When there is pain and tenderness in right iliac fossa (R.I.F). Think of Appendicitis and Amoebic colitis. Fever, Tachycardia, loss of apetite or vomiting suggest appendicitis.

If pain and tenderness are severe,

Give:

Inj. Gentamycin 80mg. IM (antibiotic)

Inj. Novalgin or

Inj. Voveron 2cc IM (Analgesic) and refer the patient to the surgeon

In Pain and tenderness are mild.

Give:

Cap. Norflox 500mg tds x 5 (Antibiotic)

Tab. FASIGYN DS 1 BD x 3 (Anto amoebic)

Tab. ANAFORTAN 1 tds x till pain (Antispasmodic)

Forment over R.I.F

If localsed tenderness in R.I.F persists after a course of antibiotic and antiamoebic, then clinical diagnosis of chromic appendicitis is almost certain.

In acute case, High WBC count> 10,000/ cu mm. suggests acute appendicitis, RBC’s in urine suggests ureteric colic and E. Histolytica in stools suggests amoebic colitis.

Inj. Novalgin

Cap. Norflox

Tab. FASIGYN