ACUTE APPENDICITIS

Acute appendicitis is known to occur in all age groups. It is more frequent in women from 20 to 40 years old. Cases of appendicitis may occur even in infants and in very old age. Acute appendicitis begins 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 may be accompanied by nausea, vomiting, retention of stools and gases. Sometimes constipation or diarrhea may be present. The temperature is normal or subfebrile and there is moderate leucocytosis. With the development of the disease temperature elevation may be observed. The pulse is quick, 90-100 beats per minute. The tongue is coated and dry.

The attack of appendicitis may last for some days. Then the temperature may return to normal, abdominal pains decrease and only a moderate tenderness is felt in the right lower part of the abdomen on palpation. Palpation should be done with great gentleness to avoid rupture of the abscess.

Acute appendicitis is treated surgically. The operation is performed either under local or under general anesthesia.

The appendix must be 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 has a severe course and results in perforation.

Задание 2.Укажите, какие из перечисленных симптомов относятся к острому аппендициту:

Nausea, constipation, headache, fatigue, sharp pain in the abdomen, toothache, diarrhea, coated tongue, dizziness.

Задание 3 .Поставьте глагол в нужную форму:

1. Acute appendicitis is (to know) to occur in all age groups.

2. It (to begin) suddenly.

3. The pain (to become) generalized in the abdomen.

4. Acute appendicitis (to accompany) by nausea.

5. The temperature (to be) normal.

6. The attack usually (to last) 3-4 days.

7.A moderate tenderness is (to feel) in the right lower part of the abdomen.

Задание 4. Составьте предложения по модели:

Model: Grippe is characterized by pains in the limbs, high temperature, malaise, headache.

Grippe – pains in the limbs, high temperature, malaise, headache.

Scarlet fever – sore-throat, elevated temperature, rash.

Chicken-pox – general malaise, temperature, eruption, itching.

Appendicitis – severe pain, gastric disturbances, nausea, vomiting.

Tuberculosis – cough, night sweats, low grade temperature, weakness, malaise, anorexia, loss of weight.

Heart failure – dyspnea, radiating pains, edema, palpitation.

Gastritis – pains, heartburn, nausea, vomiting, diarrhea, constipation.

Pleurisy– dry cough, sharp pains, fever, malaise.

Mumps– swelling of the parotid glands, difficulties in swallowing, sweating, loss of appetite, temperature.