21. THE MERCK MANUAL, Sec. 3, Ch. 25, Acute Abdomen And Surgical Gastroenterology click here for navigation help. appendicitis. In cases of early appendicitis, xray,ultrasound, and CT do not aid in diagnosis, and barium enemas are dangerous. http://www.merck.com/pubs/mmanual/section3/chapter25/25e.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 3. Gastrointestinal Disorders Chapter 25. Acute Abdomen And Surgical Gastroenterology Topics Abdominal Pain Mechanical Intestinal Obstruction Ileus Ischemic Colitis ... Chronic Peritonitis Appendicitis Acute inflammation of the vermiform appendix. Etiology and Incidence Although acute appendicitis is the most common disease of the appendix, other potential pathologic conditions affecting the appendix include swallowed foreign bodies, pinworms, fecaliths, carcinoids, cancer, villous adenomas, and diverticula. The appendix may also be involved in idiopathic ulcerative colitis or the ileocolitis of Crohn's disease. Except for hernia, acute appendicitis is the most common cause in the USA of an attack of severe, acute abdominal pain that requires abdominal operation. Because symptoms and signs vary widely and because delay before operation is so hazardous, it is accepted that nearly 15% of operations for acute appendicitis lead to other findings at laparotomy or even to findings of no disease. Symptoms and Signs Classic right lower quadrant tenderness is located at McBurney's point (junction of the middle and outer thirds of the line joining the umbilicus to the anterior superior spine). Rovsing's sign (pain felt in the right lower quadrant resulting from palpation of the left lower quadrant) suggests the possibility of appendicitis. The psoas sign (an increase in pain from passive extension of the right hip joint, which stretches the iliopsoas muscle) or adductor pain (pain produced by passive internal rotation of the flexed thigh) may suggest both the anatomic location of the appendix and progression of the inflammatory process.

22. Learn More About Appendicitis From Plainsense Infection can then spread to surrounding organs, leading to blood poisoning,shock or death. IF YOU SUSPECT appendicitis HOW appendicitis IS TREATED. http://www.plainsense.com/Health/Childrens/appendicitis.htm

Search the Web. Type it and go! Related Topics: Allergies Anemia Appendicitis Bed Wetting Breathing Child Care Choking ... Weight Control Is it an Inflammation of the Appendix? The appendix is a thin, worm-shaped pouch that projects out from the first section of the large intestine. In some animals, the appendix plays an important role in the digestive process. In humans, the appendix is small (just under 4 inches long) and seems to have no function at all. In most cases of appendicitis, no cause is detected. But for reasons yet unknown, the appendix can become obstructed with a particle of undigested food, bowel material or other matter. The appendix will then become swollen, inflamed and filled with pus. If this is left unattended, the appendix will eventually burst, flooding the normally sterile abdominal cavity. Infection can then spread to surrounding organs, leading to blood poisoning, shock or death. IF YOU SUSPECT APPENDICITIS... don't give your child laxatives-they can stimulate the intestine and cause the appendix to rupture sooner. don't give pain medication to your child-the location and severity of the pain are important clues to a proper diagnosis.

23. Advanced Search AFP November 1, 1999. Acute appendicitis Review and Update. appendicitisis the most common acute surgical condition of the abdomen. http://www.aafp.org/afp/991101ap/2027.html

Advanced Search Acute Appendicitis: Review and Update D. MIKE HARDIN, JR., M.D., Appendicitis is common, with a lifetime occurrence of 7 percent. Abdominal pain and anorexia are the predominant symptoms. The most important physical examination finding is right lower quadrant tenderness to palpation. A complete blood count and urinalysis are sometimes helpful in determining the diagnosis and supporting the presence or absence of appendicitis, while appendiceal computed tomographic scans and ultrasonography can be helpful in equivocal cases. Delay in diagnosing appendicitis increases the risk of perforation and complications. Complication and mortality rates are much higher in children and the elderly. (Am Fam Physician 1999;60:2027-34.) A ppendicitis is the most common acute surgical condition of the abdomen. Approximately 7 percent of the population will have appendicitis in their lifetime, with the peak incidence occurring between the ages of 10 and 30 years. Despite technologic advances, the diagnosis of appendicitis is still based primarily on the patient's history and the physical examination. Prompt diagnosis and surgical referral may reduce the risk of perforation and prevent complications.

