Appendicitis/es - Revision history

Jhattery: Created page with " Category:GI Category:Surgery Category:ID"

2026-01-25T16:51:04Z

Created page with "<references/> Category:GI Category:Surgery Category:ID"

← Older revision		Revision as of 16:51, 25 January 2026
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	==Enlaces Externos==		==Enlaces Externos==

	*[http://www.chop.edu/clinical-pathway/appendicitis-without-known-gi-disease-clinical-pathway CHOP ~~Appendicitis Pathway~~]		*[http://www.chop.edu/clinical-pathway/appendicitis-without-known-gi-disease-clinical-pathway Vía clínica de apendicitis del Hospital Infantil de Filadelfia (CHOP)]
	*[https://www.acep.org/patient-care/clinical-policies/appendicitis/ ACEP ~~Clinical Policy Statement~~]		*[https://www.acep.org/patient-care/clinical-policies/appendicitis/ Declaración de política clínica de ACEP (College of Emergency Physicians Americano)]
	*[http://www.emdocs.net/appendicitis-why-do-we-miss-it-and-how-do-we-improve/ emDocs - ~~Appendicitis~~: ~~Why Do We Miss It~~, ~~and How Do We Improve~~?]		*[http://www.emdocs.net/appendicitis-why-do-we-miss-it-and-how-do-we-improve/ emDocs - Apendicitis: ¿Por qué no la diagnosticamos, y cómo podemos mejorar?]


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	==Referencias==		==Referencias==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	<references/>		<references/>
	[[Category:GI]]		[[Category:GI]]
	[[Category:Surgery]]		[[Category:Surgery]]
	[[Category:ID]]		[[Category:ID]]
	~~</div>~~

Jhattery: Created page with "===Manejo de apoyo==="

2026-01-25T16:47:00Z

Created page with "===Manejo de apoyo==="

← Older revision		Revision as of 16:47, 25 January 2026
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	==Enlaces Externos==		==Enlaces Externos==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	*[http://www.chop.edu/clinical-pathway/appendicitis-without-known-gi-disease-clinical-pathway CHOP Appendicitis Pathway]		*[http://www.chop.edu/clinical-pathway/appendicitis-without-known-gi-disease-clinical-pathway CHOP Appendicitis Pathway]
	*[https://www.acep.org/patient-care/clinical-policies/appendicitis/ ACEP Clinical Policy Statement]		*[https://www.acep.org/patient-care/clinical-policies/appendicitis/ ACEP Clinical Policy Statement]
	*[http://www.emdocs.net/appendicitis-why-do-we-miss-it-and-how-do-we-improve/ emDocs - Appendicitis: Why Do We Miss It, and How Do We Improve?]		*[http://www.emdocs.net/appendicitis-why-do-we-miss-it-and-how-do-we-improve/ emDocs - Appendicitis: Why Do We Miss It, and How Do We Improve?]
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Referencias==
	=~~=References==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "Se debe obtener una consulta quirúrgica temprana antes de la imagen en casos sencillos No es universalmente necesario; considerar en: Mujeres en edad reproductiva Hombres con presentación equívoca La perforación puede resultar en un estudio con resultado falso negativo Modalidades de imagen Ecografía *Primera opción para mujeres embarazadas y niños ***Limitaciones: dependiente del operador, difícil de visualizar con obesidad,..."

2026-01-25T16:45:54Z

Created page with "*Se debe obtener una consulta quirúrgica temprana antes de la imagen en casos sencillos *No es universalmente necesario; considerar en: **Mujeres en edad reproductiva **Hombres con presentación equívoca *La perforación puede resultar en un estudio con resultado falso negativo *Modalidades de imagen **Ecografía ***Primera opción para mujeres embarazadas y niños ***Limitaciones: dependiente del operador, difícil de visualizar con obesidad,..."

← Older revision		Revision as of 16:45, 25 January 2026
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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Ver También==
	=~~=See Also==~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*[[Special:MyLanguage/Appendicitis (Peds)\|Apendicitis (Pediatría)]]
	*[[Special:MyLanguage/Appendicitis (Peds)\|~~Appendicitis~~ (~~Peds~~)]]
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Enlaces Externos==
	=~~=External Links==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "Panel abdominal Hemograma Un recuento de leucocitos normales no descarta la apendicitis *Solo el 80% de los pacientes tendrá leucocitosis con desplazamiento a la izquierdaKhan MN, Davie E, Irshad K. The role of white cell count and C-reactive protein in the diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad. 2004;16(3):17-19. Química Considerar pruebas de función hepática + lipasa Considerar estudios de coagulación (PT, PTT, INR), como un marc..."

