Appendicular abscess physical examination: Difference between revisions

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{{Appendicular abscess}}
{{Appendicular abscess}}
{{CMG}};{{AE}}{{ADG}}
{{CMG}}; {{AE}}{{ADG}}
 
==Overview==
==Overview==
Physical examinations mostly focus on [[abdominal]] findings. The patient may appear [[toxic]] with diffuse [[abdominal pain]] and high grade fever and [[tachycardia]]. Even minimal pressure on the [[abdomen]] can elicit a marked response from the patient due to pain.
Physical examinations mostly focus on [[abdominal]] findings. The patient may appear [[toxic]] with diffuse [[abdominal pain]] and high grade fever and [[tachycardia]]. Even minimal pressure on the [[abdomen]] can elicit a marked response from the patient due to pain.
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*[[Pallor]]  
*[[Pallor]]  
*[[Cold extremities]]
*[[Cold extremities]]
===Neck===  
===Neck===  
*No masses
*No masses
===Cardiovascular system===
===Cardiovascular system===
*Regular rate and rhythm
*Regular rate and rhythm
*[[Heart sounds|Normal S1, S2]]
*[[Heart sounds|Normal S1, S2]]
*No [[murmurs]], rubs, or [[Gallops and Extra Heart Sounds|gallops]]
*No [[murmurs]], rubs, or [[Gallops and Extra Heart Sounds|gallops]]
===Lungs===
===Lungs===
Bilateral normal [[vesicular]] [[breath]] sounds.
Bilateral normal [[vesicular]] [[breath]] sounds.
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* A digital rectal examination elicits tenderness in the [[rectovesical pouch]] in special cases of appendicitis. In case of a retrocaecal appendix even deep pressure in the right lower quadrant may fail to elicit tenderness. If the appendix lies entirely within the pelvis, there is usually complete absence of abdominal rigidity.<ref name="wiki1"> Appendicitis. Wikipedia (2016). https://en.wikipedia.org/wiki/Appendicitis Accessed on March 14th, 2016</ref>
* A digital rectal examination elicits tenderness in the [[rectovesical pouch]] in special cases of appendicitis. In case of a retrocaecal appendix even deep pressure in the right lower quadrant may fail to elicit tenderness. If the appendix lies entirely within the pelvis, there is usually complete absence of abdominal rigidity.<ref name="wiki1"> Appendicitis. Wikipedia (2016). https://en.wikipedia.org/wiki/Appendicitis Accessed on March 14th, 2016</ref>
===Neurological===
===Neurological===
Alert, oriented X 3
Alert, oriented X 3

Revision as of 13:37, 2 May 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Physical examinations mostly focus on abdominal findings. The patient may appear toxic with diffuse abdominal pain and high grade fever and tachycardia. Even minimal pressure on the abdomen can elicit a marked response from the patient due to pain.

Physical examination

Vitals

Skin

Neck

  • No masses

Cardiovascular system

Lungs

Bilateral normal vesicular breath sounds.

Abdomen

Neurological

Alert, oriented X 3

References

  1. Hardin, M. Acute Appendicitis: Review and Update. Am Fam Physician".1999, Nov 1;60(7):2027-2034
  2. Stockman III, James A. (2012), Year Book of Pediatrics 2012 (2012 ed.), Maryland Heights, MO: Mosby
  3. Appendicitis. Wikipedia (2016). https://en.wikipedia.org/wiki/Appendicitis Accessed on March 14th, 2016