Appendicitis – Peer Response – Van
Appendicitis Van Huynh United States University FNP594:Primary Health of Acute Clients and Family Across the Lifespan Professor Erica Shore Overview • Inflammation of the appendix (Weledji et al., 2023) o The most common cause for emergency acute intraabdominal surgery • Classified into two groups (Walter, 2021) o Uncomplicated ▪ Appendix is not ruptured o Complicated ▪ Appendix rupture Pathophysiology (Snyder et al., 2018) • Blockage of the appendiceal lumen • Increased mucus production • Bacterial overgrowth • Increased wall tension • Necrosis and potential perforation Etiology (Walter, 2021) • Infections • Tumors • Accumulation of calcified feces (appendicolith) Epidemiology • Appendicitis is a global disease (Weledji et al., 2023) o Affect 7–12% in the population of the USA and Europe o Lower precedence but is rising in the developing world • In the US (Walter, 2021) o 250 000 people each year o Most common among people 20 to 30 years old o Approximately 8.6% of men and 6.7% of women in the US Clinical Manifestations (Wal ter, 2021) • Right lower abdominal pain • Loss of appetite • Nausea • Vomiting • Low-grade fever Clinical Manifestation 2 (Snyder et al., 2018) Psoas sign Rovsing sign Obturator sign Diagnostic tests Imaging (Snyder et al., 2018) Serum test (Snyder et al., 2018) Ultrasonography, WBC Computed tomography (CT) Procalcitonin, calprotectin, CRP, and the APPY1 biomarker pane Magnetic resonance imaging Differential diagnoses (Breeding & Conran, 2020) • Meckel diverticulum • Ectopic pregnancy • Mesenteric lymphadenitis • Acute salpingitis This Photo by Unknown author is licensed under CC BY-SA. Pharmacological treatments Pain management (Snyder et al., 2018) Antibiotic therapy (Snyder et al., 2018) NSAID For selected uncomplicated patients Acetaminophen Non-pharmacological treatments • Appendectomy is the standard treatment for acute appendicitis (Weledji et al., 2023) oOpen appendectomy oLaparoscopic appendectomy Education and follow up • The advantages and disadvantages of different treatments (Weledji et al., 2023) • Follow up with providers References • Weledji, E. P., Zisuh, A. V., & Ngounou, E. (2023). Management of appendicitis: appendicectomy, antibiotic therapy, or both?. Annals of medicine and surgery (2012), 85(4), 897–901. https://doi.org/10.1097/MS9.0000000000000401 • Walter, K. (2021). Acute appendicitis. JAMA, 326(22), 2339. https://doi.org/10.1001/jama.2021.20410 • Snyder, M. J., Guthrie, M., & Cagle, S. (2018). Acute Appendicitis: Efficient Diagnosis and Management. American family physician, 98(1), 25–33. • Breeding, E., & Conran, R. M. (2020). Educational Case: Acute Appendicitis. Academic pathology, 7, 2374289520926640. https://doi.org/10.1177/2374289520926640
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
