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CPC - Appendicitis (Flowchart)

This 54-year-old female presented with persistent vomiting, no documented fever or abdominal pain, and atypical appendicitis. She developed a ruptured retrocecal appendix, leading to a large retroperitoneal abscess, sepsis, septic shock, and death. Pleural empyema developed secondary to rupture of the retrocecal appendix and associated increased intra-abdominal pressure.

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Milet Nacionales
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194 views

CPC - Appendicitis (Flowchart)

This 54-year-old female presented with persistent vomiting, no documented fever or abdominal pain, and atypical appendicitis. She developed a ruptured retrocecal appendix, leading to a large retroperitoneal abscess, sepsis, septic shock, and death. Pleural empyema developed secondary to rupture of the retrocecal appendix and associated increased intra-abdominal pressure.

Uploaded by

Milet Nacionales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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MAIN DIAGNOSIS:

54 year old, Female, Atok Hgb: 161 PLEURAL EMPYEMA SECONDARY TO


Benguet Hct: 0.46 RUPTURED RETROCECAL APPENDICITIS

Appendicitis Persistent Vomiting,

Atypical Appendicitis:

Dec. Blood Supply in the No documented fever


appendix No abdominal pain
No other assoc GIT symptoms

Ischemia

Necrosis UA: Mod. Bacteria

Bacteremia

Ruptured Appendix Sepsis CBG: 486


Lactic Acidosis mg/dL
(Metabolic Acidosis)
Globular Insulin
Large Retroperitoneal Drip
Abdomen Septic Shock
Abscess Vomiting

Dehydration RBS:
Inc. Intraabdominal Pressure 6.79mmol/L
DEATH
Body weakness
Dec. Sensorium
Retrocrural Space GCS7

Association of different pressure between the


Clammy Extremities
thorax and abdomen as well as lymph flow Diaphoresis
direction Weak Pulses
Hypotension
Tachycardia
DOB Pleural Empyema Tachypnea

ABG: Uncompensated
Met. Acidosis
Tachypnea

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