How to check for appendicitis and what tests to do to confirm the diagnosis

Simple appendicitis is not easy to detect B ultrasound, 80% of patients will have metastatic right lower quadrant pain, if there is metastatic right lower quadrant pain, combined with physical examination, appendicitis can be diagnosed, if the appendicitis inflammation is severe, causing obvious congestion and suppuration, B ultrasound can assist in diagnosis, but at this time, the operation is more complicated than simple appendicitis due to heavy inflammation. Antibiotics should be used better and more expensive after surgery.

Hello, if you have appendicitis, you may have pain in the right lower abdomen, the blood routine white blood cells and neutrophils will be increased, and the B ultrasound may see that the appendix is enlarged.

1. Symptoms: metastatic abdominal pain, gastrointestinal reactions (nausea, diarrhea), systemic reactions (fever, fatigue).

2. Signs: right lower quadrant tenderness, rebound tenderness, peritoneal rebound tenderness, and elevated white blood cells.

3. Imaging: abdominal plain radiograph, B-ultrasound.

Question 1: What tests do you need to do to confirm appendicitis Most of the appendicitis is diagnosed according to field signs, medical history, blood and urine routine, and barium enema appendicography can be used as the most reliable means of examination before appendicitis.

Question 2: What kind of examination should be done to determine acute appendicitis Hello, appendicitis is one of the most common acute abdomen in surgical diseases, and the diagnosis is mainly based on the diagnosis of the disease and physical examination, color ultrasound and other related examinations of the abdomen.

Opinion: Appendicitis is usually manifested as pain in the right lower abdomen, and local artificial pain around the navel is transferred to the right lower abdomen. The usual McCephalic point is markedly tender, and ultrasonography of the ileocecal region by separating the abdomen can confirm the diagnosis.

Question 3: What tests are needed for appendicitis to determine whether it is a B-ultrasound examination, the tenderness of the McLean's point that has been palpated, rebound tenderness, and blood and urine routine.

Diagnosis of acute appendicitis: persistent right lower quadrant pain, which can be exacerbated in paroxysmal manner, with malcephaly point tenderness ( ) rebound tenderness in some patients, laboratory tests, high hemogram, and neutrophilia.

Symptoms that may be positive include fever (low- to moderate-grade fever is more common or absent), metastatic pain in the right lower quadrant (initially presenting as mid-upper quadrant pain), nausea, vomiting, abdominal distension, diarrhea, constipation, etc., and signs: psoas major muscle test and obturator muscle test can help distinguish the diagnosis of posterior cecal and pelvic appendicitis.

Some patients may have a history of chronic appendicitis.

Chronic appendicitis can be manifested as a single vague pain in the right lower quadrant, abdominal distention, loose stools and other symptoms, and the McCephar point tenderness is weakly positive.

Are you a doctor or a patient, a doctor or an intern doesn't understand appendicitis a little too much, an acute abdomen.

If you are a patient, you can only know about it, but if you really think about appendicitis yourself, you have to seek medical attention immediately, because you are afraid of delaying the condition, and appendicitis is an emergency operation in some cases. There is also the differential diagnosis that is also important.

Diagnostic methods are typical of metastatic abdominal pain, which means that the pain point is not fixed. That's pretty much the same, but you'll have to get the more detailed stuff up to the doctor.

The main points in the diagnosis of acute appendicitis are:1History of metastatic right lower quadrant pain, i.e., epigastric or periumbilical pain that begins with onset and progresses to the right lower quadrant over hours or tens of hours.

2.The right lower quadrant is tender at the McCeremonial point, which is divided into three equal parts at the line from the right anterior superior iliac spine to the umbilicus, at the junction of the middle and middle thirds. 3.

Increased blood image. 4.It is often accompanied by mild fever, usually below the degree.

5.Right ureteral stones, pelvic bleeding, ectopic pregnancy, acute pelvic inflammatory disease, and acute vasectomy are excluded. 6.

When appendicitis is severe, it can progress to localized peritonitis or diffuse peritonitis, but tenderness is still most pronounced in the right lower quadrant.