24. HealthWorld Online - Integrative Medicine - Appendicitis appendicitis © Janet Zand L.Ac., OMD (Excerpted from Smart Medicine for a HealthierChild) If you suspect appendicitis, seek immediate medical care. http://www.healthy.net/library/books/smart/appendicitis.htm

25. Appendicitis - Wikipedia appendicitis. From Wikipedia, the free encyclopedia. appendicitis isa condition caused by an inflammation of the appendix. Causes. http://www.wikipedia.org/wiki/Appendicitis

Main Page Recent changes Edit this page Older versions Special pages Set my user preferences My watchlist Recently updated pages Upload image files Image list Registered users Site statistics Random article Orphaned articles Orphaned images Popular articles Most wanted articles Short articles Long articles Newly created articles Interlanguage links All pages by title Blocked IP addresses Maintenance page External book sources Printable version Talk Log in Help Appendicitis From Wikipedia, the free encyclopedia. Medicine Gastroenterology Appendicitis Appendicitis is a condition caused by an inflammation of the appendix Causes It is possible for matter to become logged in the appendix, leading to bacterial infection, or appendicitis. If the condition is untreated, the appendix will eventually burst, leading to septicemia and eventually death. Signs and symptoms Abdominal pain that usually is starting in the middle of the abdomen (just above the belly button), moving to the right lower side of the abdomen Nausea Vomiting Abdominal swelling Pain when the right side of the abdomen is touched Low-grade fever Inability to pass gas Constipation Diarrhea Diagnosis Diagnosis is based on history and physical examination backed by blood tests and other diagnostic procedures.

26. Appendicitis Symptoms Here are symptoms of appendicitis. appendicitis, infection of the appendix, occursless frequently today than it did in the past. appendicitis symptoms. http://idid.essortment.com/appendicitissym_rexu.htm

Appendicitis symptoms The appendix is a wormlike expansion of the large bowel (cecum) measuring one to three inches in length. It is located in the lower right portion of the abdomen at the beginning of the large intestine. Normally it is about as thick as a lead pencil and is pinkish gray in color. It serves no function in humans that we know of and is thought to be a residuum of our primitive past. Appendicitis: bodyOffer(27226) Appendicitis is an inflammation of the lining of the appendix spreading to its other portions. When an acute inflammation is involved, severe pain will be felt in the lower right part of the abdomen. By this time the appendix has usually become filled with pus. If not treated right away the infection can spread through the wall of the appendix and can turn into gangrene and rupture. Because of this, appendicitis is considered an emergency situation. Causes: Appendicitis may be caused either by bacterial inflammation or by a viral infection occurring in the digestive tract. A bacterial infection can happen by a rigid particle of stool blocking its passageway causing pressure upon the blood vessels in the area. The inflammation can cause infection, a blood clot, or rupture of the appendix. Before the age of antibiotics came along, appendicitis was known as a common abdominal surgery but it occurs less frequently today. Most often it is seen in young adults in their twenties through forties, but can occur in infants and older people. Many years ago people died from appendicitis including small infants. Rarely does it occur in children under three years of age anymore. And for some unknown reason the condition occurs less often today than it did twenty years ago.

27. Appendicitis, Cincinnati Childrens Hospital Medical Center Information on appendicitis including symptoms, diagnosis and treatment, providedby Cincinnati Children's Hospital Medical Center. appendicitis. http://www.cincinnatichildrens.org/Health_Topics/Your_Childs_Health/abdominal_di

Your Child's Health Abdominal, Digestive and Liver Conditions and Diagnoses Anorectal Malformations ... Appendicial Colic Appendicitis Biliary Atresia Crohn's Disease Gastroenteritis Gastroesophageal Reflux Disease (GERD) ... Tests and Procedures Conditions and Diagnoses Appendicitis What is appendicitis? Appendicitis is the most common cause of emergency surgery during childhood, occurring in about 80,000 children each year. It is more common in boys and is rare in infants under 1 year of age. Most cases occur between 6 and 20 years of age. The rate of perforation is high in children younger than age 4, due to their inability to describe symptoms and difficulty in examining them. What are the symptoms of appendicitis? There is a wide spectrum of symptoms and not all children have all symptoms. The most common symptoms include: Pain in the center and right side of the abdomen; this usually increases in severity as time passes, and becomes worse when moving, taking deep breaths, coughing, sneezing, and being touched in the area. Nausea and vomiting Lack of hunger Fever and chills Diarrhea or constipation Urinary tract symptoms such as frequency of urination and/or painful urination The first symptoms of appendicitis are usually abdominal pain and not eating well. The pain usually begins in the center of the abdomen, around the navel. Later, it can move downward and to the right side, near the area of the appendix. The location of the pain is often difficult for preschool children to describe.

