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    Rena Marie Laurente Demeterio
    The document discusses the common causes and progression of appendicitis. It notes that appendicitis is often caused by obstruction of the appendiceal lumen by items like fecaliths, lymphoid hypertrophy, barium, or parasites. This obstruction leads to distention and increased intraluminal pressure as the appendix continues to secrete, causing diffuse abdominal pain. Further distention results in nausea, vomiting, and increased pain localized to the right lower quadrant as the appendix becomes inflamed and its blood supply is compromised, which can lead to perforation if not treated.

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    Rena Marie Laurente Demeterio
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    The document discusses the common causes and progression of appendicitis. It notes that appendicitis is often caused by obstruction of the appendiceal lumen by items like fecaliths, lymphoid hypertrophy, barium, or parasites. This obstruction leads to distention and increased intraluminal pressure as the appendix continues to secrete, causing diffuse abdominal pain. Further distention results in nausea, vomiting, and increased pain localized to the right lower quadrant as the appendix becomes inflamed and its blood supply is compromised, which can lead to perforation if not treated.

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    The document discusses the common causes and progression of appendicitis. It notes that appendicitis is often caused by obstruction of the appendiceal lumen by items like fecaliths, lymphoid hypertrophy, barium, or parasites. This obstruction leads to distention and increased intraluminal pressure as the appendix continues to secrete, causing diffuse abdominal pain. Further distention results in nausea, vomiting, and increased pain localized to the right lower quadrant as the appendix becomes inflamed and its blood supply is compromised, which can lead to perforation if not treated.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    14 views2 pages

    CSC

    Uploaded by

    Rena Marie Laurente Demeterio
    The document discusses the common causes and progression of appendicitis. It notes that appendicitis is often caused by obstruction of the appendiceal lumen by items like fecaliths, lymphoid hypertrophy, barium, or parasites. This obstruction leads to distention and increased intraluminal pressure as the appendix continues to secrete, causing diffuse abdominal pain. Further distention results in nausea, vomiting, and increased pain localized to the right lower quadrant as the appendix becomes inflamed and its blood supply is compromised, which can lead to perforation if not treated.

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    Common causes of obstruction of appendiceal lumen: y y y y y y Fecalithe Hypertrophy of lymphoid tissue Inspissated barium from previous xray studies

    Tumors Vegetable and fruit seeds Intestinal parasites Proximal obstruction of lumen

    Closed loop obstruction

    With continuing normal secretion by the appendiceal mucosa

    Distention due to: increase of intraluminal pressure to 60 mmHg : rapid multiplication from residual bacteria

    Stimulates nerve endings of visceral afferent stretch fibers

    Produces vague, dull, diffuse pain in the midabdomen or lower epigastrium

    More distention

    Reflex nausea and vomiting and increase severity of diffuse visceral pain

    As pressure in the organ increases, venous pressure is exceeded

    Capillaries and venules are occluded but arteriolar inflow continues

    Engorgement and vascular congestion

    Inflammatory process soon involves the serosa of the appendix and In turn parietal peritoneum

    Characteristic shift in pain to the right lower quadrant

    Progressive distention, bacterial invasion, compromise of vascular supply and infarction progrsses

    Perforation occurs

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