. Nursing management:Pre-operative Pain R/t inflamed appendix.
Fluid volume deficit R/T vomiting.
Post-operative Risk for infection R/T Perforation.
Altered nutrition less then body requirement
R/t less intake of food.