𝑫𝑨𝒀 𝟐 – 𝑪𝑨𝑺𝑬 𝑫𝑰𝑺𝑪𝑼𝑺𝑺𝑰𝑶𝑵
Thank you to everyone who participated in yesterday’s discussion!
Most Likely 𝑫𝒊𝒂𝒈𝒏𝒐𝒔𝒊𝒔:
👉 Acute Appendicitis with Suspected Perforation
𝑾𝒉𝒚 𝒕𝒉𝒆 𝑺𝒖𝒅𝒅𝒆𝒏 𝑹𝒆𝒍𝒊𝒆𝒇?
A sudden reduction in pain does not always indicate recovery. In acute appendicitis, sudden pain relief may occur when the inflamed appendix perforates, temporarily reducing intraluminal pressure. This apparent improvement can be misleading, as it may be followed by worsening infection, peritonitis, sepsis, and other life-threatening complications.
𝑺𝒊𝒈𝒏𝒔 & 𝑺𝒚𝒎𝒑𝒕𝒐𝒎𝒔 of Acute Appendicitis
• Periumbilical pain migrating to the right iliac fossa
• Right lower quadrant tenderness
• Loss of appetite (anorexia)
• Nausea and/or vomiting
• Low-grade fever
• Guarding and rebound tenderness
• Tachycardia
• Constipation or diarrhea (occasionally)
𝑲𝒆𝒚 𝑾𝒂𝒓𝒏𝒊𝒏𝒈 𝑺𝒊𝒈𝒏𝒔
Check the image above.
𝑰𝒏𝒗𝒆𝒔𝒕𝒊𝒈𝒂𝒕𝒊𝒐𝒏𝒔
• Full Blood Count (FBC)
• C-Reactive Protein (CRP)
• Serum Electrolytes, Urea & Creatinine
• Urinalysis
• Pregnancy test (where applicable)
• Abdominal Ultrasound Scan
• CT Scan Abdomen/Pelvis (where available)
• Serum lactate (if sepsis is suspected)
𝑻𝒓𝒆𝒂𝒕𝒎𝒆𝒏𝒕
• Prompt surgical assessment
• Intravenous fluid resuscitation
• Adequate analgesia
• Broad-spectrum intravenous antibiotics
• Monitoring of vital signs
• Appendicectomy (open or laparoscopic)
• Early recognition and management of sepsis where present
𝑻𝒓𝒆𝒂𝒕𝒎𝒆𝒏𝒕 of Acute Perforated Appendicitis
Check the image above.
𝑪𝒍𝒊𝒏𝒊𝒄𝒂𝒍 𝑷𝒆𝒂𝒓𝒍
“Not every patient who feels better is getting better. In acute appendicitis, sudden pain relief may be a warning sign rather than a sign of recovery.”
𝑻𝒉𝒆 𝑶𝒑𝒆𝒓𝒂𝒕𝒊𝒏𝒈 𝑹𝒐𝒐𝒎 𝑮𝒍𝒐𝒃𝒂𝒍 (𝑻𝑶𝑹𝑮) remains committed to advancing surgical education, promoting evidence-based practice, and improving emergency surgical care worldwide!
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