Appendicitis in an inflammation of the vermiform appendix that can be fatal if left
untreated. Inflammation, pressure, and fluid collection related to obstruction can
lead to perforation and spillage of the appendicula
...
Appendicitis in an inflammation of the vermiform appendix that can be fatal if left
untreated. Inflammation, pressure, and fluid collection related to obstruction can
lead to perforation and spillage of the appendicular contents into the peritoneal
cavity. Complications can include wound infection, dehiscence, intra-abdominal
infection, fecal fistula, intestinal obstruction, incisional hernia, peritonitis,
paralytic ileus, abdominal or pelvic abscess, or death.[newline][newline]The focus
of this scenario is to perform a focused pain assessment and an abdominal
assessment. Assessment of pain includes verbalization of pain, onset and
duration, location of the pain, radiation of pain, intensity of the pain (on a pain
scale), and aggravation and alleviation of the pain.[newline][newline]The
abdominal assessment should be done in the correct order of inspection,
auscultation, and palpation. Auscultate bowel sounds for intensity, pitch, and
frequency. Ask patient about history of lower abdominal areas of abdominal pain
before palpating all four quadrants of the abdomen. Areas of pain are palpated
last. Identify any facial grimaces or guarding that could indicate pain. When
assessing for an appendicitis, assessment should include the determination of
whether the patient has any rebound tenderness by palpating deeply and
releasing pressure quickly. Assess for psoas sign by asking the patient to lie on
left side, and hyperextend the right leg of the patient. Assess for obturator sign
by supporting the patient's right knee and ankle while flexing the hip and
knee, and rotate the leg internally and externally. If these assessments cause
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pain for the patient, it is an indication of appendicitis
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