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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
Associated physical therapy diagnoses
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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PREFERRED PRACTICE PATTERN
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As of June, 2014, 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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PATIENT PRESENTATION
A 23-year-old male college student presents with severe abdominal pain for 3 hours that woke him up from sleep. Pain is sharp, 9/10 and in the right lower quadrant. Laying still helps the pain and movement makes it worse. He took two 250 mg ibuprofen, but the pain has been constant and getting worse. Vitals are Pulse: 120, Respirations: 24, Blood Pressure: 134/78, Temperature: 100°F, and SpO2% of 99%. On exam the patient is alert and oriented, but visibly uncomfortable. Abdominal exam reveals guarding in the right lower quadrant with rebound tenderness. A STAT CBC shows a mildly elevated WBC count and a CT scan shows inflammation of the appendix.
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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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General Considerations
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If untreated can possibly rupture
Possible referred pain to back, pelvic region, ...