Appendicitis
Uganda2023
Clinical management of Appendicitis in Uganda
Uganda Clinical Guidelines 2023 · all from source →
General Adult
Diagnosis
1.
Clinical Features
Constipation. Crampy pain around umbilicus increasing in severity, localising to right iliac fossa. Nausea, vomiting, low-grade fever. Tenderness and rigidity (guarding) in RIF.
2.
Investigations
Good history and physical exam are essential. CBC for leucocytosis. Transabdominal ultrasound. Abdominal X-ray (assess for perforation).
Treatment
1.
Primary Treatment
Emergency surgery. Start antibiotic prophylaxis before surgery (<24hrs for unperforated, >=5 days for perforated).
2.
If surgery is delayed
Ceftriaxone 2 g IV once daily (Child: 80 mg/kg) PLUS metronidazole 500 mg IV every 8 hours (Child: 10 mg/kg every 8 hours).
Clinical Tools