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Appendicitis is most common between the ages of 5 and 40. [110] In 2013, it resulted in 72,000 deaths globally, down from 88,000 in 1990. [111] In the United States, there were nearly 293,000 hospitalizations involving appendicitis in 2010. [14]
If symptoms do occur, they typically appear before the age of two years. [5] The most common presenting symptom is painless rectal bleeding such as melaena-like black offensive stools, followed by intestinal obstruction, volvulus and intussusception. Occasionally, Meckel's diverticulitis may present with all the features of acute appendicitis. [6]
Appendicitis is the most common emergent general surgery related problem to arise during pregnancy. There is a natural elevation in white blood cell count in addition to anatomical changes of the appendix that occur during pregnancy. [15] These findings, in addition to non-specific abdominal symptoms make appendicitis difficult to diagnose.
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The incidence of all of these diseases increases exponentially with age. [78] Of the roughly 150,000 people who die each day across the globe, about two thirds—100,000 per day—die of age-related causes. [79] In industrialized nations, the proportion is higher, reaching 90%. [79]
Recorded deaths totaled at least 216, including 93 newborns under a month old and nine children age 14 and under, according to South Africa’s Department of Health.
Common physical exam findings may include signs of dehydration, abdominal distension with tympany, nonspecific abdominal tenderness, and high pitched tinkly bowel sounds. [11] In large bowel obstruction, the pain is felt lower in the abdomen and the spasms last longer. Common symptoms include abdominal pain, distension, and severe constipation ...