ROLE OF ALVARADOSCORE IN DIAGNOSING ACUTE APPENDICITIS A HOSPITAL BASED STUDY

Dr. G. Kamalin Viji, Dr. S. Nambirajan

Abstract


Introduction

         Diagnosis of appendicitis is usually easy but still there is difficulty in diagnosing acute appendicitis mainly because of the challenge we face while diagnosing acute appendicitis on clinical grounds. The Alvarado scoring system in patients with pre- operative clinical diagnosis of appendicitis has been useful in the early diagnosis of acute appendicitis as demonstrated by various studies and was helpful in reducing the incidence of negative appendicectomies without increasing the morbidity and mortality

Aims

 To study the effectiveness of Alvarado score in  diagnosing Acute  Appendicitis and its correlation with histopathological examination. A prospective study was carried out from september 2016 to June 2018 in the Department of General surgery, Tirunelveli medical college hospital 

Results

Out of 100 patients studied the number of patients were highest in the age group 13 - 20 years [57%] followed by 21-30 years [27%].  Out of 69 patients operated, Ultrasonogram findings showed Acute appendicitis in 32 patients,  Alvarado score was in favour of acute appendicitis even though Ultrasonogram was normal in some patients. This study also shows that application of Alvarado scoring system in the diagnosis of acute appendicitis can provide a high degree of positive predictive value and thus diagnostic accuracy


Keywords


RIF pain, Alvarado Scoring, cutoff value, Treatment.

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References


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