28. Appendicitis -- ECureMe.com appendicitis, more about appendicitis, Normal, Abnormal, The portion).appendicitis is thought to occur when this lumen becomes obstructed. http://www.ecureme.com/emyhealth/data/Appendicitis.asp

March 30, 2003 Select a Health Topic ADD/ADHD Allergy Alternative Medicine Arthritis Asthma Beyond Dieting Body Aches and Pains Breast Cancer Cancer Awareness Cardio Health Children's Health Colon Cancer Contraception COPD/Emphysema Dental Health Diabetes Elder Care Emergency Room Epilepsy Erectile Dysfunction Eye Care Fertility Fitness Gastrointestinal Health Glands and Hormones Gynecologic Health Hair Loss Headache Healthcare Today Healthy Aging HIV and AIDS Infectious Diseases Kidney Health Leukemia Liver Health Lung Cancer Lymphoma Multiple Sclerosis Men's Health Mental Health Nutrition Osteoporosis Parkinson's Disease Sexual Health Skin Health Sleep Disorders Special Events Stroke Surgeries and Procedures Teen Health Thyroid Health Urologic Health Vascular Disease Women's Health Workplace Health Ask The Doctor Lifestyle Counseling Ask by mail My Health Chart ... Hospitals Appendicitis more about Appendicitis Normal Abnormal The appendix is a collection of lymphatic tissue (tissue that is part of the body's immune/defense system). The appendix, connected to the colon, is a few inches in length and has a lumen (a hollow portion). Appendicitis is thought to occur when this lumen becomes obstructed. Pain usually begins near belly button Pain then localizes to the right lower abdomen Nausea/vomiting (occurs after pain starts and not before) Loss of appetite Urinary pain/frequency may occur Flank, pelvic, or rectal pain may occur

29. Appendicitis - DrGreene.com An article that explains the causes, symptoms, diagnosis and treatment ofappendicitis. AZ Guide appendicitis. Also known as Acute appendicitis http://www.drgreene.com/21_1027.html

QUICK SEARCH A - Z Guide Allergies Allergy Care Guide Asthma Care Guide Bedwetting Breastfeeding Childhood Obesity Diabetes Care Guide Ear Infections Genetics Immunizations Infectious Diseases Parenting Potty Training Rashes Safety Sleep DrGreene.com Topic Centers Mission Reviews Awards Readers Comments Press Room Partners and Supporters Contact Us Pediatric Information A-Z Guide Allergy Care Guide Asthma Care Guide Diabetes Care Guide DrGreene´s Chats FAQ Fast Facts Feature Articles Guidelines Pediatric Updates Special Feature Top Tips Community Activty Guide Advanced Search Community Central Chat Chat Schedule Cute Faces Family Friendly Recipes Parent-to-Parent Resources The DrGreene Team Newsletter Prenatal Newborn Infants Toddlers Pre-Schoolers School Age Teens / Adolescents Multimedia Library Children's Health Fertility Appendicitis Also known as: Acute appendicitis Introduction: Appendicitis is easily the most common cause of emergency abdominal surgery in children. Nevertheless, the diagnosis is often missed, leading to a perforation or rupture of the appendix. What is it?

30. New Emergency Medical Testing For Appendicitis - DrGreene.com - Caring For The N t clear. Is this appendicitis or not? New Emergency Medical Testing forappendicitis. Your child is doubled over in pain. Concern has http://www.drgreene.com/21_270.html

