NURS 6501 Week 5 Assignment; MindMap - Appendicitis Pathophysiology & Risks
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• Gastroenteritis • Diverticulitis • Ectopic pregnancy • Pelvic inflammatory disease (PID) • Crohn’s disease • Renal colic • Mesenteric adenitis 4. What diagnostic tests or labs would you order to rule out the differentials for this patient or confirm the primary diagnosis? • Blood tests (CBC): Look for elevated white blood cells (indicating infection). • C-reactive protein (CRP): To assess inflammation. • Ultrasound: Can show an enlarged, inflamed appendix. • CT scan: Provides a definitive diagnosis and can identify complications like abscess or perforation. • Urinalysis: To rule out urinary tract infections or kidney stones. 5. What treatment options would you consider? Include possible referrals and medications. • Medications: o Antibiotics (pre-surgery or if surgery is delayed): Typically, broad-spectrum antibiotics cover gastrointestinal flora. o Pain management: Analgesics to manage pain, though NSAIDs may be avoided due to the risk of masking symptoms. • Surgical intervention: o Appendectomy: Surgical removal of the appendix is the definitive treatment for appendicitis, typically performed laparoscopically. o If perforation or abscess has occurred, surgical drainage may also be required. • Dietary recommendations: o After surgery, patients should start with a clear liquid diet and progress to solid foods as tolerated. • Referrals: o Surgeon for appendectomy. o Infectious disease specialist if there are complications like abscess or sepsis.
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