Acute appendicitis, causes, symptoms, first emergency medical care for acute appendicitis.

Acute appendicitis is an inflammation of the appendix (appendix). Appendicitis can be simple and destructive, phlegmonous, gangrenous and perforated. It arises as a result of the development of infection in the appendix. 

Acute appendicitis, causes, symptoms, first emergency medical care for acute appendicitis.

Acute appendicitis is characterized by acute onset. More often in the right lower abdomen, pain immediately appears. Sometimes it occurs first in the epigastric region or throughout the abdomen, followed by a transition to the right lower abdomen. The severity of pain can be different, often it is moderate and constant. Especially pronounced pain with destructive appendicitis.

body up to 38 degrees. With gangrenous appendicitis, a pulse quickens before an increase in temperature.

The patient lies calmly in bed, but sometimes he is anxious, trying to find a position in which the pain subsides. When probing the abdomen, sharp pain is noted in the lower right part of it. In intensity, it can be very different. The place of greatest severity of pain depends on the location of the vermiform appendix of the intestine. In addition to severe pain, muscle tension is noted in this place of the abdomen. The pain may be worse when the patient is on the left side..

First aid for acute appendicitis.

If the diagnosis of acute appendicitis is accurately established or if it is suspected, the patient should be immediately delivered to the surgical department. It is strictly forbidden to such patients to give drink and food, to prescribe painkillers and make an enema. An ice bladder should be placed on the stomach. When the diagnosis is beyond doubt, patients undergo emergency surgery.

In atypical cases, with erased signs of the disease, they wait for a while, but always in a hospital setting. The operation is delayed with advanced varieties of appendicitis, in the presence of the so-called appendicular infiltrate. In this case, anti-inflammatory and antibacterial treatment is first carried out, and the operation is done as planned, when the infiltrate resolves.

Based on the book “Quick help in emergency situations”.
Kashin S.P..

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