Appendicitis
Appendicitis

Acute appendicitis: ICD-10 code

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1 Mechanism of development of the disease

Acute appendicitis, whose international code for the classification of diseases, K35, can occur in any person, regardless of age and general health. But first of all, people with low immunity and a weak nervous system fall into the risk group.

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The inflammation of the appendix appears as a result of trophic disturbances on the walls of the abdominal process. In other words, in the process of cellular nutrition, which ensures the integrity of the organ, a certain malfunction occurs due to the deterioration of the functions of the neuromuscular regulator.

Physicians identify several main causes of appendicitis:

  • improper diet, the use of harmful products;
  • congestion in the intestines, problems in the digestive and endocrine system;
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  • weak immunity;
  • presence of infections: typhoid fever, amebiasis, tuberculosis;
  • disorders in the work of vessels.

These are only the most possible reasons for the development of acute appendicitis in the body, and the signs of the appearance of the disease include ischemia of the appendix wall, formed as a result of disturbance of the circulatory system in one of its arteries.

Another version of the formation of acute appendicitis in the body is the penetration into the vermicular appendix of foreign bodies, for example, stones or worms. This pathology leads to the accumulation of excessive mucus in the appendix, and as a consequence, the development of the inflammatory process.

To acute appendicitis may result, and for some reason, not previously removed the inflamed process. This form of the disease is the most severe and dangerous for the patient.

2 Symptomatology of the inflammatory process

Acute appendicitis in μB 10, having code K35, refers to serious diseases of the abdominal cavity. However, the disease is expressed in different ways. Its characteristics depend on many factors: the physiological characteristics of the body, the location of the appendix, its shape, the degree of inflammation, the age of the ill and others.

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However, the main symptom of the disease in all categories of patients is exactly the same - a sudden pain in the right lower abdomen. In this case, pain can be a pulling type or occur suddenly. With each hour the pain syndrome increases with increasing and spreads to other parts of the body: in the navel, under the ribs, in the genital area.

In some cases, other characteristic features of the inflammatory process of the appendix are evident. These include:

  • increase in body temperature above 37.5 ° C;
  • nausea and vomiting;
  • constipation;
  • flatulence;
  • general malaise.

In cases of acute appendicitis, the patient often experiences an increase in body temperature to a critical level exceeding 40 ° C.

However, physicians not rarely report that the inflammatory process, even in the most severe form, may not manifest itself with the foregoing symptoms. The most characteristic features of the disease include the tension of the muscles of the abdominal cavity, accompanying pain. It is for this symptom, when feeling the stomach, the doctor can diagnose - acute appendicitis. When diagnosing the disease, the doctor carefully probes the abdominal area, where, possibly, an appendix is ​​located and produces jerky strokes. If there is a sharp pain and muscle tension, then, most likely, the patient has a serious inflammatory process of the appendage.

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Another symptom that makes it possible to determine the presence of appendicitis at home is the increased pain in the lying position on the left side, while turning to the opposite side, the pain is a little easier.

3 Types of the disease

In medical practice, several forms of acute appendicitis are distinguished, which depend on the type of pathogen, the anatomical features of a person, the presence of other diseases, and the nature of the inflammation.

These types include:

  • Catarrhal form: the most typical, simple and common form of appendicitis, in which the pain syndrome is less pronounced. The danger of such a disease is that, due to weak symptomatic manifestations, appendicitis can develop into an acute or chronic form.
  • Gangrenous form: caused by necrosis of the appendix tissue or necrosis of the cells of the mucosa of the appendage. Untimely treatment can lead to complete atrophy of this organ and cause splash of its infected contents into the abdominal cavity.
  • Phlegmonous form: characterized by a build-up of pus in the appendage, which eventually can get into the abdominal cavity.
  • Chronic form: it is rare enough, but it has the greatest danger for a person. Its distinctive feature is that the damaged appendix was not removed in a timely manner.

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The main danger of acute appendicitis is that the inflammatory process can spread to other parts of the abdominal cavity. This localization of the disease provokes peritonitis, due to which a life-threatening intoxication of the whole organism occurs.

4 Methods for diagnosing

People who complain about pain in the abdomen can only be diagnosed by a professional doctor. For this, physicians refer to the following methods:

  • anamnesis;
  • belly feeling;
  • blood and urine test;
  • procedures for ultrasound, tomography, x-ray of the abdominal cavity;
  • differential diagnosis.

A doctor who was approached by a patient with suspicion of appendicitis will initially feel the lower abdomen and history, then if the symptoms indicate possible appendicitis, the patient will be sent to the hospital for further differential and laboratory diagnosis.

Employees of the medical institution will examine the body completely, take various tests, including a peripheral blood test, and may also be scheduled for examination by a gynecologist or urologist. A mandatory item in diagnosis is urine collection, and if there is a suspicion of peritonitis, a blood test for biochemistry may be needed.

Only after these manipulations is assigned a surgical operation.

5 The process of removal of

The only and basic method of treatment of acute appendicitis is its removal through surgical intervention. This removal of the process is carried out by the classical type - a cavitary operation, during which a lower abdominal incision is performed, after which the appendix is ​​removed. Sometimes, a patient is prescribed laparoscopy when the operation is performed through a puncture of the abdominal cavity, and together with the instrument a micro-camera is introduced into the human body to observe the process. In this case, any type of procedure is performed under local or general anesthesia, and for small children, intubation anesthesia is provided.

For a few hours "before" and "after" the surgical procedure, the patient is forbidden to eat and drink.

The operation to remove acute appendicitis lasts 30-40 minutes. If the procedure does not have complications, the patient can start the usual lifestyle in a week. In case the patient has been diagnosed with complications, his rehabilitation period may take up to several months.

Acute appendicitis is a very common disease all over the world, with timely access to medical care, the process of its removal does not cause problems, and a person during life does not experience any restrictions, since the appendix is ​​not a vital organ.

Contents
  • 1 Mechanism of the development of the disease
  • 2 Symptomatology of the inflammatory process
  • 3 Types of the disease
  • 4 Diagnostic methods
  • 5 Removal process

Medical surgeons believe that the acute form of appendicitis is one of the most serious diseases in the abdominal cavity, which can lead to death or other dangerous pathologies. That's why ignoring the disease is not recommended, with the first suspicions should immediately seek medical attention.

The cause of the disease lies in the inflammatory process of the appendage part of the cecum, which is called appendicitis. This process exists both in men and in women on the right side of the abdomen, below the navel. When it is inflamed, a person gets pain, which becomes aggravated with time. Eliminate the pain syndrome and save the life and health of the ill, will help only surgical intervention - removal of the appendix.

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