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  • Urinary tract infection (UTI)

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  • 540 Acute appendicitis
  • 540.0 Acute appendicitis with generalized peritonitis
  • 540.1 Acute appendicitis with peritoneal abscess
  • 540.9 Acute appendicitis without mention of peritonitis
  • 541 Appendicitis, unqualified
  • 542 Other appendicitis
  • 543.0 Hyperplasia of appendix (lymphoid)
  • 543.9 Other and unspecified diseases of appendix

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  • 315.4 Developmental coordination disorder (clumsiness, dyspraxia and/or specific motor development disorder)
  • 718.45 Contracture of joint, pelvic region and thigh
  • 719.70 Difficulty in walking involving joint site unspecified
  • 728.2 Muscular wasting and disuse atrophy, not elsewhere classified
  • 728.89 Other disorders of muscle, ligament, and fascia
  • 729.9 Other and unspecified disorders of soft tissue
  • 780.70 Other malaise and fatigue
  • 781.2 Abnormality of gait
  • 782.3 Edema
  • 786.0 Dyspnea and respiratory abnormalities

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  • K35.2 Acute appendicitis with generalized peritonitis
  • K35.3 Acute appendicitis with localized peritonitis
  • K35.80 Unspecified acute appendicitis
  • K35.89 Other acute appendicitis
  • K36 Other appendicitis
  • K37 Unspecified appendicitis
  • K38.0 Hyperplasia of appendix
  • K38.1 Appendicular concretions
  • K38.2 Diverticulum of appendix
  • K38.3 Fistula of appendix
  • K38.8 Other specified diseases of appendix
  • K38.9 Disease of appendix, unspecified

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  • As of December, 2012, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology. Therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated.

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Description

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  • Inflammation of the appendix
  • Pain in the lower abdominal region on the right side
  • Appendix can rupture when blocked by an object, tumor, or feces
  • Appendix is a tube of tissue off of the large intestine with an unknown function

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Essentials of Diagnosis

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  • Right abdominal and side (flank) pain
  • Positive cultures
  • McBurney’s point, tip of right 12th rib tenderness
  • Palpation over appendix
  • Lab tests

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General Considerations

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  • If untreated can possibly rupture
  • Possible referred pain to back, pelvic region, or rectal area (in men)
  • Possible secondary problems that may, depending on severity, indicate the need for physical therapy intervention
    • Impairment of aerobic capacity and muscle endurance
    • Sarcopenia
    • Musculoskeletal problems
    • Neuromuscular problems
    • Weight loss
  • May mimic colon cancer or tumors, irritable bowel, colitis or, in females, gynecological problems such as endometriosis, uterine fibroids, or ectopic pregnancies
  • Symptoms are frequently referred to the back and abdominal areas, so it may be common to have patients inappropriately referred to PT.
  • Pseudoappendicitis: Yersinia enterocolitica

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Demographics

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  • Can occur across the lifespan, from 2 years old and up1
  • Most common in individuals between 15 and 30 years of age1

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Signs and Symptoms

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  • High fever
  • Diarrhea
  • Shaking and chills
  • Nausea
  • Vomiting
  • Discomfort or sharp pain in the right lower quadrant of the abdominal area
  • Abdominal tenderness and guarding of the right lower quadrant
  • McBurney’s point, tip of right 12th rib tenderness
  • Pain in the belly button region without trauma
  • Right, low back pain without trauma, insidious onset
  • Difficulty standing up straight
  • Psoas sign
  • Obdurator sign
  • ...

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