81. Adult Health Advisor 2002.1: Appendicitis In most cases appendicitis is caused by an obstruction in the opening of the Signs and symptoms of appendicitis can be highly variable and sometimes it http://www.med.umich.edu/1libr/aha/aha_append_crs.htm

Adult Health Topics All Health Topics Find a UMHS Doctor Search Adult Topics Search All Topics This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Illustration Appendicitis What is appendicitis? Appendicitis is an inflammation of the appendix. The appendix is a small, fingerlike tube of bowel located in the right lower abdomen where the large and small intestines join. How does it occur? In most cases appendicitis is caused by an obstruction in the opening of the appendix by a piece of stool, or by inflammation. What are the symptoms? The symptoms of appendicitis include: abdominal pain, usually starting in the middle of the abdomen around the umbilicus (belly button), then shifting to the right lower side of the abdomen over a 6-18 hour period. tenderness when touched on the right side of the lower abdomen.

82. Women's Health Advisor 2004.2: Appendicitis It is important to get treatment for appendicitis before the appendix ruptures. Because of the risk of rupture, appendicitis is considered an emergency. http://www.med.umich.edu/1libr/wha/wha_append_crs.htm

Women's Health Topics Health Topics A-Z Women's Health Program Smart Moms, Healthy Babies ... Find a UMHS Doctor Search Women's Topics Search All Topics This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Illustration Appendicitis What is appendicitis? Appendicitis is an inflammation of the appendix. The appendix is a small, fingerlike pouch located where the large and small intestines join. It has no known use. Inflammation is the body's reaction to irritation, injury, or infection. It causes swelling and pain. It is important to get treatment for appendicitis before the appendix ruptures. A rupture is a break or tear in the appendix. If an infected appendix ruptures, infection may move into the abdomen. This can cause peritonitis, which is a dangerous infection of the lining of the belly. Peritonitis can be fatal if it is not treated right away. Because of the risk of rupture, appendicitis is considered an emergency.

83. Appendicitis -- Topic Overview What is appendicitis? appendicitis is an inflammation of the appendix , a 3 - to 6 - inch hollow sac attached http://my.webmd.com/hw/appendicitis/hw64454.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map Health Topics Symptoms ... Credits Appendicitis Topic Overview What is appendicitis? Appendicitis is an inflammation of the appendix , a small, finger-shaped sac that is attached to the large intestine. Experts do not fully understand the purpose of the appendix. Most of the time, the appendix does not cause problems. Occasionally, however, it gets blocked by bacteria and becomes swollen and infected. If the infected appendix is not removed, the infection can cause the appendix to break open or rupture. This spreads infection into the abdominal cavity, causing peritonitis . Peritonitis is a serious problem that requires emergency care. About 8 out of 100 people will get appendicitis. It is most common in people ages 10 to 30, although it can occur at any age. To back to the top Appendicitis: Topic Overview Previous Next Search the Help Last updated: May 27, 2005

84. Appendicitis -- Treatment Overview The only treatment for appendicitis is removal of the appendix (appendectomy). If it is not removed, http://my.webmd.com/hw/appendicitis/hw64471.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map Health Topics Symptoms ... Credits Appendicitis Treatment Overview The only treatment for appendicitis is surgery to remove the appendix (appendectomy). The goal is to remove the appendix before it ruptures and spreads infection to the abdomen ( peritonitis If your doctor is not sure if you have appendicitis, you may have to wait for several hours at home or in the hospital before a decision about surgery is made. Surgery to remove the appendix can be done one of two ways— laparoscopic or traditional. Experts do not agree on which surgery is best; talk to your doctor about which type is right for you. Laparoscopic surgery uses 3 or 4 small cuts or incisions and traditional appendectomy uses one larger incision. Most people feel better immediately after surgery; some people can even go home the same day. If your appendix has burst and there is infection in your abdomen, you may have to stay in the hospital longer. Your treatment will include

85. Postgraduate Medicine: Patient Notes: Appendicitis appendicitis can be hard to diagnose because symptoms often resemble those If you think a youngster may have appendicitis, keep a record of his or her http://www.postgradmed.com/issues/1998/01_98/j98_pn.htm