2026-01-25T16:44:34Z

Created page with "*Panel abdominal **Hemograma ***Un recuento de leucocitos normales no descarta la apendicitis ***Solo el 80% de los pacientes tendrá leucocitosis con desplazamiento a la izquierdaKhan MN, Davie E, Irshad K. The role of white cell count and C-reactive protein in the diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad. 2004;16(3):17-19. **Química **Considerar pruebas de función hepática + lipasa **Considerar estudios de coagulación (PT, PTT, INR), como un marc..."

← Older revision		Revision as of 16:44, 25 January 2026
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	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		===[[Special:MyLanguage/Antibiotics\|Antibióticos]]===
	===[[Special:MyLanguage/Antibiotics\|~~Antibiotics~~]]===
	~~</div>~~

	{{Appendicitis Antibiotics}}		{{Appendicitis Antibiotics}}
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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Cirugía===
	===~~Surgery===~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*Laparotomía abierta o laparoscopia
	*~~Open laparotomy or laparoscopy~~		**Pacientes que se presentan <72 horas después del inicio de los síntomas generalmente se someten a apendicectomía inmediata
	**~~Patients who present~~ <72 ~~hours after the onset of symptoms usually undergo immediate appendectomy~~		**Pacientes que se presentan >72 horas y tienen apéndice perforado pueden ser tratados inicialmente con antibióticos, líquidos intravenosos y reposo intestinal
	**~~Patients who present~~ >~~72hrs and have perforated appendix may be treated initially with antibiotics, intravenous fluids~~, ~~and bowel rest~~
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Disposición==
	=~~=Disposition==~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*Ingreso
	*~~Admission~~
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Complicaciones==
	=~~=Complications==~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Infección===
	===~~Infection===~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*O bien una infección simple de la herida o un absceso intraabdominal
	*~~Either a~~ simple ~~wound infection or an~~ intraabdominal ~~abscess~~		**Típicamente en pacientes con apendicitis perforada
	**~~Typically in patients with perforated appendicitis~~
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Apendicitis recurrente===
	===~~Recurrent appendicitis===~~
	~~</div>~~

	~~<div lang="~~en~~" dir="ltr" class="mw-content-ltr">~~		*Ocurre aproximadamente en 1 de cada 50,000 apendicectomías Hendahewa R. et al. The dilemma of stump appendicitis - a case report and literature review. Int J Surg Case Rep. 2015; 14: 101-3.
	*Occurs in approximately 1:50,000 ~~appendectomies <ref>~~Hendahewa R. et al. The dilemma of stump appendicitis - a case report and literature review. Int J Surg Case Rep. 2015; 14: 101-3.~~</ref>~~		*Normalmente causado por la inflamación del muñón apendicular restante
	*~~Typically caused by inflammation of the remaining appendiceal stump~~		**También puede ser causado por un trozo retenido del apéndice que no se eliminó durante la cirugía Boardman T. et al. Recurrent appendicitis caused by a retained appendiceal tip: A case report. The Journal of Emergency Medicine. 2019; 57: 232-4.
	**~~Can also be caused by a retained piece of the appendix not removed during surgery <ref>~~Boardman T. et al. Recurrent appendicitis caused by a retained appendiceal tip: A case report. The Journal of Emergency Medicine. 2019; 57: 232-4.~~</ref>~~		*Puede presentarse de manera similar a la apendicitis primaria
	*~~Can present~~ similar ~~to primary appendicitis~~		*Tratamiento similar al de la apendicitis primaria y probablemente requiere una revisión quirúrgica del muñón apendicular o la eliminación de tejido retenido
	*~~Treatment~~ similar ~~to that of primary appendicitis and likely requires surgical revision of the appendiceal stump or removal of retained tissue~~		*El retraso en el diagnóstico y el tratamiento puede resultar en perforación y sepsis
	*~~Delay in diagnosis and treatment can result in perforation and~~ sepsis
	~~</div>~~

Jhattery: Created page with "==Evaluación=="

2026-01-25T16:40:47Z

Created page with "==Evaluación=="

← Older revision		Revision as of 16:40, 25 January 2026
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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Imágenes===
	===~~Imaging===~~
	~~</div>~~

