Acute appendicitis

Acute appendicitis is known to occur in ail age groups. Its incidence varies in different sex groups: it's more frequent in women from 20 to 40 years of age. Cases of appendicitis have been noted to occur even in infants and even in cry old age.

Acute appendicitis is knows to begin suddenly with sharp pain which is at first felt in epigastrium but then becomes generalized in the abdomen. The pain becomes worse on deep breathing in and coughing, it does not radiate but 5 accompanied by nausea, retention of stools and gases.

The temperature is normal or subfebnle and there is moderate leucocytosis. The ESR is initially normal. With the development of the disease temperature elevation is observed and ESR becomes increased. Tee pulse is quick but it is found to be not more than 90-100 beats per minute. The tongue is coated and dry.

The attack of acute of acute appendicitis is known to last from 3-4 days. Then the temperature returns to normal abdominal pains decrease and only a moderate tenderness is felt in the right lower part of the abdomen on palpation, acute appendicitis is treated surgically. The operation is performed both under general and local anaesthesia.

The appendix is removed immediately to prevent its rupture which may result in peritonitis. Such forms of appendicitis as gangrenous and perforating are particularly dangerous to life. But sometimes even a mild form of appendicitis may take a severe course and to result in perforation.

V. Give English equivalents:

частота випадків, немовля, вдох, кашель, супроводжуватися (2 слова), підвищуватися (3 слова), язик обкладен. зменьшуватися (2 слова), розрив, приводити до прободіння.

VI. Answer the Questions to the text:

1. What is acute appendicitis?

I. What predisposes the onset of acute appendicitis⁹

II. Who can get ill with acute appendicitis?

III. What are the complaints of the patient?

IV. What examinations are necessary to make a diagnosis?

V. What can the examination reveal?

VI. How can acute appendicitis be treated?

VII. Translate the words in brackets in English.

V. The patient complains of pain (яка супроводжувалася нудотою).

V.The doctor (визначив) subfebrile temperature and (підвищенну) ESR.

V.The operation on acute appendicitis (проводилася) under (загальна) aneasthesia.

V. After the examination the surgeon (поставив діагноз) of acute appendicitis which need surgical operation because it can (привести до прободіння).

V. The surgeon (видалив) the appendix to prevent its (розрив).

VIII Put questions to underlined words:

1.Cases of appendicitis have been noted even in infants.

2. The appendix is removed immediately to prevent its rupture.

3.The rupture of appendix can lead to peritonitis.

4.Acute appendicitis begins suddenly with sharp pain.

5.Patients with acute appendicitis are administered antibiotics.

6.On admission to the hospital the patient complained of a severe pain in epigastria area.

IX. Open the brackets and put the verbs in a correct form:

1. The doctor (to study) the patient's sensitivity to penicillin before the treatment (to begin).

2. The patient (not to operate) yet as not all analyses (to make).

3. The doctor (to write) a prescription when a nurse (to enter) the room.

4. If the patient (to survive) the first week, his chances of recovery greatly (to improve).

5.I never (to suffer) from such horrible headache.

6. All food (to consist) of proteins, fats and carbohydrates.

X. Explain the following terms in 5 sentences: Appendix, appendicitis, peritonitis, abdomen

Дата добавления: 2015-11-16