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Appendicitis in an inflammation of the vermiform appendix that can be fatal if left untreated. Inflammation, pressure, and fluid collection related to obstruction can lead to perforation and spillag... e of the appendicular contents into the peritoneal cavity. Complications can include wound infection, dehiscence, intra-abdominal infection, fecal fistula, intestinal obstruction, incisional hernia, peritonitis, paralytic ileus, abdominal or pelvic abscess, or death.[newline][newline]The focus of this scenario is to perform a focused pain assessment and an abdominal assessment. Assessment of pain includes verbalization of pain, onset and duration, location of the pain, radiation of pain, intensity of the pain (on a pain scale), and aggravation and alleviation of the pain.[newline][newline]The abdominal assessment should be done in the correct order of inspection, auscultation, and palpation. Auscultate bowel sounds for intensity, pitch, and frequency. Ask patient about history of lower abdominal areas of abdominal pain before palpating all four quadrants of the abdomen. Areas of pain are palpated last. Identify any facial grimaces or guarding that could indicate pain. When assessing for an appendicitis, assessment should include the determination of whether the patient has any rebound tenderness by palpating deeply and releasing pressure quickly. Assess for psoas sign by asking the patient to lie on left side, and hyperextend the right leg of the patient. Assess for obturator sign by supporting the patient's right knee and ankle while flexing the hip and knee, and rotate the leg internally and externally. If these assessments cause " ! ! " ! " This study source was downloaded by 100000833505224 from CourseHero.com on 05-26-2022 12:48:30 GMT -05:00 https://www.coursehero.com/file/71519402/Feedback-Log-Score-Sara-Lin-Apr-20-2020-1034-PMpdf/ pain for the patient, it is an indication of appendicitis [Show More]

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