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Ms. D.S., 48 years old, has been admitted to the hospital with severe abdominal pain. Earlier...

Ms. D.S., 48 years old, has been admitted to the hospital with severe abdominal pain. Earlier that day she had generalized abdominal pain followed by a severe pain in the lower right quadrant of her abdomen accompanied by nausea and vomiting. That evening she was feeling slightly improved and the pain seemed to subside somewhat. Later that night, severe steady abdominal pain developed with vomiting. A friend took her to the hospital where examination demonstrated lower right quadrant tenderness and mild abdominal rigidity. Fever and leukocytosis indicated infection. A diagnosis of acute appendicitis, with possible perforation was indicated with immediate surgery.

3. Discuss the complications that may arise from rupturing of the appendix

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Peritonitis:  reptured appnedix spred infection throughout the abomen. So immediate surgery required to remove the appendix and clean the abdominal cavity.

Abscess: reprued appendix causes abscess formation in abdomen need to be drained.

Septicemia: if the reptured appendix remain untreated becteria enters to blood strem and cause sepsis.

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