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The possibility of peritonitis is the reason why acute appendicitis warrants rapid evaluation and treatment. People with suspected appendicitis may have to undergo a medical evacuation . Appendectomies have occasionally been performed in emergency conditions (i.e., not in a proper hospital) when a timely medical evacuation was impossible.
Appendicitis develops most commonly in the second trimester. [2] If appendicitis develops in a pregnant woman, an appendectomy is usually performed and should not harm the fetus. [16] The risk of premature delivery is about 10%. [17] The risk of fetal death in the perioperative period after an appendectomy for early acute appendicitis is 3 to 5%.
The sensitivity and specificity of MRI in diagnosing acute appendicitis are 94% and 96% respectively. [2] Laparoscopic surgery has also been used to diagnose the cause of IAIs when imaging is unhelpful. Besides, the laparoscopic surgery can also initiate treatment in the same setting. The accuracy is very high, in the range of 86 to 100%. [2]
Acute abdomen is a condition where there is a sudden onset of severe abdominal pain requiring immediate recognition and management of the underlying cause. [7] The underlying cause may involve infection, inflammation , vascular occlusion or bowel obstruction.
It is found in patients with localised peritonitis due to acute appendicitis. [1] It is similar to rebound tenderness, but may be easier to elicit when the patient has firm abdominal wall muscles. Abdominal pain on walking or running is an equivalent sign. [2]
Iron-deficiency anemia is anemia caused by a lack of iron. [3] Anemia is defined as a decrease in the number of red blood cells or the amount of hemoglobin in the blood. [3] When onset is slow, symptoms are often vague such as feeling tired, weak, short of breath, or having decreased ability to exercise. [1]
Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation.Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischemia or perforation from prolonged distension or ...
Alvarado scoring has largely been superseded as a clinical prediction tool by the Appendicitis Inflammatory Response score. [ 2 ] [ 3 ] [ 4 ] Also known by the mnemonic MANTRELS, the scale has 6 clinical items (3 signs and 3 symptoms ) and 2 laboratory measurements, each given an additive point score, with a maximum of 10 points possible. [ 5 ]
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