Which department should I go to for appendicitis examination

In our modern society, due to the rapid development of science and technology, the medical level is getting higher and higher. Faced with some common diseases in life, we will go to the hospital for examination and then treatment. Appendicitis is a common disease in our human body. When facing this disease, inspection and prevention are very important. So which department should we go to for appendicitis inspection?

Hang surgery. If you suffer from acute appendicitis, the consequences will be quite good if you undergo surgery early. However, once appendicitis perforates, localized abscess may form in mild cases, while diffuse peritonitis, abdominal suppuration, septic shock and even life-threatening may occur in severe cases.

Symptoms and diagnosis

[Typical symptoms]

1. Acute appendicitis (1) Abdominal pain Typical acute appendicitis causes pain in the upper abdomen or around the umbilicus in the early stages. After a few hours, the pain moves to and becomes fixed in the right lower abdomen. When the inflammation spreads to the serosa and parietal peritoneum, the pain is fixed in the right lower abdomen, and the original pain in the upper abdomen or around the umbilicus is relieved or disappears. (2) Gastrointestinal symptoms in the early stages may include nausea and vomiting due to reflex gastric spasm. Pelvic appendicitis or gangrenous appendix perforation may cause increased bowel movement frequency. (3) The fever is usually low-grade, without chills, and the temperature of purulent appendicitis generally does not exceed 38°C. High fever is often seen in appendix gangrene, perforation or complicated by peritonitis. (4) Tenderness and rebound tenderness Abdominal tenderness is a manifestation of inflammatory irritation of the parietal peritoneum. The tenderness point of the appendix is ​​usually located at McBurney's point, which is the junction of the middle and outer 1/3 of the line connecting the right anterior superior iliac spine and the umbilicus. (5) Abdominal muscle tension: This sign is present when there is appendicitis or suppuration, and is particularly evident when there is gangrene, perforation, and peritonitis. 2. Chronic appendicitis (1) Abdominal pain Pain in the right lower abdomen, characterized by intermittent dull pain or bloating, sometimes severe and sometimes mild, in a relatively fixed location. Most patients experience abdominal pain after a full meal, exercise, fatigue, cold or long-term standing. (2) Patients with gastrointestinal reactions often experience varying degrees of indigestion and decreased appetite. Patients with a longer course of illness may experience emaciation and weight loss. There is generally no nausea, vomiting, or abdominal distension, but elderly patients may experience constipation. (3) Abdominal tenderness Tenderness is the only physical sign, mainly located in the right lower abdomen. It is usually small in range and constant in position, and only occurs when heavy pressure is applied.

[Other symptoms]

In the early stages, especially when there is obstruction in the appendix cavity, hyperesthesia of the skin in the right lower abdomen may occur.

[Diagnosis basis]

1. Clinical manifestations include right lower abdominal pain, fever, vomiting and neutrophilia. 2. Physical signs include abdominal tenderness, abdominal muscle tension and rebound pain. 3. Auxiliary examinations include increased white blood cell counts; ultrasound examinations can show retrocecal appendicitis; laparoscopic examinations can directly observe whether the appendix is ​​inflamed by inserting a laparoscope into the lower abdomen.