Patient Notes Appendicitis VOL 103 / NO 1 / JANUARY 1998 / POSTGRADUATE MEDICINE The appendix is a narrow, worm-shaped pouch of tissue, usually less than 1 in. wide and 3 to 4 in. long, that extends from the large intestine. Its purpose is not known, but some researchers think it may help trigger the immune system to fight disease. Getting along without one is no problemwhich is a good thing, since the most common reason for abdominal surgery is removal of an inflamed appendix. What causes appendicitis? The appendix is a "dead end." When something (such as a hard pellet of stool, a foreign body, a seed or other piece of undigested food) blocks the only opening from the colon, inflammation soon sets in. In other instances, infection from bacteria in the intestinal tract causes swelling that gradually closes the opening. There is no way to predict or prevent appendicitis. It can occur in anyone. However, it is most common in adolescents and young adults and rare in children under age 2. Is appendicitis serious? When it's not treated, it can be very serious. A completely obstructed appendix becomes more and more inflamed and eventually bursts, casting out its infected contents. The entire lining of the abdominal cavity may become contaminated, causing a life-threatening condition called peritonitis.

86. Atlas Of Pathology Image Number 41 Appendix, acute appendicitis, focal, ulcerating. Notice the few intact crypts in the left lower quadrant of the screen. http://www.med.uiuc.edu/pathatlasf/Atlas41.html

Back to Previous Image URBANA ATLAS OF PATHOLOGY Image Number 41 - Appendix, acute appendicitis, focal, ulcerating Notice the few intact crypts in the left lower quadrant of the screen. These crypts are lined with intact mucosal epithelium. The lamina propria is hypercellular due to neutrophil infiltration. The red in the lower right quadrant is hemorrhage. An ulcer is a defect in the surface of any organ caused by the sloughing off of inflammatory necrotic tissue. Click for image To Next Image To Table of Contents To Alphabetical Index To Start

87. Appendicitis CHC Wausau Hospital s Medical Library and Patient Education Center provides research services and healthcare information to physicians, http://www.chclibrary.org/micromed/00038320.html

Main Search Index Definition Description Causes ... Resources Appendicitis Definition Appendicitis is an inflammation of the appendix, which is the worm-shaped pouch attached to the cecum, the beginning of the large intestine. The appendix has no known function in the body, but it can become diseased. Appendicitis is a medical emergency, and if it is left untreated the appendix may rupture and cause a potentially fatal infection. Description Appendicitis is the most common abdominal emergency found in children and young adults. One person in 15 develops appendicitis in his or her lifetime. The incidence is highest among males aged 10-14, and among females aged 15-19. More males than females develop appendicitis between puberty and age 25. It is rare in the elderly and in children under the age of 2. The hallmark symptom of appendicitis is increasingly severe abdominal pain . Since many different conditions can cause abdominal pain, an accurate diagnosis of appendicitis can be difficult. A timely diagnosis is important, however, because a delay can result in perforation, or rupture, of the appendix. When this happens, the infected contents of the appendix spill into the abdomen, potentially causing a serious infection of the abdomen called peritonitis Other conditions can have similar symptoms, especially in women. These include

88. Pharmaceutical Research And Manufacturers Of America appendicitis. Complete a new search appendicitis Immunomedics Morris Plains, NJ. application submitted. 5 years and older. LeuTech http://www.phrma.org/newmedicines/newmedsdb/drugs.cfm?indicationcode=Appendiciti

89. Appendicitis, Acute 540.0 appendicitis, with generalized peritonitis Reappraisal of appendicitis in the elderly. Amer J of Surg 1990;160291293. Web references http://www.5mcc.com/Assets/SUMMARY/TP0077.html

Appendicitis, acute DESCRIPTION: Acute inflammation of the vermiform appendix First described by Fitz in 1886 McBurney described the point of maximal tenderness System(s) affected: Gastrointestinal Genetics: Unknown. Incidence/Prevalence in USA: Most common acute surgical condition of abdomen 1 in every 15 persons (7%) at some time in their life Predominant age: Over age 30 - Male = Female Predominant sex: Slight male predominance CAUSES: Obstruction of appendiceal lumen Fecaliths (most common) Lymphoid tissue hypertrophy Inspissated barium Vegetable, fruit seeds and other foreign bodies Intestinal worms (ascarids) Strictures ICD-9-CM: 540.0 appendicitis, with generalized peritonitis 540.9 appendicitis, without mention of peritonitis REFERENCES: Schwartz SI, ed. Principles of Surgery. 5th Ed. New York, McGraw-Hill, 1989 Moody FG, ed. Surgical Treatment of Digestive Disease. 2nd Ed. Chicago, Year Book Medical Publishers, 1990 Horattas MC, Guyton DP, Wu DA. Reappraisal of appendicitis in the elderly. Amer J of Surg 1990;160:291-293 Web references: American College of Surgery Author(s): Andrew H. Fenton, MD

