How is an acute appendicitis treated?
It is always common in the ER that when a client presents right quadrant abdominal pain a doctor will suspect a case of acute appendicitis. It is not yet a definite diagnosis since abdominal pain alone can have a number of etiology and to be able to rule out certain conditions a clinician will have to first order a series of diagnostic tests to validate his impression of the condition. These tests are ordered since relying only on the judgement based on the presenting signs and symptoms are not reliable indicators to diagnose a problem since some are similar with the signs and symptoms of other varying gastrointestinal conditions and most often some will present atypical cues.The clinician will have to do some physical assessment, and order laboratory and radiologic test. In a client with appendicitis, WBCs are usually raised and exceed 10,000 cells/cumm and neutrophil count exceeds 75% of its normal range. Laboratory exams will also reveal if there are any fluid or electrolyte imbalances that need be corrected and urinalysis in particular can rule out urinary tract infection. Furthermore, on the x-ray films, ultrasound studies and CT scans it will reveal a right lower quadrant thickness or localized swelling of the bowel. Surgery is indicated when the client will have a definite diagnosis of acute appendicitis. Before surgery is performed, he is first given intravenous fluids to correct or prevent any fluid or electrolyte imbalance and dehydration. In addition, antibiotics are administered to combat any existing infection associated with the inflammation and analgesics are given to help with pain reduction. The surgical treatment for an acute appendicitis can be of two types it can be the classic laparotomy or the newer laparoscopic appendectomy both of which severs and removes the appendix from its attachment in the cecum preventing further complications. On average, a client who has undergone an appendectomy will obtain full recovery usually 4-8 weeks from surgery and will not need any modification in diet, lifestyle and activity.