IPLab:Lab 3:Acute Appendicitis

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Contents

Clinical Summary

This 11-year-old male was admitted to the hospital with a complaint of 8 hours of severe pain in the right lower quadrant of the abdomen accompanied by nausea, vomiting, and diarrhea. Additional features on admission included a temperature of 101° F and a leukocytosis of 21,200 cells/mm³A normal white blood cell count is 4,000 to 11,000 cells per cubic mm. with a shift to the leftA shift to the left indicates an increased ratio of immature PMNs (bands) to mature PMNs (segs).. An exploratory laparotomy revealed an inflamed appendix, retrocecal in location, which was adherent to the wall of the colon.

Autopsy Findings

The serosal surface of the appendix was covered with friableFriable material is easily crumbled. granular material. The lumen was dilated and contained a purulent exudate as well as a fecalithA fecalith is a hardened collection of fecal matter formed within the intestine.. The wall measured up to 0.4 cm in thickness.

Images

Virtual Microscopy

Appendicitis (left) and Normal Appendix (right)

Study Questions


Additional Resources

Reference

Journal Articles

Images