Appendicitis
It is disease caused due to acute inflammation of the appendix characterized by acute abdominal pain of sudden onset ,nausea , fever and some episodes of vomiting.
it is of two type , one is obstructive type caused due to the obstruction of the appendix by worm ,its eggs ,cyst etc and the fecal matter, the other type is catteral or infectious type in which the organism like escherechia coli are responsible for the inflammation. The obstructive type is more severe.
several other cause are attributed but the dietary factor ,socioeconomic factor and the genetic factor are attributed as the major risk factor viz high socioeconomic status, female sex, low fiber diet and familial.
clinically it is diagnosed by acute colicy(constricting) pain begining around the umbillicus and later shifting to fight lower abdomen ,nausea and some episode of vomitting and fever, this classic triad is called MORPHYS triad.
As soon as the patient has the following stated symptoms he should be rushed to the hospital so that immediate surgery(APPENDECTOMY) can be done otherwise the patient may suffer from the complication like rupture of the appendix, perforation septisemia, appendicular mass etc
The best treatment ever is the emergency APPENDECTOMY if the patient arrives with in 48 hours of the onset of the symptom. If the patient comes later he should be put in the OCHNER SERRENS regimn in the hospital and eletive surgery is done after 6 weeks. surgical modalities are open and laporoscopic method however lap surgery has many advantage over open surgery.