90. BBC - Health - Conditions - Appendicitis appendicitis is the acute inflammation of the appendix. http://www.bbc.co.uk/health/conditions/appendicitis2.shtml

@import url('/includes/tbenh.css') ; Home TV Radio Talk ... A-Z Index THURSDAY 8th September 2005 Text only BBC Homepage Lifestyle Health ... Help Like this page? Send it to a friend! Appendicitis Dr Trisha Macnair Appendicitis is the inflammation of the appendix, which is a small extension off the side of the large bowel, and has a short worm-like shape. In this article What causes it? Who's affected? Symptoms Diagnosis and treatment ... Further help In animals, the appendix plays a vital role in the breakdown and digestion of vegetable matter. But it appears to be redundant in humans - and we can live quite happily without it. What causes it? Appendicitis is caused by infection. It's not clear why the infection occurs but one theory suggests that bacteria normally found within the gut invade through the wall of the appendix to cause inflammation and infection, as a result of weakness in the body's defences. Who's affected? Appendicitis can occur at any age but it's common among children. Symptoms The child typically describes colicky pain in the centre of the abdomen that comes and goes. The pain then shifts to the iliac fossa (lower outside edge of the abdomen) on the right side. Loss of appetite and sometimes vomiting occur, although this is rarely severe. There may be constipation or diarrhoea. Appendicitis should be considered whenever there's severe or persistent abdominal pain The child will be feverish and may show a dry, furry tongue, flushed face and may be lying still, taking shallow breaths because of the pain. However, sometimes the symptoms aren't typical and appendicitis should be considered whenever there's severe or persistent abdominal pain. But the diagnosis is easily mistaken and nearly half those operated on are found not to have appendicitis. It may be confused with food poisoning, mesenteric adenitis (inflammation of lymph nodes in the abdomen) and urinary infections.

91. Appendicitis: The Warning Signs appendicitis is perhaps the greatest worry for parents when their child has significant Working in an urgent care clinic, Is it an appendicitis? http://www.personalmd.com/news/appendicitis_80300.shtml

Home Noticias de Salud Family Centers Health Centers ... My Health Manager Search PersonalMD Services Family Health Women's Health Children's Health ... Health Encyclopedia In the Spotlight August 03, 2000 Appendicitis: The Warning Signs By Michael Woo-Ming, MD, MPH PersonalMd.com Medical Contributor Appendicitis is perhaps the greatest worry for parents when their child has significant abdominal pain. Working in an urgent care clinic, "Is it an appendicitis?" was probably the most asked question by a concerned parent about a child who was groaning from stomach problems. There are many misconceptions about this disease and it's a constant dilemma to decide if the abdominal pain your child is feeling right now is something that can wait or if they should rush into the emergency room right away. What Is The Appendix? The appendix is a cylindrical structure that is found at the end of the small intestine. As far as we know, it has no apparent function in the human body. What Is Appendicitis? Appendicitis occurs when this structure becomes inflamed and swollen from pus. It's most often seen in the age group of 10 to 30 and is the number one abdominal surgical emergency, with up to 80,000 surgeries performed in the U.S. each year. Preventing the appendix from "bursting" and causing the spread of infection is the reason why proper diagnosis and appropriately timed surgical intervention is paramount. Peritonitis, an inflammation of the abdominal lining, is a life threatening illness that may result without surgical intervention.

92. Go Ask Alice!: Appendicitis dear alice, what are the symptoms for appendicitis? http://www.goaskalice.columbia.edu/3706.html

Mac users: please note that our site is optimized for the Safari browser Colds, aches, pains, and other ailments Appendicitis Originally Published: April 08, 2005 dear alice, what are the symptoms for appendicitis? Dear Reader, Appendicitis is a condition in which the appendix, a small, tube-like organ located in the lower right section of the abdomen, becomes inflamed. This organ is attached to the colon, which is the beginning portion of the large intestine. The appendix has no known use and its removal causes no apparent difference in digestive function. Appendicitis is caused by a blockage in the lumen or inside of the appendix. Once this inflammation begins, it is imperative for the person to be taken to a nearby hospital to verify that the ailment is, in fact, appendicitis. If it is, then a surgeon will need to remove the appendix promptly to avoid any complications, such as gangrene or its bursting and subsequently flooding the body with toxins that can cause infection and other harms. If treated immediately, before the appendix bursts, most people recover quickly without any adverse health effects. Symptoms of appendicitis include: dull pain and swelling throughout the abdomen, starting in the upper portion and eventually shifting to its lower right region

