Kelompok 5 1 Moh Adil 14700082 2 Ganis

Kelompok 5 • • 1. Moh. Adil 14700082 2. Ganis Maudy Annisa 14700084 3. Mariyatul Kibtiyah 14700010 4. Muh. Angga Dewa Sudin 14700024 5. Lely Nuryalasari Pane 14700054 6. Kevin Samuel Anthe 14700002 7. Y Galih Kurniawan 14700088

APPENDICITIS Apendicitis is a condition in which infection occurs in appendix. In this mild cases can be cured without treatment , but many cases need laparotomy with dissmisal infected appendix. If not maintained , morality rate quite high , because of peritonitis dan shock when infected appendix destroyed.

Classification of Appendicities Acute Appendicitis , divided by : Acute appendicitis focalis or segmentalis , that is after recovered will arise local structure. Purulent Diffusion Appendicitis that is has grown pus. Chronic Appendicitis divided by : Chronic appendicitis focalis or parsial , that is after recovered will arise local structure. Obliteritiva Chronic Appendicitis that is oblique , usually found in old age.

ETIOLOGY Mostly acute appendicitis caused by infection bacteria but there are so many factor trigger this disease. Among others obstruction occur in lumen appendix. Obtruction in lumen appendix usually caused there is pile of hard stools , lymphoid tissue hipeplasia , worm disease , parasites , strange objects in human body and premiere cancer.

PATHOPHYSIOLOGY Inflammation appendix experienced edema as caused of folded or clogged possibility by fekolit or strange object. Inflammation process increase intraluminal pressure , create up abdominal pain or strong spread in progresif , in some time localized In lower right the quadrant from abdominal. In the end inflammation appendix contain pus.

Clinic Manifestation 1. STOMACHACHE 2. FEVER 3. LESS APPETITE 4. LIMP

CLINICAL PROBLEM Around 3. 4 million patient with abdomen pain looking for medical treatment in emergency department in United States. Various causes that underlying various pain from disorder process that threaten our health. Diagnosis and treatment from condition that experienced treatment delayed may have serious concequences.

More than 250. 000 appendectomies are performed in the united states each year , making it the most common abdominal operation performed on an emergency basis. Although the diagnosis of appendicitis in young man who have abdominal pain is usually straightforward. The Wider Diagnosis Consideration for menopause human with the same clinical presentation. Otherwise pain abdominal on patient in extremely age often presenting diagnosis chalenge because the late of looking for medical treatment or difficult to get a physical examination.

STRATEGY AND EVIDENCE The strategy and physical examination remain on diagnostic foundation to evaluated pain in lower right quadrant. Although there is no aspect from clinical presentation accurately that predict there is a disease , combination from old sign and indication that support the diagnosis. Three sign and indication that the most predictable accute appendicities is pain in lower right quadrant. Stiffness of abdominal , and pain migration from periumdilical area to lower right quadrant.

DIAGNOSTIC EXAMINATION To justify diagnotic on appendicitis underlying from anamnese plus with laboratorim examination etc. If perforation happens , pain will felt in the whole body but the most painful at the point of appendix. If already infiltration , infection location also occurs if someone can hold the pain , and we feel a cancer in our appendix.

TREATMENT The Surgery will be indicated if diagnosis appendicities have justified antibiotik and IV liquid given until the surgery is done. Appendictomy done as soon as possible will be lowered perforacy risk. Appendictomy can be done under general unesthesia or spinal or laparoscopy is a newest method that really effective