Appendicular abscess history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
History
The key to an efficient and accurate diagnosis is a detailed and thorough history. The following information should be obtained:[1]
- Onset, location, radiation, and duration of pain
- Aggravating or relieving factors
- Severity of pain (constant or intermittent)
- Characteristics of the pain
- History of the pain
- Association with nausea, vomiting, anorexia, or diarrhea
- Time of last bowel movement and
- Recent use of analgesics, narcotics, or antibiotics.
Symptoms
Symptoms of an appendicular abscess include that of appendicitis with late presentation and can overlap. Typical symptoms of appendicitis may or may not be present but patient presents with
- Fever >38.5 C
- Generalized abdominal pain [2]
- Vomiting
- Prolonged diarrhea
- Increased micturition due to irritation of the bladder wall by the inflamed appendix.
- Tenesmus can be also be noticed.
References
- ↑ Jordan JS, Kovalcik PJ, Schwab CW (1981). "Appendicitis with a palpable mass". Ann. Surg. 193 (2): 227–9. PMC 1345047. PMID 7469557.
- ↑ Appendicitis. Wikipedia (2016). http://schools-wikipedia.org/wp/a/Appendicitis.htm Accessed on February 4, 2016