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Appendicitis

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You mentioned that the appendix is here that's where the pain is often located, but it will start first start up in here. Instead of nausea and a little bit of aching pain just beneath where the startum bone is and then it will slowly move down to the right lower quarter which is in fact where the appendix is located and then it comes like a stabbing pain over time and if you cough you'll really hurt a lot one of the first things you do as a doctor you should this stomach a little like this or have you puff and you can't do that without it hurting, it's called peritonitis, it's one of the signs that we'll see, and of course you get a fever as well.

Make senseMake senseAlright so what I want to do is show you a short animation and show you how looks like, come right over here. So here you are grasping your appendix, right and as you watch this animation you'll see that the intestinal track roles around at the very bottom of the caecum and that's the first part of the big intestine where there's a little out pouching, get in the right side of belly.

If you get food that gets stuck in there, like a little piece of stool, it will clog it up and it will actually starve that organ that appendix of blood as there's pressure building in there, the pressure will squeeze the wall of the intestine and block the little blood vessels blood vessels been squeezed but no blood goes in there it become gangrenous.

It is though you've tied your finger off and didn't let blood go there, that's what appendicitis is all about. If you don't go to see someone within 24 hours of developing appendicitis a good percentage of the time, it will pop. If you don't go with 48 hours it will usually pop. So you got a time window where you have to react.

This is important because the real question I've got to ask Val is, would you recognize appendicitis now? Yes, I would definitely go to the doctor. Because this is one of those conditions where you don't want to be 100% correct. In medical training we're taught that you want to be 85% correct about appendicitis.

You're will to make a mistake and 15% of the people, one of seven people should have surgery, when they don't need because the devastating complications of these are so great, that you can't afford to miss any.