Kelompok 5

1. Moh. Adil 14700082

2. Ganis Maudy Annisa 14700084
3. Mariyatul Kibtiyah 14700010
4. Muh. Angga Dewa Sudin 14700024
5. Lely Nuryalasari Pane 14700054
6. Kevin Samuel Anthe 14700002
7. Y Galih Kurniawan 14700088
 APPENDICITIS
Apendicities is a condition in which infection occurs
in appendix . In this mild cases can be cured
without treatment , but many cases need
laparotomy with dissmisal infected appendix . If not
maintained , morality rate quite high , because of
peritonitis dan shock when infected appendix
destroyed .
 Classification of
Appendicities
Acute Appendicities , divided by : Acute
appendicities focalis or segmentalis , that is after
recovered will arise local structure . Purulent
Diffusiion Appendicities that is has grown pus .
Chronic Appendicities divided by : Chronic
appendicities foalis or parsial , that is after
recovered will arise local structure . Obliteritiva
Chronic Appendicities that is oblique , usually
found in old age.
ETIOLOGY

Mostly acute appendicities caused by infection bacteria

but there are so many factor trigger this disease . Among
others obstruction occur in lumen appendix . Obtruction in
lumen appendix usually caused there is pile of hard
stools , lymphoid tissue hipeplasia , worm disease ,
parasites , strange objects in human body and premiere
cancer .
 PATHOPHYSIOLOGY
Inflammation appendix experienced
edema as caused of folded or clogged
possibility by fekolit or strange object .
Inflammation process increase
intraluminal pressure , create up
abdominal pain or strong spread in
progresif , in some time localized In
lower right the quadrant from
abdominal. In the end inflammation
appendix contain pus .
Clinic Manifestation

1. STOMACHACHE
2. FEVER
3. LESS APPETITE
4. LIMP
 CLINICAL PROBLEM
Around 3.4 million patient with
abdomen pain looking for medical
treatment in emergency department
in United States . Various causes that
underlying various pain from disorder
process that threaten our health .
Diagnosis and treatment from
condition that experienced treatment
delayed may have serious
concequences .
More than 250.000 appendectomies are
performed in the united states each year ,
making it the most common abdominal
operation performed on an emergency
basis . Although the diagnosis of
appendicities in young man who have
abdominal pain is usually straightforward .

The Wider Diagnosis Consideration for

menopause human with the same clinical
presentation . Otherwise pain abdominal on
patient in extremely age often presenting
diagnosis chalenge beacuse the late of looking for
medical treatment or difficult to get a physical
examination .
 STRATEGY AND
EVIDENCE
The strategy and physical examination
remain on diagnostic foundation to
evaluated pain in lower right quadrant .
Although there is no aspect from clinical
presentation accurately that predict there
is a disease , combination from old sign and
indication that support the diagnosis .

Three sign and indication that the most

predictable accute appendicities is pain
in lower right quadrant . Stiffness of
abdominal , and pain migration from
periumdilical area to lower right
quadrant .
 DIAGNOSTIC
EXAMINATION
To justify diagnotic on
appendicities underlying
from anamnese plus with
laboratorim examination
etc .

If perforation happens , pain will

felt in the whole body but the
most painful at the point of
appendix . If already infiltration ,
infection location also occurs if
someone can hold the pain , and
we feel a cancer in our appendix .
 TREATMENT
The Surgery will be indicated if
diagnosis appendicities have justified
antibiotik and IV liquid given until the
surgery is done . Appendictomy done as
soon as possible will be lowered
perforacy risk . Appendictomy can be
done under general unesthesia or spinal
or laparoscopy is a newest method that
really effective
VIDEO