Reference no: EM132405273
Mr. V is a 55-year-old alcoholic who checked into a clinic, complaining that he has been experiencing a persistent cough and feeling more fatigued, nauseous, and irritable. In addition, he is experiencing more frequent memory lapses. His stomach is distended, but on palpation, his liver is small in size and firm.
Fever and leukocytosis indicated infection. A diagnosis of acute appendicitis, with possible perforation, was indicated, with immediate surgery.
Discussion Questions
1. Why is the sequence of pain (location and type of pain) significant in the diagnosis of acute appendicitis? Describe the rational for each type of pain. Does this sequence confirm the diagnosis?
2. Using the pathophysiology, describe the reason for:
a. the pain subsiding and then recurring.
b. leukocytosis and fever.
c. abdominal rigidity.
3. Discuss the complications that might arise from rupture of the appendix.