Appendicitis

This is caused by obstruction of the lumen of the appendix.Fecoliths,lymphoid hyperplasia and gastrointestinal parasites can cause obstruction.If not recognized the appendix ruptures leading to peritonitis and abscess formation.

Diagnosis

1.       Fever,anorexia,vomiting (variable)

2.       May begin as periumbilical pain,but the most important clinical finding is persistent pain and tenderness in the right lower quadrant.

3.       May be confused with urinary tract infections,kidney stones,ovarian problems,mesenteric adenitis,ileitis.

Treatment

1.       Give the child nothing orally

2.       Give intravenous fluids

3.       Give antibiotics

Source : WHO

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