Patho For Appendicitis With Gen Peritonitis

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ST.

PAUL UNIVERSITY DUMAGUETE


6200 Dumaguete City
Philippines
COLLEGE OF NURSING

Chapter IV: Case Analysis and Interventions


Pathophysiology

Non-modifiable Modifiable
Age: 18 years old Diet
Gender: male Infections
(male- female =2:1)

Obstruction of the appendix (by fecalith)

Right Iliac Increase in pressure inside the


Pain appendix lumen

Distension of the appendix Impaired venous


return
(Improper O2, and
nutrient supply)
Normal bacteria found in appendix begin
to infect the lining of the wall

WBC Inflammatory Response Death of tissue.


Increased: 17.2

Swelling of tissue resulting to


inflammation of appendix

Abdominal pain, fever, and


increase swelling of appendix Increased Immune complex

Inflammation and infection spread


Pain- located at RLQ,
through the wall of the appendix
causing Guarding

Increase pressure

Appendectomy with
exploratory laparotomy Appendix ruptures

Perforation of
the Appendix
ST. PAUL UNIVERSITY DUMAGUETE
6200 Dumaguete City
Philippines
COLLEGE OF NURSING

Fecal materials exits to peritoneal cavity

Infection spreads throughout the abdomen


(Bacterial invasion of Peritoneal Cavity)

Inflammation of the membrane Swelling of the


that lines the abdomen abdomen, severe pain
peritoneum (Peritonitis)

General Peritonitis

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