	~~<div lang="~~en~~" dir="ltr" class="mw-content-ltr">~~		*Se debe obtener una consulta quirúrgica temprana antes de la imagen en casos sencillos
	*~~Early surgical consultation should be obtained before imaging in straightforward cases~~		*No es universalmente necesario; considerar en:
	*Not universally necessary; ~~consider in~~:		**Mujeres en edad reproductiva
	**~~Women of reproductive age~~		**Hombres con presentación equívoca
	**~~Men with equivocal presentation~~		*La perforación puede resultar en un estudio con resultado falso negativo
	*~~Perforation may result in false negative study~~		*Modalidades de imagen
	*~~Imaging modalities~~		**[[Ultrasound: Abdomen\|Ecografía]]
	**[[Ultrasound: Abdomen\|~~Ultrasound~~]]		***Primera opción para mujeres embarazadas y niños
	***~~First choice for pregnant women and children~~		***Limitaciones: dependiente del operador, difícil de visualizar con obesidad, útero grávido, gas intestinal, rigidez, falta de cooperación del paciente
	***~~Limitations~~: ~~operator-dependent~~, ~~difficult to visualize with obesity~~, ~~gravid uterus~~, ~~bowel~~ gas, ~~guarding~~, ~~lack of patient cooperation~~		***Hallazgos: apéndice no comprimible >6mm de diámetro, grosor de la pared mayor o igual a 3 mm
	***~~Findings~~: ~~noncompressible appendix~~ >6mm ~~in diameter~~, ~~wall thickness greater or equal to~~ 3 mm		***Otros hallazgos de apoyo: aperistalsis, capas de la pared distintas, apariencia de blanco en vista axial, apendicolito, líquido periapendicular, grasa periapendicular ecogénica prominente
	***~~Other supportive findings~~: aperistalsis, ~~distinct wall layers~~, ~~target appearance in~~ axial ~~view~~, ~~appendicolith~~, ~~periappendiceal fluid~~, ~~prominent echogenic periappendiceal fat~~		**TC
	**CT		***Primera opción para hombres adultos y mujeres no embarazadas con casos equívocos
	***~~First choice for adult males and nonpregnant women with equivocal cases~~		***Las mujeres obtienen el mayor beneficio de la imagen preoperatoria (menor tasa de apendicitis negativa)
	***~~Women derive the greatest benefit from preoperative imaging~~ (~~lower neg appy rate~~)		***El contraste (tanto PO como IV) es innecesario, pero generalmente se ordena
	***~~Contrast~~ (~~both~~ PO ~~and~~ IV) ~~is unnecessary but typically ordered~~
	**MRI		**MRI
	***~~When unable to identify appendix in children or pregnant women~~		***Cuando no se puede identificar el apéndice en niños o mujeres embarazadas
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Manejo==
	=~~=Management==~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Manejo de apoyo===
	===~~Supportive Management===~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		#Estado de NPO
	#NPO ~~status~~		#[[Special:MyLanguage/Fluid resuscitation\|Rehidratación con líquidos]]
	#[[Special:MyLanguage/Fluid resuscitation\|~~Fluid resuscitation~~]]		#[[Special:MyLanguage/Analgesia\|Analgesia]]/[[Special:MyLanguage/antiemetics\|antieméticos]]
	#[[Special:MyLanguage/Analgesia\|Analgesia]]/[[Special:MyLanguage/antiemetics\|~~antiemetics~~]]
	~~</div>~~

Jhattery: Created page with "Al principio principalmente malestar, dispepsia, anorexia Más tarde el paciente desarrolla dolor abdominal Inicialmente vago, periumbilical (inervación visceral) Más tarde migra al punto de McBurney (inervación parietal) <50% de los pacientes tienen esta presentación típica * Náusea, con o sin emesis, típicamente sigue al inicio del dolor *Fiebre puede o..."

2026-01-25T16:39:12Z

Created page with "*Al principio principalmente malestar, dispepsia, anorexia **Más tarde el paciente desarrolla dolor abdominal ***Inicialmente vago, periumbilical (inervación visceral) ***Más tarde migra al punto de McBurney (inervación parietal) *** <50% de los pacientes tienen esta presentación típica * Náusea, con o sin emesis, típicamente sigue al inicio del dolor *Fiebre puede o..."

