Definition:

Appendicitis is an inflammation of the vermiform appendix, a narrow blind tube extends from the inferior part of the caecum usually just below the ileo-cecal valve, mostly found in males at the age 15-25 years.

Etiology:

1. Active cause idiopathic
2. Passive cause as:
3. Constipation
4. Intestinal obstruction
5. Lymphoid hyperplasia
6. Bacteria (e-coli)

Clinical features:

1. Pain in RLQ
2. Pain in Mc Burney point (localized at half may between the umbilicus & right iliac crest)
3. Anorexia
4. Nausea
5. Tenderness
6. Low Grade fever
7. Furred moist tongue

Complication:

1. Perforation
2. Ulceration
3. Peritonitis
4. Gangrene
5. Abscesses

Investigations:

1. X ray
2. Blood for leukocytes
3. CBC

Medical Management:

1. Anti-inflammatory drug
2. Anti-pyretic

Surgical Management:

1. Appendectomy

Nursing Management:

1. Avoidance from self-treatment
2. NPO for empty gastric if surgery needed
3. Ice bags applied to the right lower quadrant to decrease flow of blood to the area & impede the inflammatory process
4. Never provide heat that may lead to appendix rupture
5. Observe for any complication