93. Appendicitis Symptoms Here are symptoms of appendicitis. appendicitis, infection of the appendix, occurs less frequently today than it did in the past. http://idid.essortment.com/appendicitissym_rexu.htm

Appendicitis symptoms Here are symptoms of appendicitis. Appendicitis, infection of the appendix, occurs less frequently today than it did in the past. The appendix is a wormlike expansion of the large bowel (cecum) measuring one to three inches in length. It is located in the lower right portion of the abdomen at the beginning of the large intestine. Normally it is about as thick as a lead pencil and is pinkish gray in color. It serves no function in humans that we know of and is thought to be a residuum of our primitive past. Appendicitis: Appendicitis is an inflammation of the lining of the appendix spreading to its other portions. When an acute inflammation is involved, severe pain will be felt in the lower right part of the abdomen. By this time the appendix has usually become filled with pus. If not treated right away the infection can spread through the wall of the appendix and can turn into gangrene and rupture. Because of this, appendicitis is considered an emergency situation. Causes: Appendicitis may be caused either by bacterial inflammation or by a viral infection occurring in the digestive tract. A bacterial infection can happen by a rigid particle of stool blocking its passageway causing pressure upon the blood vessels in the area. The inflammation can cause infection, a blood clot, or rupture of the appendix.

94. Appendicitis: Definition And Much More From Answers.com ap·pen·di·ci·tis ( ?pen di-si tis ) n. Inflammation of the vermiform appendix. New Latin, from Latin appendix, appendic- , appendage. http://www.answers.com/topic/appendicitis

showHide_TellMeAbout2('false'); Business Entertainment Games Health ... More... On this page: Dictionary Diagnosis Health Medical WordNet Wikipedia Translations Mentioned In Or search: - The Web - Images - News - Blogs - Shopping appendicitis Dictionary ap·pen·di·ci·tis ə-pĕn dĭ-sī tĭs n. Inflammation of the vermiform appendix. [New Latin, from Latin appendix, appendic- , appendage. See appendix WORD HISTORY Even though the word appendicitis was in use in 1885, the year in which the Oxford English Dictionary published the section “Anta–Battening” that would have contained the word, the editor, James Murray, omitted this “crack-jaw medical and surgical word” on the advice of Oxford's Regius Professor of Medicine, Sir Henry Wentworth Acland. As K.M. Elisabeth Murray, the granddaughter and biographer of James Murray, points out, “The problem of what scientific words to include was a continuing one, and James Murray was always under pressure—from his advisers . . . who thought the emphasis should be on words from good literature and from those in the [Oxford University] Press who wanted to save cost and time—not to include scientific words of recent origin.” In 1902 no less a person than Edward VII had his appendix removed, and his coronation was postponed because of the operation. Appendicitis hence came into widespread use and has remained so, thereby pointing up the lexicographer's difficult task of selecting the new words that people will look for in their dictionaries.

95. Appendicitis: Health Topics: UI Health Care appendicitis happens when this pouch, the appendix, becomes inflamed and fills with The symptoms of appendicitis can be very different with each person. http://www.uihealthcare.com/topics/digestivesystem/dige4423.html

Health Topics Category Index Health Topics for Digestive System James A. Clifton Center for Digestive Diseases Cancers of the Digestive System ... Liver Service Send comments and questions to staff@uihealthcare.com University of Iowa, Iowa City, Iowa Appendicitis The appendix is a small finger-like pouch located where the small and large intestines meet. The appendix has no known use. Despite this it can cause a lot of trouble. Appendicitis happens when this pouch, the appendix, becomes inflamed and fills with pus. The symptoms of appendicitis can be very different with each person. The most common symptoms are loss of appetite, pain, and nausea. The pain usually starts near the navel, and may feel like indigestion. As the pain gets worse, it moves to the right lower side of the abdomen. It is a steady pain that keeps getting worse. The person with appendicitis is usually more comfortable with the knees bent, or drawn up toward the abdomen. Other symptoms may include: vomiting constipation or mild diarrhea abdominal swelling an increase of gas, or unable to pass gas and

96. Body Imaging In Acute Appendicitis: Currents: UI Health Care Acute appendicitis. Axial CT scans obtained with intravenous contrast material in a 27year-old These findings are pathognomonic for acute appendicitis. http://www.uihealthcare.com/news/currents/vol5issue1/appendicitis.html

