Appendicitis
Appendicitis
Outlines> General considerations>Historical perspective>Anatomy>Pathophysiology>Clinical findings>DiagnosisMesoappendixAppendiculaarten>TreatmentADI
Outlines ➢ General considerations ➢ Historical perspective ➢ Anatomy ➢ Pathophysiology ➢ Clinical findings ➢ Diagnosis ➢ Treatment
GeneralconsiderationsAbout8% ofpeopleinWestern countrieshave appendicitis at sometime duringtheirlife,withapeak incidencebetween10and30yearsofage.Acuteappendicitisisthemostcommongeneralsurgicalemergency.(1o%)
General considerations ● About 8% of people in Western countries have appendicitis at some time during their life, with a peak incidence between 10 and 30 years of age . ● Acute appendicitis is the most common general surgical emergency.(10%)
GeneralconsiderationsAcuteappendicitishasproteanmanifestationsIt maysimulatealmostany otheracuteabdominal illnessand inturnmaybemimickedbyavarietyofconditions.Progression of symptoms and signsis therulein contrasttothefluctuating course ofsome otherdiseases
General considerations ● Acute appendicitis has protean manifestations. ● It may simulate almost any other acute abdominal illness and in turn may be mimicked by a variety of conditions. ● Progression of symptoms and signs is the rule —in contrast to the fluctuating course of some other diseases
HistoricalperspectiveWillardPackardperformedthefirstsurgeryin1867In1886,ReginaldFitzdescribedthecharacteristic,clinical findingsandpathologyofthedisease,identifiedtheappendixas theprimary causeofrightlowerquadrantinflammation.Fitzcoinedtheterm appendicitisand recommended earlysurgical treatment
Historical perspective ● Willard Packard performed the first surgery in 1867. ● In 1886,Reginald Fitz described the characteristic, clinical findings and pathology of the disease,identified the appendix as the primary cause of right lower quadrant inflammation. ● Fitz coined the term appendicitis and recommended early surgical treatment