The diagnosis of chronic appendicitis is based on the fact that most patients have a history of acute appendicitis; tenderness in the right lower quadrant (repeated examination for some signs); Other possible conditions are excluded.

Diagnosis is usually not difficult based on the typical clinical presentation of pain around the upper abdomen and umbilicus, which after a few hours metastasizes to the right lower quadrant and is marked with tenderness in the right lower quadrant

If it is not an acute attack and cannot be detected by any instrument, the diagnosis can be made empirically based on symptoms.

I did a color ultrasound and there was no appendicitis, but there was still some pain there.

Appendicitis is a disease that many of us can get and this disease also has a very strange property, some people will not have a seizure in their lifetime, while others will have a seizure at a very young age, the pain is unbearable and they have to have their cysts removed. It seems like the disease is happening very randomly, and it is impossible to predict when it will occur. So it's really interesting to talk about appendicitis.

However, appendicitis is a painful part of the lower abdomen, which is easily confused with abdominal pain caused by other diseases, so it is necessary to distinguish what are the more obvious symptoms of appendicitis, so as to help doctors judge and target it in the shortest possible time.

The pain caused by appendicitis is concentrated in the right lower abdomen.

In the human body, the appendix is located in the right lower abdomen of the human body, and appendicitis caused by infection or other causes can cause epigastric pain in the early stage, which can easily be mistaken for stomach problems. However, in the later stage, the pain will inevitably be concentrated in the right lower abdomen and will not deviate in any way. If the direction of the pain is different or skewed, it is necessary to consider the possibility of other diseases.

Therefore, once there is pain in this specific area, it must not be delayed, and it is necessary to seek medical diagnosis and treatment as soon as possible.

The chain reaction caused by appendicitis is obvious

In appendicitis, when the pain is not very obvious, the human body will experience various discomforts. It is more obvious that there will be vomiting and nausea symptoms, and severe symptoms may vomit upside down and cannot be controlled. If you also experience accompanying dizziness, you need to seek medical attention as soon as possible.

Otherwise, it is easy to have an unbearable fainting sensation and have an accident!

The pain associated with appendicitis is unbearable

Appendicitis is accompanied by very severe pain when it occurs, and the pain is followed by vomiting and nausea. In addition, there will be obvious tenderness when pressing on the affected area, which can basically confirm that it is appendicitis. In severe cases, the pain may be unbearable and fainting.

Although appendicitis is an extremely common disease, it should never be done sloppily. If the above symptoms appear, it is basically certain that you are suffering from appendicitis, in this case, you must put down all the work at hand and send to the nearest doctor as soon as possible, otherwise it will be too late to regret the perforation of the appendix!

Hello, the symptoms of appendicitis can be talked about from three aspects: the first is the symptoms of local symptoms or abdominal pain. The symptoms of abdominal pain in appendicitis are very typical, 80% of patients have metastatic right lower quadrant pain, and the patient's abdominal pain will gradually worsen this process.

The second symptom is digestive symptoms, such as appendicitis, most patients will have nausea, vomiting, anorexia, and even some patients will have diarrhea, which means that there is pelvic oozing or pelvic abscess formation. The third symptom is systemic, and most patients with appendicitis present with a low-grade fever a few hours after abdominal pain. As the body temperature rises, the degree of inflammation is further aggravated, and severe patients will develop sepsis and severe infection.

Hope it helps!

Answer: First of all, we look at the abdominal pain, look at the nature, where the patient started to hurt first, and where is the pain now, and then the appendix is generally in the right lower abdomen, whether there is tenderness or rebound tenderness, which is the most important. Of course, some people, the physical development is different, some people have an appendix on the left, most normal people are on the right, we have touched the left appendix a few times, so it is also necessary to combine some auxiliary examinations.

First of all, the most routine auxiliary examination is the blood routine, we can see whether the white blood cells are elevated in the blood routine and whether the inflammatory indicators are elevated.

Second, color ultrasound, abdominal color ultrasound, we can see whether there is inflammation in the appendix area. The most important thing is the examination of the abdominal CT body, and the abdominal CT we can see whether the appendix is inflamed, which is the most important thing.

