• UNIT2:APPENDICITIS

    Key Unit competence: 
    Take appropriate decision on appendicitis

    Introductory activity 2.0

    Observe the images A and B below illustrating the structures of appendix in 

    human body. 


    1) Is there any difference between two appendixes?
    2) Which one of these two would reflect the normal structure of appendix in 
    the human body? 
    3) Describe the abnormalities that you have observed. 
    4) What do you think can cause the abnormalities that you have observed?
    5) What are the manifestations of the observed abnormalities in the human 
    body?
    6) How can health personnel identify these abnormalities?

    7) How can these abnormal structures be corrected?

    2.1. Description of appendicitis

    Learning Activity 2.1


    M.H, a-13-year-old boy with history of constipation comes into the emergency 
    of referral hospital for severe abdominal pain. M.H reports that his abdomen 
    hurts for the past 24 hours. He notes that he initially suffered from mild pain 
    around his umbilicus last night and this morning he reported that the pain has 
    migrated to his right lower quadrant. He tells the nurse that the pain just keeps 
    getting worse and it is associated with nausea, vomiting and fever (39 degrees 
    Celsius). Upon physical assessment, M.H doesn’t allow anyone auscultate 
    or palpate his abdomen because of the pain. After 10 minutes he allowed the 
    nurse to do physical assessment. He is quite tender to mild palpation in the 
    right lower quadrant and he has muscle guarding. M.H prefers to lie still with the 
    right leg flexed. The medical doctor ordered blood sample to check the number 
    of WBCs. He also ordered ultrasound and CT scan. The blood test revealed 
    elevated WBC and neutrophil counts. An ultrasound and computed tomography 
    (CT) scan revealed an enlargement in the area of the cecum and appendicitis 
    was confirmed. Based on the case study narrated above, answer to the following 

    questions.

    Questions related to the case study
    1) Identify the biography of M.H
    2) What is the medical history of M.H? 
    3) Describe the signs and symptoms of M.H
    4) What are the aggravating and relieving factors for M.H?

    5) What are the differential diagnosis M.H?

    2.1.1. Definition of appendicitis
    Appendicitis is inflammation of the appendix, a narrow blind tube that extends 
    from the inferior part of the cecum. Appendicitis, inflammation of the vermiform 
    appendix, is a common cause of acute abdominal pain and most common reason 
    for emergency abdominal surgery. It occurs at any age, but it is more common in 
    adolescents and young adults and slightly more common in males than females

    2.1.2. Causes and pathophysiology of appendicitis 

    Because of the small size of the appendix, obstruction may occur, causing 
    inflammation and making it susceptible to infection. The obstruction is often caused 
    by a faecalith or hard mass of faeces. Other obstructive causes include a calculus 
    or stone, a foreign body, inflammation, a Tumor, parasites (e.g. pinworms) or 
    oedema of lymphoid tissue. Hereditary and family tendencies of appendicitis have 
    been noticed. Following obstruction, the appendix distends with fluid secreted by 
    its mucosa. As pressure within the lumen of the appendix increases, blood supply 
    is impaired, leading to inflammation, edema, ulceration and infection.

    2.1.3. Signs and symptoms of appendicitis

    Signs and symptoms of appendicitis include fever, generalized pain in the upper 
    abdomen. Within hours of onset, the pain usually becomes localized starts on the 
    periumbilical area to the right lower quadrant at McBurney’s point, midway between 
    the umbilicus and the right iliac crest. This is one of the classic symptoms of 
    appendicitis. Nausea, vomiting, and anorexia are also usually associated. Physical 
    examination reveals slight abdominal muscular rigidity (guarding), normal bowel 
    sounds, and local rebound tenderness (intensification of pain when pressure is 
    released after palpation) in the right lower quadrant of the abdomen. The pain is 
    aggravated when patient straightens the leg, coughs, walks and makes any shaking 
    movement. The patient may keep the right leg flexed for comfort. 
    ! Consideration for practice
    • Sudden relief of preoperative pain may signal rupture of the distended and 
    edematous appendix. 
    • Assess abdominal status frequently, including distension, bowel sounds and 
    tenderness: Increasing generalized pain, a rigid, boardlike abdomen and 

    abdominal distension may indicate developing peritonitis.

