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appendicitis (treatment (surgical (open or laparoscopic, appendicetomy,…
appendicitis
treatment
medical
pre-operative broad spectrum IVAbx
metronidazole
surgical
open or laparoscopic
appendicetomy
abdominal lavage if perforated
clinical
history
peri-umbilical pain radiating to LIF
vomitting 1-2
diarrhoea (rare)
mild pyrexia
anorexia
examination
generalised peritonitis if ruptured
localised peritnoitis
DRE --> boggy
diagnosis
clinical
USS
ancillary
bloods
FBC
raised inflammatory markers
urinanalysis
leukocytosis
no nitrites