← Older revision		Revision as of 16:39, 25 January 2026
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	==Evaluación==		==Evaluación==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		[[File:Appendicitis_Jarrett_Subramaniam.gif\|thumbnail\|Apéndice dilatado, no compressible con apendicolito y líquido libre circundantehttp://www.thepocusatlas.com/pediatrics/]]
	[[File:Appendicitis_Jarrett_Subramaniam.gif\|thumbnail\|~~Dilated~~, ~~non-~~compressible ~~appendix with appendicolith and surrounding free fluid<ref>http~~://www.thepocusatlas.com/pediatrics/~~</ref>~~]]		[[File:AppendicitisMark.png\|thumb\|Inflamación de la grasa periapendicular en el contexto de apendicitis aguda.]]
	[[File:AppendicitisMark.png\|thumb\|~~Peri-appendiceal fat stranding in the setting of acute appendicitis~~.]]		[[File:X-ray showing fecalith which has caused appendicitis.jpg\|thumb\|Fecalito (flecha) e infiltración en el contexto de apendicitis aguda.]]
	[[File:X-ray showing fecalith which has caused appendicitis.jpg\|thumb\|~~Fecalith~~ (~~arrow~~) ~~and stranding in the setting of acute appendicitis~~.]]		[[File:CAT scan demonstrating acute appendicitis.jpg\|thumb\|Apéndice dilatado e infiltración en el contexto de apendicitis aguda.]]
	[[File:CAT scan demonstrating acute appendicitis.jpg\|thumb\|~~Dialated appendix and stranding in the setting of acute appendicitis~~.]]
	~~</div>~~




	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Puntuaciones de riesgo de apendicitis===
	===~~Appendicitis Risk Scores===~~
	~~</div>~~

	{{Alvarado scoring system}}		{{Alvarado scoring system}}
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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		====Análisis de laboratorio====
	===~~Labs~~===
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*Panel abdominal
	*~~Abdominal panel~~		**Hemograma
	**~~CBC~~		***Un recuento de leucocitos normales no descarta la apendicitis
	***~~Normal WBC does not rule-out appendicitis~~		***Solo el 80% de los pacientes tendrá leucocitosis con desplazamiento a la izquierdaKhan MN, Davie E, Irshad K. The role of white cell count and C-reactive protein in the diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad. 2004;16(3):17-19.
	***~~Only~~ 80% ~~of patients will have leukocytosis with left shift<ref>Khan~~ MN, Davie E, Irshad K. The role of white cell count and C-reactive protein in the diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad. 2004;16(3):17-19.~~</ref>~~		**Química
	**~~Chemistry~~		**Considerar pruebas de función hepática + lipasa
	**~~Consider LFTs~~ + ~~lipase~~		**Considerar estudios de coagulación (PT, PTT, INR), como un marcador de función hepática
	**~~Consider coagulation studies~~ (PT, PTT, INR), ~~as a marker of liver function~~		*Embarazo de orina
	*~~Urine pregnancy~~		*[[Special:MyLanguage/Urinalysis\|Análisis de orina]]
	*[[Special:MyLanguage/Urinalysis\|~~Urinalysis~~]]		**Leucocitos estarán presentes en el 40% de los pacientesBaird DLH, Simillis C, Kontovounisios C, Rasheed S, Tekkis PP. Acute appendicitis. BMJ. 2017;357:j1703. Published 2017 Apr 19. doi:10.1136/bmj.j1703
	**~~Leukocytes will be present in~~ 40% ~~of patients<ref>Baird~~ DLH, Simillis C, Kontovounisios C, Rasheed S, Tekkis PP. Acute appendicitis. BMJ. 2017;357:j1703. Published 2017 Apr 19. doi:10.1136/bmj.j1703~~</ref>~~		*Considerar [[Special:MyLanguage/serum lactate\|lacato sérico]]
	*~~Consider~~ [[Special:MyLanguage/serum lactate\|~~serum lactate~~]]		**No define necesariamente el nivel de gravedad (si está presente la apendicitis)
	**~~Does not necessarily~~ define ~~level of severity~~ (~~if appendicitis is present.~~)		**Puede ayudar en la tendencia de reanimación efectiva una vez que se hace el diagnóstico.
	**~~Can aid in trending effective resuscitation once the diagnosis is made~~.		*Considerar CRP
	*~~Consider~~ CRP		**CRP y leucocitos normales hacen que la apendicitis sea poco probable
	**~~Normal~~ CRP ~~AND WBC makes appendicitis unlikely~~
	~~</div>~~

Jhattery: Created page with "{| class="wikitable" |- | Procedimiento | LR+ | LR- |- | Dolor en el cuadrante inferior derecho | 7.3-8.4 | 0-0.28 |- | Rigidez | 3.76 | 0.82 |- | Migración | 3.18 | 0.50 |- | Dolor antes de los vómitos | 2.76 | NA |- | Signo del psoas | 2.38 | 0.90 |- | Fiebre | 1.94 | 0.58 |- | Signo de rebote positivo | 1.1-6.3 | 0-0.86 |- | Defensa abdominal | 1.65-1.78 | 0-0.54 |- | No haber tenido dolor similar anteriormente | 1.5 | 0.32 |- | Anorexia | 1.27 | 0.64 |- | Náusea |..."