     2.1.4. Diagnostic measures

    The appendicitis can be diagnosed through a complete history, physical examination, 
    and a differential WBC count. The WBC count is mildly moderately elevated in most 
    cases. CT scan is the preferred diagnostic procedure, but ultrasound is also used. A 
    urinalysis is done to rule out genitourinary conditions that mimic the manifestations 
    of appendicitis. Other differential diagnostic includes intestinal obstruction, 
    inflammation and stones of gall bladder, stones in urinary organs such as ureter, 
    ruptured ovarian follicle, a ruptured tubal pregnancy, perforation of stomach or 

    duodenal ulcer and inflammation of the right colon 

    Self-assessment 2.1

    1) Who are people most likely to develop appendicitis?
    2) Among the cells of WBC, which ones would increase in case of 

    appendicitis?

    2.2. The management of appendicitis

    Learning Activity 2.2


    2.2.1. The treatment plan 

    The patient is kept NPO, and surgery (check appendectomy collaboration care in 
    box 2.1) is done immediately unless there is evidence of perforation or peritonitis. 
    Medications prior to surgery, intravenous fluids are given to restore or maintain 
    vascular volume and prevent electrolyte imbalance. Antibiotic therapy with a third
    generation cephalosporin effective against many gram-negative bacteria, such as 
    cefotaxime (Cefotaxime Sandoz), ceftazidime (Fortum) or ceftriaxone (Rocephin) 
    is initiated prior to surgery. The antibiotic is repeated during surgery and continued 
    for at least 48 hours postoperatively. Post-operative analgesic medications are 
    administered as prescribed.
    Following an uncomplicated appendectomy, the person is often discharged either 
    the day of, or the day following, surgery. Postoperative teaching includes:
    • Wound or incision care, including hand hygiene and dressing change 
    procedures as indicated.
    • Instructions to report fever, increased abdominal pain, swelling, redness, 

    drainage, bleeding or warmth of the operative site to the doctor.

    • Activity limitations (e.g. lifting, driving), if any.
    • When it is appropriate to return to work.

    Summary of appendectomy care is indicated in table 2.1

    2.2.2. Associate nurse decision making
    An associate nurse who receives a patient with signs and symptoms of appendicitis 
    must refer the case to the next level for adequate management. In the hospital, the 
    associate nurse works under supervision of registered nurses and they will discuss 
    the appropriate nursing care plan.
     2.2.3. Complications of appendicitis 
    Most patients recover quickly after an appendectomy and frequently are discharged 
    from the hospital after few days. Preventing complications during the perioperative 
    period is a primary nursing care goal. Perforation and peritonitis are the most likely 
    preoperative complications. With perforation, the pain is severe, and temperature is 
    elevated to at least 37. 7°C. Postoperative complications include wound infection, 

    abscess and possible peritonitis.

    Self-assessment 2.2

    1) What is the rationale of avoiding the use of warm/heating pads to relieve 
    the pain resulting from appendicitis?

    2) Explain the treatment options for a patient with appendicitis

    2.3. End unit assessment

    End of unit assessment

    1) Within hours of onset, the pain of appendicitis usually becomes localized 
    starts on the ___________ area to the ___________ quadrant.
    2) What are the diagnostic measures of appendicitis?
    3) The patient has persistent and continuous pain at McBurney’s point. The 
    nursing assessment reveals rebound tenderness and muscle guarding 
    with the patient preferring to lie still with the right leg flexed. What should 
    the nursing interventions for this patient include? Choose the best answer
    a) Laxatives to move the constipated bowel
    b) NPO status in preparation for possible appendectomy
    c) Parenteral fluids and antibiotic therapy for 6 hours before surgery
    d) NG tube inserted to decompress the stomach and prevent aspiration
    4) Appendicitis may occur:
    a) After complications of an episode of flu 
    b) After complications of a viral infection of the digestive
    c) After opening to the appendix becomes blocked by stool
    d) After an enema to evacuate the stool
    5) If you suspect the appendicitis, what type of medicine should you not 
    take?
    a) Analgesics
    b) Laxatives
    c) Anti-inflammatory
    d) Allergy medicines
    6) BA 19-year-old student in her second year of a dental degree. BA arrives 
    at the emergency department at 0200hrs. She presents a general lower 
    abdominal pain which started the previous evening. She is also nauseated 
    and reports episodes of vomiting. The physical assessment reveals the 
    T 37. 8 o C, R 16, BP 110/70; abdomen flat and guarded. BA WBC was 
    14000/mm3

    a) What are the missing characteristics/features of the abdominal pain to 
    confirm appendicitis?
    b) What are the disturbed needs of BA?
    c) Is appendectomy indicated for this patient? Justify your response

    7) List the complications of appendicitis


    UNIT1:GASTRODUODENAL ULCERSUNIT3:INTESTINAL OBSTRUCTION