Case Presentation on Appendicitis

8/4/2019 Case Presentation on Appendicitis

1/24


2/24

Case presentation

Identification data of the Baby


3/24

Case presentation

Present Complain


4/24

Obstetrical History of the mother

Antenatal & Natal History.

Child Personal Data


5/24

Child Personal Data

SR.

NO. CHARACTERISTICS IN THE BABY

WEIGHT 40 Kg. 50 - 52 KgHEIGHT 163 cm 165 170 cmCHEST CIRCUMFERENCE 65 cm 76 to 80 cmHEAD CIRCUMFERENCE 50 cm 54 to 55 cmMID ARM CIRCUMFERENCE 24 cm 25 to 28 cm

Anthropometric Measurements


6/24

Gross Motor Development

Fine Motor Development

Play Habits.

Toilet training.

Nutrition.

Child Personal Data


7/24

SR. NO. VACCINE GIVEN / NOT GIVEN MONTH / DATE / TIMEBCG OPV Given At BirthDPT I + OPV Given 1 Month (6 weeks)

DPT II + OPV Given 2 month (10 weeks)

DPT III + OPV Given 3 month (14 weeks)MEASEALS Given 9 MonthDT & TT Given 16 MonthHEPATITIS B Given 10 Years

Child Personal Data

Immunization History


8/24

Case presentation

SR.

NO.

NAME OF THE FAMILY

MEMBER AGE / SEX

RELATION

WITH THE

PATIENT

EDUCATION REMARK

MR. RAMPRAKASH MORE 40 YRS /MALE FATHER B.A. ----

MRS. SUNANADA

RAMPRAKASH MORE35 YRS /

FEMALE MOTHER 11th Std ----MR. PRADEEP RAMPRAKASH

MORE

16 YRS /

MALE SELF 10th Std ----

MS. POOJA RAMPRAKASH

MORE11 YRS /

FEMALE DAUGHTER 6th Std ----

Family history


9/24

Case presentation

Anatomy

&

Physiology.


10/24

Case presentation


11/24

Case presentation

Definition

Etiology.


12/24

Case presentation

Pathophysiology


13/24

Case presentation

Clinical Manifestation

SR.NO. BOOK PICTURE PATIENTPROFILE

1. Vague epigastric or periumbilical pain progresses to rightlower quadrant pain Yes

2. low-grade fever Yes3. Nausea and sometimes by vomiting. Yes4. Loss of appetite Yes5. Local tenderness is elicited at McBurneys point when

pressure is appliedYes

6. The extent of tenderness and muscle spasm and the existenceof constipation Yes

7. Diarrhea depends not so much on the severity of theappendicle infection as on the location of the appendix. Yes

8. Rovsings sign may be elicited by palpating the left lowerquadrant. Yes


14/24

Investigation

SR.NO

. INVESTIGATION NAME Normal Range Patient Range REMARKComplete physical examination . . Complete blood cell count Elevated white blood cell

count. The leukocyte count may

exceed 10,000 cells/mm3 neutrophil countMay exceed 75%.

4500-11000

/mm3

DoneMore than

12,000

cells/mm3More than

75%.

Elevated white

blood cell

count.

Abdominal x-ray films, . DoneUltrasound studies, DoneCT scans may reveal a right

lower quadrant density or

localized distention of the

bowel... Done


15/24

Diagnostic evaluation

SR. NO. BOOK PICTURE IN PATIENTHistory & physical examination DONEcomplete physical examination DONEcomplete blood cell count Elevated white blood cell count.

The leukocyte count may exceed

10,000 cells/mm3 Neutrophil count May exceed 75%.

Abdominal x-ray films, DONEultrasound studies, DONECT scans may reveal a right lower

quadrant density or localized

distention of the bowel.DONE


16/24

Medical Management

SR.

NO. DRUGS NAMES DOSESFREQUEN

CY01 Inj. Monocef 2 gm IV BD02 Inj. Metro 100 ml TDS03 Inj. Diclonefec sodium

04 Inj. Pan 40 in 100 ml

of NS .05 Intravenous fluids D5,

D10, RL

06 Inj. diazepam


17/24

Appendectomy

Surgical Management


18/24

ClearDiet

Full Liquid Diet

Soft Semi solid Diet

Diet Management


19/24

NursingDiagnosis

1. Pain related to Inflammation in the left lower region (Appendix)

2. Understands the surgical process and the necessary preoperative

preparations .

3. Attainment of a positive self-concept

4. Reduction of anxiety

5. Maintenance of skin integrity

6. Achievement of an optimal nutritional intake

Nursing Management&

Nursing Care Plan


20/24

Progress of thepatient


21/24

Health education

1. PROMOTION OF HEALTH

2. PREVENTION OF INFECTION3. HEALTH EDUCATION ON DIET

4. EXERCISES

5. ACTIVITY

6. FOLLOW UP


22/24

Health education

1. Summary

2. Discharge Planning

3. Conclusion


23/24

Plan for DataAnalysis

WWW.biowizard.com.cabassearch.phpWWW.caringforkids.cps.ca

WWW.chidcare.com

WWW.emedicine.com

WWW.medmatrix.orgWWW.ncbi.nim.nih.gov/entrez/query

www.savechildren.org

WWW.who/int

INTERNET
http://www.biowizard.com.cabassearch.php/http://www.caringforkids.cps.ca/http://www.caringforkids.cps.ca/http://www.chidcare.com/http://www.chidcare.com/http://www.emedicine.com/http://www.emedicine.com/http://www.medmatrix.org/http://www.medmatrix.org/http://www.ncbi.nim.nih.gov/entrez/queryhttp://www.ncbi.nim.nih.gov/entrez/queryhttp://www.savechildren.org/http://www.savechildren.org/http://www.who/inthttp://www.who/inthttp://www.who/inthttp://www.who/inthttp://www.savechildren.org/http://www.savechildren.org/http://www.ncbi.nim.nih.gov/entrez/queryhttp://www.ncbi.nim.nih.gov/entrez/queryhttp://www.medmatrix.org/http://www.medmatrix.org/http://www.emedicine.com/http://www.emedicine.com/http://www.chidcare.com/http://www.chidcare.com/http://www.caringforkids.cps.ca/http://www.caringforkids.cps.ca/http://www.biowizard.com.cabassearch.php/


24/24

Documents

Case Presentation on Appendicitis