INVESTIGATION
- A blood count to establish rise in
white cell count.
- A urine examination to eliminate pus
cells and RBC.
- A plane X-ray abdomen to eliminate
stone in urinary tract.
5. TREATMENT
*
The best treatment for all
patients of early appendicitis is
appendectomy.
*
The patients with early non-fixed mass operation should
be
advised especially in children, pregnant women and
elderly
patients.
*
Patients with evidence of
perforated appendix and spreading
peritonitis too need to be
operated early for the purpose of
removing the appendix and drainage of the peritoneal cavity.
*
Patients with fixed mass in the right iliac fossa.
If, when the
patient is first seen, and the symptoms
are
subsiding a well localised mass
is palpable in the region of
the right iliac fossa. It is
reasonable to start the patient
on antibiotics, snalgesics
and nasogastric suction
and
intravenous feeding regime till the mass subsides
and the
patients can be taken up for surgery six to eight weeks later.
*
All the categories
of the patients mentioned
above will
require varying periods of fluid replacement and
nasogastric
suction so that
their fluid and
mutritional balance is
maintained and they may be able to stand the operative trauma
with the minimum risk in the post-operative period.
*
The patients will also require a frequent re-examination while
under conservative resuscitative measures to detect early any
change in the local and general progress of the disease.
*
Early surgical intervention can be restorted to at any time
provided the circumstances demand it.
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