3. Systemic symptoms: Once appendicitis begins, it will cause dizziness, headache, fatigue and other systemic adverse manifestations, and in severe cases, persistent fever or palpitation.

After appendicitis, a person's abdomen will experience very severe pain. If it is not relieved for a long time, it will also cause the symptoms of fever and fever in the human body, and may also lead to fainting, or even a coma.

The pain of acute appendicitis typically presents with metastatic right lower quadrant pain, which begins in the upper abdomen and gradually moves to the periumbilical region, and the location of the pain is not fixed; The pain then shifts and is confined to the right lower quadrant and is persistent. The length of the course of metastatic right lower quadrant pain depends on the degree of disease development and the location of the appendix, ranging from 2 hours to 1 day, or even longer. This is typical of abdominal pain in 70% of 80% of patients, and some patients may present with right lower quadrant pain at the beginning of the disease.

Appendicitis is divided into acute appendicitis and chronic appendicitis. Chronic appendicitis is the kind of dull pain. Acute appendicitis is a short, unbearable pain. It is mainly manifested by severe pain on both sides or sides of the spine on the lower back side.

Appendicitis can be divided into two types: acute and chronic, 1. Acute: initial pain in the upper abdomen or periumbilical cord, which changes to pain in the right lower abdomen after a few hours, and may be accompanied by nausea and vomiting in the initial gastrointestinal tract; At first it may be just a low-grade fever with a temperature of no more than 38 degrees, but once perforated, the frequency of bowel movements will increase, and the fever will exceed 38 degrees.

2. Chronic: pain in the right lower abdomen, intermittent pain during the period, sometimes severe and sometimes light, and the location is relatively fixed; Patients have gastrointestinal dyspepsia, abdominal tenderness, and constipation in older patients. Nausea and vomiting are usually absent.

Generally, the obvious symptom of appendicitis is that the right lower abdomen has persistent pain, and the pain is unbearable, the pain will be paroxysmal and intensifying, some appendicitis patients will have fever, if the right lower abdomen continues to have pain, not in time, nausea and vomiting symptoms, you can go to the hospital to check the blood picture and psoas major muscle test, and in this way you can judge whether you are suffering from appendicitis.

Lie flat, press down on the lower part of your right abdomen, and suddenly let go, and the point is painful.

It is difficult to tell if it is appendicitis because the early symptoms of appendicitis are very similar to stomach aches. This needs to be judged by the doctor.

However, you can give yourself a preliminary diagnosis by yourself through the following two symptoms:

First: pain in the lower right abdomen, or around the navel.

Second: McCephalis point tenderness.

However, I want to tell you that some people do not have obvious symptoms of appendicitis, taking myself as an example, when I get appendicitis, it is pain around the navel, and I don't feel it at all in the right lower abdomen, and the McSs point pressure is not painful at all. So, at first, the doctor at the clinic just thought it was enteritis and used antibiotics. As a result, not only did the symptoms not be relieved, but became more and more painful, and the face became very yellow, I went to the hospital to check for appendicitis, and only after the operation did I know that it was acute purulent appendicitis, but fortunately the operation was timely.

Condition analysis: The examination of chronic appendicitis is mainly based on its manifestations, chronic appendicitis, the main manifestation is abdominal pain, abdominal pain: the orange is mainly located in the right lower abdomen, which is characterized by intermittent dull pain or swelling pain, sometimes heavy and sometimes light, and the location is relatively fixed.

Most patients experience abdominal pain after a full meal, exercise, and prolonged standing. or abdominal tenderness: tenderness is the only sign, predominantly in the right lower abdomen, usually small, constant, and occurs only under heavy pressure.

There is no muscle tension and rebound tenderness, usually mimicking the absence of an abdominal mass, but sometimes the disflatulent cecum may be palpable.

Suggestions: Surgery ** appendicitis is not the only effective method, and the success rate of fissure is not high, and the sequelae, complications, and surgical failure rate are quite high, which is far lower than the success rate of traditional Chinese medicine. Therefore, special caution should be exercised when deciding to undergo appendectomy.