QUICK SEARCH A - Z Guide Allergies Allergy Care Guide Asthma Care Guide Bedwetting Breastfeeding Childhood Obesity Diabetes Care Guide Ear Infections Genetics Immunizations Infectious Diseases Parenting Potty Training Rashes Safety Sleep DrGreene.com Topic Centers Mission Reviews Awards Readers Comments Press Room Partners and Supporters Contact Us Pediatric Information A-Z Guide Allergy Care Guide Asthma Care Guide Diabetes Care Guide DrGreene´s Chats FAQ Fast Facts Feature Articles Guidelines Pediatric Updates Special Feature Top Tips Community Activty Guide Advanced Search Community Central Chat Chat Schedule Cute Faces Family Friendly Recipes Parent-to-Parent Resources The DrGreene Team Newsletter Prenatal Newborn Infants Toddlers Pre-Schoolers School Age Teens / Adolescents Multimedia Library Children's Health Fertility Emergency Medical Test for Appendicitis Your child is doubled over in pain. Concern has brought you both to the Emergency Room, but after initial evaluation, the situation still isn't clear. Is this appendicitis or not? An exciting report in the September 15, 1999 Journal of the American Medical Association describes a new test that can answer the question without either the long ordeal of "let's wait and see" or having exploratory surgery. When the work-up is inconclusive, an abdominal CT scan with rectal contrast (CTRC) is highly likely to display either a reassuring normal appendix or an inflamed appendix needing to come out! Mystery solved. This cost-effective test will be an invaluable service to our children.

31. Appendicitis appendicitis. . appendicitis may result from an obstruction of the intestinal lumencaused by a fecal mass, stricture, barium ingestion, or a viral infection. http://www.med-help.net/Appendicitis.html

Appendicitis Appendicitis: One of the most common major surgical disease, appendicitis is obstruction and inflammation of the vermiform appendix, which may lead to infection, thrombosis, necrosis, and perforation. Appendicitis may result from an obstruction of the intestinal lumen caused by a fecal mass, stricture, barium ingestion, or a viral infection. Symptoms: Abdomen pain - generalized or localized in the right upper abdominal, eventually localizing in the right lower abdomen Nausea Anorexia Vomiting Boardlike abdominal rigidity Retractive respirations Increasingly severe abdominal spasms and rebound spasms Constipation Fever Tachycardia Indication of perforation or infarction of the appendixSudden cessation of abdominal pain Treatment: Only effective treatment: Appendectomy If peritonitis develops, treatment involves gastrointestinal intubation, parenteral replacement of fluids and electrolytes, and antibiotics. A Nurse from MED-HELP.COM : Click on the Icon Above.

32. Postgraduate Medicine: Patient Notes: Appendicitis Patient Notes appendicitis. VOL 103 / NO 1 / JANUARY 1998 / POSTGRADUATEMEDICINE. The appendix appendix. What causes appendicitis? The http://www.postgradmed.com/issues/1998/01_98/j98_pn.htm

Patient Notes Appendicitis VOL 103 / NO 1 / JANUARY 1998 / POSTGRADUATE MEDICINE The appendix is a narrow, worm-shaped pouch of tissue, usually less than 1 in. wide and 3 to 4 in. long, that extends from the large intestine. Its purpose is not known, but some researchers think it may help trigger the immune system to fight disease. Getting along without one is no problemwhich is a good thing, since the most common reason for abdominal surgery is removal of an inflamed appendix. What causes appendicitis? The appendix is a "dead end." When something (such as a hard pellet of stool, a foreign body, a seed or other piece of undigested food) blocks the only opening from the colon, inflammation soon sets in. In other instances, infection from bacteria in the intestinal tract causes swelling that gradually closes the opening. There is no way to predict or prevent appendicitis. It can occur in anyone. However, it is most common in adolescents and young adults and rare in children under age 2. Is appendicitis serious? When it's not treated, it can be very serious. A completely obstructed appendix becomes more and more inflamed and eventually bursts, casting out its infected contents. The entire lining of the abdominal cavity may become contaminated, causing a life-threatening condition called peritonitis.

33. Obturator Test appendicitis, Book, Home Pathophysiology Appendix is long, thin diverticulumArises from inferior cecum. appendicitis course Luminal http://www.fpnotebook.com/SUR36.htm

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34. Appendicitis Information At IVillage.com you are here iVillage.com health digestive system appendicitis. appendicitis, essentialinfo for appendicitis. appendicitis overview. articles on appendicitis. http://www.ivillage.com/topics/health/0,,230606,00.html

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35. Digestive Problems | A Complete Guide | Appendicitis A complete guide to appendicitis from HeliosHealth.com with clinicallyreviewed information, animations, news and discussions. appendicitis. http://www.helioshealth.com/digestive/appendicitis/