This issue home CURRENTS Home Publishers Back Issues Send comments and questions to staff@uihealthcare.com University of Iowa, Iowa City, Iowa Currents: Winter 2004, Volume 5, Number 1 Body imaging in acute appendicitis Brian Mullan, M.D. Excerpt from Radiology on Call www.vh.org How to do it: By patient characteristics: In children as well as patients who are thin and/or female: Begin with graded compression ultrasound. A normal appendix (6 mm or less in diameter) must be identified to rule out appendicitis. If, however, the ultrasound is non-diagnostic, then tailored helical CT evaluation should be used to evaluate the appendix. For obese individuals: Focused helical CT exam should be the initial exam, as visualization of an entire normal appendix by ultra-sound is unlikely. The accuracy of CT is due in part to its ability to identify a normal appendix better than ultrasonography. By technique: Ultrasound: As discussed above. Appendiceal CT: Consists of a helical CT series covering approximately 15 cm of the abdominopelvic junction with 5 cm collimation, 7.5 mm/s table speed (1.5 pitch), and 5 mm image spacing. The entire scan should be centered about 3 cm above the cecal tip. A recent review of helical CT has been shown to be timely and to have good results (96% sensitivity, 99% specificity, and 97% accuracy) without contrast; nevertheless, a focused scan after a Gastrografin-saline enema (with or without oral and IV contrast) can be performed and interpreted within one hour. Diagnosis can be made in patients with adequate intraperitoneal fat without oral or intravenous contrast material because the focal nature of the periappendiceal stranding is obvious.

97. Appendicitis In Children Yes, children can suffer from appendicitis. Your second question is a bit more complicated. First, let me explain what appendicitis is. http://www.drpaul.com/library/06APR2001.html

Home Meet Dr. Paul Tip of The Day Ask A Question ... Childhood Illnesses and Conditions Immunization Issues Growth and Development Nutrition Injury Prevention Issues The Asthma Corner Adolescent Health and Wellness What's New Awards Lectures Links ... Legal : Appendicitis in children: often difficult to diagnose DEAR DR.PAUL: I was wondering, do children get appendicitis, and if so, what are the signs of appendicitis in children? PEDIATRICIAN DR.PAUL ANSWERS: The answer to your first question is easy. Yes, children can suffer from appendicitis. Your second question is a bit more complicated. First, let me explain what appendicitis is. It is the inflammation (usually infection) of the appendix, which is a small extension or pouch of the large intestine. What is the role of the appendix? It is believed, just like the tonsils, that the appendix may be involved in the development of the immune system as a baby develops in the uterus. Return to Ask DR. PAUL Library

98. Acute Appendicitis 6 pg 1088; Paulson EK Suspected appendicitis. NEJM Vol 348 No 3. Page 236 January 16 2003; Kosloske A. The Diagnosis of appendicitis in Children Outcomes http://pedclerk.bsd.uchicago.edu/acuteAppendicitis.html

Back to table of contents Acute Appendicitis Epidemiology Highest incidence is 10-19 year olds. It is unusual under the age of 1 year. The risk of perforation is greatest in 1-4 year olds and least in 10-14 year olds. Appendectomies are the most common emergency surgical procedures performed It is unusual in third world countries and there is a questionable relationship to high fiber diets. Pathophysiology Luminal obstruction is the usual initiating event inspissated feces and fecalith Hyperplasia of lymphoid tissue mucous foreign body parasites bacterial gastroenteritis Obstruction is followed by continued production of mucous leading to distention and increased pressure. This is followed by venous congestion and ischemia, necrosis, and ulceration. Bacterial infection may also occur. The initial distention leads to afferent stimuli of T8-T10 and subsequent epigastric and periumbilical pain. After the necrosis of appendiceal wall there is peritoneal irritation and adherence to the parietal peritoneum. This causes a shift of the pain to the RLQ. After perforation, the contamination may be confined to the RLQ or spread to the entire peritoneal cavity.

99. Discovery Health :: Diseases & Conditions :: Appendicitis appendicitis is an infection of a small section of the bowel called the appendix. http://health.discovery.com/encyclopedias/illnesses.html?article=815&page=1

100. Clinical Evidence Digestive System Disorders Appendicitis Digestive system disorders. appendicitis. Search date October 2003. John Simpson and William Speake. Interventions. We have searched the evidence for http://www.clinicalevidence.com/ceweb/conditions/dsd/0408/0408.jsp

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