How to check for acute appendicitis
Acute appendicitis is a common acute abdomen. If not diagnosed and treated in time, it may lead to serious complications such as appendiceal perforation and peritonitis. This article will introduce the examination methods of acute appendicitis in detail, and combine it with the hot topics on the Internet in the past 10 days to help readers fully understand this disease.
1. Common symptoms of acute appendicitis
Typical symptoms of acute appendicitis include:
| Symptoms | Description |
|---|---|
| abdominal pain | Pain around the umbilicus or upper abdomen initially, then transferred to the right lower abdomen (McFarland's point) |
| Nausea and vomiting | Often accompanied by abdominal pain and possibly loss of appetite |
| Fever | Mild increase in body temperature (37.5-38.5℃), severe cases may reach above 39℃ |
| diarrhea or constipation | Some patients may experience changes in bowel habits |
2. Examination methods for acute appendicitis
1.Physical examination
The doctor will examine the patient by:
| Check items | method | Positive performance |
|---|---|---|
| Max point tenderness | Press the McBurney's point on the right lower abdomen (the middle and outer 1/3 of the line connecting the umbilicus and the right anterior superior iliac spine) | obvious tenderness |
| rebound tenderness | Press slowly and then release suddenly | Pain worsens when released |
| colon aeration test | Press the descending colon with your left hand and squeeze the proximal colon with your right hand | pain in right lower abdomen |
| psoas test | The patient is lying on his left side with his right lower limb extended backwards | pain in right lower abdomen |
2.laboratory tests
| Check items | normal value | Appendicitis manifestations |
|---|---|---|
| white blood cell count | (4-10)×10⁹/L | Significantly increased (>10×10⁹/L) |
| neutrophil ratio | 40-75% | Significantly increased (>80%) |
| C-reactive protein | <10mg/L | significantly increased |
3.Imaging examination
| Check method | Advantages | limitations |
|---|---|---|
| Ultrasound examination | No radiation, can show appendiceal thickening (>6mm) and surrounding infiltration | Interfered by intestinal gas, obese patients have poor results |
| CT examination | High accuracy (>95%), can display appendiceal stones, abscesses, etc. | There is radiation and the cost is higher |
| MRI examination | No radiation, suitable for pregnant women and children | Inspections are long and expensive |
3. Recent hot topics
According to the hot content on the entire network in the past 10 days, hot topics related to acute appendicitis include:
| topic | focus |
|---|---|
| Characteristics of appendicitis in children | Symptoms are atypical, easily misdiagnosed, and progress rapidly |
| Diagnosis of appendicitis in pregnant women | The enlargement of the uterus causes changes in the position of the appendix, and MRI is the preferred examination |
| Laparoscopic appendectomy | Minimally invasive surgery has fast recovery and has become a mainstream treatment method |
| Conservative treatment with antibiotics | Suitable for simple appendicitis, but the recurrence rate is high |
4. Differential diagnosis of acute appendicitis
The following diseases need to be differentiated:
| disease | Key points for identification |
|---|---|
| mesenteric lymphadenitis | More common in children, abdominal pain is mild and no fixed tenderness |
| Right ureteral stone | Colic nature, positive hematuria, and stones visible on imaging |
| pelvic inflammatory disease | Female patient, abnormal vaginal discharge, positive bimanual diagnosis |
| Intestinal obstruction | Abdominal distension is obvious, bowel sounds are increased or disappear, and X-ray shows air-fluid level |
5. Prevention and precautions
1. If you have persistent right lower abdominal pain, you should seek medical treatment promptly and avoid taking painkillers to cover up symptoms.
2. Maintain a regular diet and avoid overeating
3. Pay attention to dietary hygiene and prevent intestinal infections
4. Children with abdominal pain should pay special attention because their ability to express is limited.
5. Pregnant women with abdominal pain should seek medical treatment promptly to avoid delayed treatment that may affect the fetus.
With a thorough examination and prompt diagnosis, acute appendicitis can be effectively treated. If you have relevant symptoms, please seek medical attention immediately to avoid delaying the best time for treatment.
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