Evaluation of Modified Alvarado Score and Ultrasonography for the Diagnosis of Acute Appendicitis at Tertiary Care Hospital in Western Rajasthan
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 1
Abstract
Background: Acute appendicitis is most common cause of pain abdomen. The diagnosis of which remain difficult in many cases. Methods: A 100 consecutive patients suspected of acute appendicitis who were admitted in department of surgery, sardar patel medical college & AGH, Bikaner, Rajasthan. They were prospectively evaluated using the modified Alvarado scoring (MAS) to determine whether or not they had acute appendicitis. The MAS was correlated with USG and histopathological findings. Results: 78 (true positive) patients who had MAS 7 or more had appendicitis on histopathology while no patients (false positive) had a normal appendix; 15(false negative) patients with MAS less than 7 had appendicitis and 7(true negative) had a normal appendix removed. Conclusion: The MAS should be combined with USG for the diagnosis of acute appendicitis. But nothing can replace careful evaluation by an experienced surgeon.
Authors and Affiliations
Samay Singh
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