2026-01-25T16:37:26Z

Created page with "{| class="wikitable" |- | Procedimiento | LR+ | LR- |- | Dolor en el cuadrante inferior derecho | 7.3-8.4 | 0-0.28 |- | Rigidez | 3.76 | 0.82 |- | Migración | 3.18 | 0.50 |- | Dolor antes de los vómitos | 2.76 | NA |- | Signo del psoas | 2.38 | 0.90 |- | Fiebre | 1.94 | 0.58 |- | Signo de rebote positivo | 1.1-6.3 | 0-0.86 |- | Defensa abdominal | 1.65-1.78 | 0-0.54 |- | No haber tenido dolor similar anteriormente | 1.5 | 0.32 |- | Anorexia | 1.27 | 0.64 |- | Náusea |..."

← Older revision		Revision as of 16:37, 25 January 2026
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	===Características operativas del examen clínico===		===Características operativas del examen clínico===

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-
	\| ~~Procedure~~		\| Procedimiento
	\| LR+		\| LR+
	\| LR-		\| LR-
	\|-		\|-
	\| ~~RLQ pain~~		\| Dolor en el cuadrante inferior derecho
	\| 7.3-8.4		\| 7.3-8.4
	\| 0-0.28		\| 0-0.28
	\|-		\|-
	\| ~~Rigidity~~		\| Rigidez
	\| 3.76		\| 3.76
	\| 0.82		\| 0.82
	\|-		\|-
	\| ~~Migration~~		\| Migración
	\| 3.18		\| 3.18
	\| 0.50		\| 0.50
	\|-		\|-
	\| ~~Pain before vomiting~~		\| Dolor antes de los vómitos
	\| 2.76		\| 2.76
	\| NA		\| NA
	\|-		\|-
	\| ~~Psoas sign~~		\| Signo del psoas
	\| 2.38		\| 2.38
	\| 0.90		\| 0.90
	\|-		\|-
	\| ~~Fever~~		\| Fiebre
	\| 1.94		\| 1.94
	\| 0.58		\| 0.58
	\|-		\|-
	\| ~~Rebound~~		\| Signo de rebote positivo
	\| 1.1-6.3		\| 1.1-6.3
	\| 0-0.86		\| 0-0.86
	\|-		\|-
	\| ~~Guarding~~		\| Defensa abdominal
	\| 1.65-1.78		\| 1.65-1.78
	\| 0-0.54		\| 0-0.54
	\|-		\|-
	\| No similar ~~pain previously~~		\| No haber tenido dolor similar anteriormente
	\| 1.5		\| 1.5
	\| 0.32		\| 0.32
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	\| 0.64		\| 0.64
	\|-		\|-
	\| ~~Nausea~~		\| Náusea
	\| 0.69-1.2		\| 0.69-1.2
	\| 0.70-0.84		\| 0.70-0.84
	\|-		\|-
	\| ~~Vomiting~~		\| Vómitos
	\| 0.92		\| 0.92
	\| 1.12		\| 1.12
	\|}		\|}
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Diagnóstico Diferencial==
	=~~=Differential Diagnosis==~~
	~~</div>~~

	{{Abd DDX RLQ}}		{{Abd DDX RLQ}}
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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Evaluación==
	=~~=Evaluation==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "===Examen Físico==="

2026-01-25T16:32:32Z

Created page with "===Examen Físico==="

← Older revision		Revision as of 16:32, 25 January 2026
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	===Historia===		===Historia===

