Akali's Mark of the Assassin

I was wondering what all does the term "melee attacks" include. From what I can see it includes only her basic attacks and nothing else. Does it include items or what? Because melee is a confusing term, I'd assume melee meant all attacks (including items) by definition. Should it be changed to basic attacks, or do item attacks also set off the second hit? B/c honestly the first hit doesn't do much damage and the combo damage is what makes her q worth while. Please inform me, or does she need a rewording to match other champs who state basic attacks set off the damage.