Sunday March 30, 2003 Click Here to Email this Page to a Friend! Home Drug Info Message Boards ... About Us HEALTH CENTERS ALL TOPICS A-Z Allergy Alzheimers Anxiety Disorders ... focusIN Specialty Web Network ADVERTISEMENT Appendicitis The Appendix is a small portion of the large intestine that hangs down from the lower right side. The appendix does not seem to serve any purpose it can still become diseased. Appendicitis is inflammation of the appendix. If untreated, an inflamed appendix can burst, causing infection and even death. About one in 500 people has appendicitis each year. Appendicitis may occur after a viral infection in the digestive tract, or it can occur when the tube connecting the large intestine and appendix is blocked by trapped stool. The inflammation can cause infection, a blood clot, or rupture of the appendix. Because of the risk of rupture, appendicitis is considered an emergency. Anyone with symptoms needs to see a healthcare provider immediately. Symptoms include Pain in the right side of the abdomen. The pain usually begins near the navel and moves down and to the right. The pain becomes worse when moving, taking deep breathes, coughing, sneezing, and being touched in the area. Nausea.

36. Appendicitis Of The Appendix appendicitis of Appendix From the Virtual Pathology Museum, Department ofPathology, University of Connecticut Health Center. Acute appendicitis. http://radiology.uchc.edu/eAtlas/GI/84.htm

37. Appendicitis Of The Appendix appendicitis of Appendix From the Virtual Pathology Museum, Department of Pathology,University of Connecticut Health Center. Acute appendicitis (4X). http://radiology.uchc.edu/eAtlas/GI/1276.htm

38. Appendicitis Keywords Find it Here. appendicitis. 1. RxMed appendicitis - Fact sheetexplaining causes, symptoms and treatments. 3. appendicitis in Children. http://www.health-nexus.com/appendicitis1.htm

Health-Nexus.Net Health-Nexus.Org The #1 Health information site Home ... Appendicitis 11-20 Search Health-Nexus for: Match ALL words Match ANY word Email this page to a friend ! Post a question or comment on our Message Board Home Page Health Specialties Health News ... Alternative Health Options Substance Abuse Animal Health Search: Books Magazines Video Keywords: Find it Here Appendicitis RxMed - Appendicitis - Fact sheet explaining causes, symptoms and treatments. Appendicitis - Appendicitis is inflammation of the appendix, a small portion of the large intestine that hangs down from the lower right side. Although the appendix does not seem to serve any purpose, it can still ... Appendicitis in Children MEDLINEplus: Appendicitis - ... Digestive and Kidney Diseases The primary NIH organization for research on Appendicitis is the National Institute on Diabetes and Digestive and Kidney Diseases.... WebMD - Acute appendicitis Appendicitis in Children - An article about the most important facts about this common infection, including symptoms and treatments.

39. UMHS - Appendicitis Digestive Health appendicitis. What is appendicitis? appendicitis is an inflammationof the appendix. Sometimes it is difficult to diagnose appendicitis. http://www.med.umich.edu/1libr/topics/digest13.htm

Other Health Topics Health Topics A-Z Digestive Health Appendicitis What is appendicitis? How does it occur? What are the symptoms? How is it diagnosed? ... Can I prevent appendicitis? What is appendicitis? Appendicitis is an inflammation of the appendix. The appendix is a small, fingerlike tube located where the large and small intestines join. How does it occur? In most cases the inflammation may be caused by an obstruction of the opening of the appendix by a piece of stool, by a parasite, or by an infection. What are the symptoms? The symptoms of appendicitis include: Abdominal pain, usually starting in the middle of the abdomen around the umbilicus (belly button), then shifting to the right lower side of the abdomen. Nausea. Vomiting. Pain when touched on the right side of the abdomen. Fever, usually not very high. How is it diagnosed? Sometimes it is difficult to diagnose appendicitis. Your doctor will review your symptoms and examine you. The doctor will probably ask you to give a urine sample. The doctor may order the following lab tests: Complete blood count (CBC) to determine your white blood cell count.

40. LookSmart - Appendicitis Search the Web for. LookSmart Home. Featured Sponsors. appendicitis. Find resourceson appendicitis' symptoms, diagnosis and treatment. http://www.looksmart.com/eus1/eus302562/eus317837/eus317920/eus53948/eus89771/eu

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