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*Al principio principalmente malestar, dispepsia, anorexia
	*~~Early on primarily malaise~~, ~~indigestion~~, anorexia		**Más tarde el paciente desarrolla [[Special:MyLanguage/abdominal pain\|dolor abdominal]]
	**~~Later patient develops~~ [[Special:MyLanguage/abdominal pain\|abdominal ~~pain~~]]		***Inicialmente vago, periumbilical (inervación visceral)
	***~~Initially vague~~, periumbilical (visceral ~~innervation~~)		***Más tarde migra al punto de McBurney (inervación parietal)
	***~~Later migrates to~~ McBurney ~~point~~ (parietal ~~innervation~~)		*** <50% de los pacientes tienen esta presentación típica
	*** <50% ~~of patients have this typical presentation~~		*[[Special:MyLanguage/Nausea\| Náusea]], con o sin emesis, típicamente sigue al inicio del dolor
	*[[Special:MyLanguage/Nausea\|~~Nausea~~]], ~~with or with out~~ emesis, ~~typically follows onset of pain~~		*[[Special:MyLanguage/Fever\|Fiebre]] puede o no ocurrir
	*[[Special:MyLanguage/Fever\|~~Fever~~]] ~~may or not occur~~		*Los síntomas urinarios son comunes debido a la proximidad del apéndice al tracto urinario (piuria estéril)
	*~~Urinary symptoms common given proximity of appendix to urinary tract~~ (~~sterile pyuria~~)		*La mejora repentina sugiere perforación
	*~~Sudden improvement suggests perforation~~		*33% de los pacientes tienen una presentación atípica
	*33% ~~of patients have atypical presentation~~		**El apéndice retrocecal puede causar [[Special:MyLanguage/flank pain\|dolor de flanco]] o [[Special:MyLanguage/pelvic pain\|dolor pélvico]]
	**~~Retrocecal appendix can cause~~ [[Special:MyLanguage/flank pain\|~~flank~~]] or [[Special:MyLanguage/pelvic pain\|~~pelvic pain~~]]		**El útero grávido a veces desplaza el apéndice superiormente → [[Special:MyLanguage/RUQ pain\|dolor en el cuadrante superior derecho]]
	**~~Gravid uterus sometimes displaces appendix superiorly~~ → [[Special:MyLanguage/RUQ pain\|~~RUQ pain~~]]
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Examen Físico===
	===~~Physical Exam===~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*Punto de McBurney: dolor máximo a la palpación a 2/3 del camino entre el ombligo y la espina ilíaca anterior superior derecha
	*McBurney's: ~~maximal tenderness to palpation~~ 2/3 ~~of the way between umbilicus and right~~ anterior superior ~~iliac spine~~		*Signo de Rovsing (la palpación del cuadrante inferior izquierdo empeora el dolor del cuadrante inferior derecho)
	*Rovsing ~~sign~~ (~~palpation of LLQ worsens RLQ pain~~)		*Signo del psoas (extensión de la pierna derecha en la cadera mientras el paciente se encuentra acostado sobre el lado izquierdo provoca dolor abdominal)
	*~~Psoas sign~~ (~~extension of right leg at hip while patient lies on left side elicits~~ abdominal ~~pain~~)		*Signo del obturador (rotación interna y externa del muslo en la cadera provoca dolor
	*~~Obturator sign~~ (~~internal and external rotation of thigh at hip elicits pain~~		*[[Special:MyLanguage/Peritonitis\|Peritonitis]] sugerida por:
	*[[Special:MyLanguage/Peritonitis\|Peritonitis]] ~~suggested by~~:		**El golpe del talón derecho provoca dolor
	**~~Right heel strike elicits pain~~		**Rigidez muscular
	**~~Guarding~~		**Rebote
	**~~Rebound~~		**Rigidez
	**~~Rigidity~~
	~~</div>~~


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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Características operativas del examen clínico===
	===~~Clinical Examination Operating Characteristics===~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "===Historia==="

2026-01-25T16:28:59Z

Created page with "===Historia==="

← Older revision		Revision as of 16:28, 25 January 2026
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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Historia===
	===~~History===~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Ostermayer: Created page with "Ubicación del punto de McBurney (1), ubicado a dos tercios de la distancia desde el ombligo (2) hasta la espina ilíaca anterosuperior derecha (3)."

2026-01-23T08:21:05Z

Created page with "thumb|Ubicación del punto de McBurney (1), ubicado a dos tercios de la distancia desde el ombligo (2) hasta la espina ilíaca anterosuperior derecha (3)."

← Older revision		Revision as of 08:21, 23 January 2026
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	==Características clínicas==		==Características clínicas==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		[[File:McBurney's point.jpg\|thumb\|Ubicación del punto de McBurney (1), ubicado a dos tercios de la distancia desde el ombligo (2) hasta la espina ilíaca anterosuperior derecha (3).]]
	[[File:McBurney's point.jpg\|thumb\|~~Location of~~ McBurney~~'s point~~ (1), ~~located two thirds the distance from the umbilicus~~ (2) ~~to the right anterior superior iliac spine~~ (3).]]
	~~</div>~~