Medicine for Mountaineering: & Other Wilderness Activities, 6th Edition by James A. Wilkerson M.D

Author:James A. Wilkerson M.D. [Wilkerson M.D., James A.]
Language: eng
Format: epub, mobi, pdf
Publisher: Mountaineers Books
Published: 2010-01-11T08:00:00+00:00

CONDITIONS REQUIRING EVACUATION

Appendicitis

Appendicitis is the most common acute abdominal condition requiring immediate evacuation from a remote region. Early surgery is needed to avoid rupture of the inflamed appendix and contamination of the entire peritoneal cavity, which can cause life-threatening peritonitis. Acute appendicitis can occur at any age and in either sex. Only a previous appendectomy excludes the diagnosis. In the early stages this condition may resemble influenza or similar infections. The first symptoms are vague and generalized abdominal distress, nausea, and vomiting. Rarely is persistent diarrhea present, which often is helpful in differentiating appendicitis from gastroenteritis. In the early stages the abdomen may be soft with some generalized lower abdominal tenderness not greater on one side or the other. As the disease progresses, greater tenderness is found on the right side.

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