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  • Mekong Apendicitis

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    Metania Ramanda Aizar
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    A 10-year-old boy presented to the emergency department with pain in his right lower abdomen that had been ongoing for two days. On examination, he had tenderness and pain in his right lower quadrant. Laboratory tests found elevated white blood cell count. The differential diagnoses were acute appendicitis or urinary tract infection. The diagnosis was determined to be acute appendicitis, so the treatment plan was an emergency appendectomy.

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    A 10-year-old boy presented to the emergency department with pain in his right lower abdomen that had been ongoing for two days. On examination, he had tenderness and pain in his right lower quadrant. Laboratory tests found elevated white blood cell count. The differential diagnoses were acute appendicitis or urinary tract infection. The diagnosis was determined to be acute appendicitis, so the treatment plan was an emergency appendectomy.

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    14 views15 pages

    Mekong Apendicitis

    Uploaded by

    Metania Ramanda Aizar
    A 10-year-old boy presented to the emergency department with pain in his right lower abdomen that had been ongoing for two days. On examination, he had tenderness and pain in his right lower quadrant. Laboratory tests found elevated white blood cell count. The differential diagnoses were acute appendicitis or urinary tract infection. The diagnosis was determined to be acute appendicitis, so the treatment plan was an emergency appendectomy.

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    © All Rights Reserved
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    of 15

    RADE RIZKY NABABAN/

    MALE/10 yo
    THURSDAY, 28 TH NOVEMBER 2013
    Chief complaint : Pain on the right lower
    quadrant abdoment

    It has been occured since 2 days before
    admitted to Emergency Unit Pirngadi General
    Hospital. Fever was found 2 days ago, nausea
    and vomitting was also found 2 days ago. This
    patient was referred from Hanna Kasih
    Hospital. History of defecation (+) Normal.
    History of urine (+) Normal.
    Previous Disease : Unknown
    Previous Medication : Paracetamol (from
    Hanna Kasih Hospital)
    PRESENT STATUS

    AWARENESS : Alert
    BLOOD PRESSURE : 110/70 mmHg
    HEART RATE : 92 x/min
    TEMPERATURE : 37,6 C
    RESPIRATORY RATE : 22 x/min


    PHYSICAL EXAMINATION
    Head :
    Eye : Conjungtiva anemic (-/-), sklera icteric (-/-)
    Ear / Nose / Mouth : normal
    Neck : tracheal deviation (-), lymph node
    enlargement (-)
    Thorax :
    Inspection : fusiform symmetry
    Palpation : Fremitus tactile right = left
    Percussion : sonor
    Auscultation : vesicular


    Abdominal
    Inspection : Symmetry, distention (-)
    Palpation : Tenderness (+), defence muscular (-) Pain
    on the right lower quadrant (+)
    Percussion : Tympani
    Auscultation : Peristaltic (+) normal

    Digital Rectal Examination : perineum was normal, anal
    sphincter was tight, smooth mucosal, rectal ampule was
    empty, gloves : faeces/blood/mucus : -/-/-

    Superior/Inferior Extremity : Normal
    Laboratory Finding
    Hb/Ht/Leu/Tro = 13.6/38.1/22.100/310.000

    Urinalysis
    Color = yellow
    Turbidity = clear
    Protein = negatif
    Reduction = negatif
    Eritrosit = negatif
    Leucosite = +, 1-3
    Bilirubin = negatif
    Urobilinogen = positif
    pH = 6,0



    Differential Diagnose
    Acute Appendicitis
    Urinary Tract Infection



    Diagnose
    Acute Appendicitis

    Treatment
    Emergency Appendectomy

    Pre-op :
    Fasting
    IVFD RL 20 drops/min
    Inj. Cefotaxime 1 gr

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