Case study NURSING HEALTH HISTORY

May 29th, 2015
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According to studies, approximately 1 in every 400 or 0.25% or 680,000 people in USA have appendicitis. It occurs more frequently in men than in women, with a male-to-female ratio of 1.7:1.

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INTRODUCTIONAccording to studies, approximately 1 in every 400 or 0.25% or 680,000 people in USA have appendicitis. It occurs more frequently in men than in women, with a male-to-female ratio of 1.7:1. Appendicitis can affect any age but is more common before 40 years of age, particularly in young people between 8 and 14 years.Appendicitis is the inflammation of vermiform appendix. When the opening of the appendix blocked the mucosa, the pressure increases and blood flow to stops. The causative agents include foreign bodies,trauma,intestinal worms,lymphadenitis, and, most commonly, calcified fecal deposits known as appendicoliths or fecaliths. Once this obstruction occurs, the appendix subsequently becomes filled withmucusand swells, increasing pressures within the lumen and the walls of the appendix, resulting inthrombosisandocclusionof the small vessels, and stasis of lymphatic flow. The appendix becomesischemicand necrotic. Asbacteriabegin to leak out through the dying walls,pusforms within and around the appendix (suppuration). The end result of this cascade is appendiceal rupture (a 'burst appendix') causingperitonitis, which may lead tosepticemiaand eventuallydeath.Risk factors that would predispose a person to this pathology include age from 10-20 years old, gender of male, low fiber diet with rich in refined carbohydrates, hereditary history and other infections. Pain first, vomiting next and fever last has been described

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