A Prospective Study of the Evaluation of Modified Alvarado Score in Diagnosis of Acute Appendicitis
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 8
Abstract
Background- Presentations of acute appendicitis can mimic variety of acute medical and surgical abdomino-thoracic conditions. Early diagnosis is a primary goal to prevent morbidity and mortality in acute appendicitis. Methods- After institutional ethical committee approval the present study was conducted in department of general surgery, RNT Medical College attached to M.B. Hospital, Udaipur, and Rajasthan. Patients presenting with pain in the right lower quadrant of abdomen, lasting fewer than 7 days who after clinical examination, provisionally diagnosed to have acute appendicitis will be included in the present study. Results- 22 patients with modified Alvarado score 7-9 were managed by appendicectomy and all were reported as appendicitis on HPE. Ninteen patients with modified Alvarado score 5-6 were managed by appendicectomy and 17 of them were reported as appendicitis on HPE and 2 patient were reported normal appendix on HPE. Nine patients with score 4 or less were treated by appendicectomy, 7 out of them reported as appendicitis on HPE and 2 patients were reported as normal appendix on HPE. Conclusion- It could well be concluded that in patients presenting with pain in right lower quadrant and with presumptive diagnosis of appendicitis modified Alvarado scoring system can be a useful aid in clinical diagnosis of appendicitis. It also helps to reduce the rate of negative appendicectomy. It is a simple user friendly method which practically involves no cost.
Authors and Affiliations
Surendra Saini
Keywords
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