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Acute Perforated Appendicitis

Signs & Symptoms

 Mildly ill #simple_appendicitis
Ref: Harrison [ 2299]
Vomiting #Alvarado_scale_criteria
Note: The sequence of presentation in 95% of patients with acute appendicitis usually starts with anorexia, followed by abdominal pain and then vomiting
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis] Harrison [ 2299] Cecil [ 892] UMLS [ C0003615]
Shift to left #Alvarado_scale_criteria
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis] Cecil [ 892]
Ill #simple_appendicitis
Ref: Harrison [ 2299]

Physical Examination

 Abdominal tenderness
Ref: Harrison [ 2299]
Cervical motion tenderness
Ref: Harrison [ 2299]
Acute
Ref: Uptodate [ Differential diagnosis of abdominal pain in adults]

Lab / Serology

 Leukocytosis #Alvarado_scale_criteria
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis] Cecil [ 892]
Elevated bands [immature neutrophils] #Alvarado_scale_criteria
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis] Cecil [ 892]
Elevated neutrophils #Alvarado_scale_criteria
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis] Cecil [ 892]

Imagin Study

 Fluid collection in right lower quadrant #Perforated_appendix
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis]
Fluid collection in the right lower quadrant #Perforated_appendix
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis]
Loss of the psoas shadow
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis]

Complication

Risk Factors

 Male
Ref: Unknown [ 0]

Cause

Other