By A. Lander
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Extra info for Appendicitis - A Coll. of Essays From Around the World
This results in the accumulation of appendiceal secretions. Continued distension of the lumen stimulates the nerve endings of visceral afferent pain fibres which accounts for the initial central pain. As the distension progresses, the pressure within the appendix exceeds the venous pressure but not the arterial pressure. This results is a continued inflow of blood to the appendix but a very limited or no outflow. This leads to engorgement and vascular congestion and distension of this magnitude triggers a reflex nausea and vomiting.
Appendicitis in pregnancy: new information that contradicts long held clinical beliefs. American Journal of Obstetrics and Gynaecology, 182(5):1027-0 Nayak BS (2010). Why the tip of vermiform appendix has variable position? Medical Hypotheses, 75(6):682-683 Ohmann C, Yang Q, Franke C (1995). Diagnostic scores for acute appendicitis. Abdominal Pain Study Group. European Journal of Surgery, 161(4):273-81 Old J, Dusing RW, Yap W (2005). Imaging for suspected appendicitis. American family Physician, 71(1):71-78 Old O (2011).
It must be noted that taken on their own, the elevated values of these inflammatory markers have a poor predictive value for acute appendicitis (Beltran, 2007). There are also contradictory reports on the value of the white cell count as a marker of severity of the disease (Sasso et al, 1970; Vermeulen et al, 1995)). The value of these inflammatory markers is appreciated only when they are interpreted together and not in isolation. Studies have demonstrated that elevated levels of the white cell count and the C-reactive protein together improve the predictive value (Andersson, 2004; Peitola et al, 1986).
Appendicitis - A Coll. of Essays From Around the World by A. Lander