A Study of Modified Alvarado Score and Rovsing’s Sign in Diagnosis of Acute Appendicitis
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 7
Abstract
Background: Acute appendicitis remains a common abdominal emergency throughout the world. The diagnosis of acute appendicitis continues to be difficult due to the variable presentation of the disease and the lack of reliable diagnostic test. None of the investigations such as ultrasonography and computed tomography can conclusively diagnose appendicitis. Hence, even to date, a thorough clinical examination with basic investigations like white blood cells count remains cornerstone in the diagnosis of acute appendicitis. This study aims to evaluate the usefulness of modified Alvarado score and Rovsing’s sign in diagnosing acute appendicitis. Materials and Methods: Patients presenting with pain in the right iliac fossa and suspected to have appendicitis into unit 4 of general surgery, Osmania General Hospital, during the period of December 2017–June 2018 are included in the study, Results: Migratory pain, nausea, and anorexia are presented in only up to half of the patients having inflamed appendix and Rovsing’s sign was positive in 93.7% of patients. 31% of patients with scores <7 have inflamed appendix. Conclusion: The study shows the need for downgrading the value given to anorexia, nausea, migratory pain, and inclusion of Rovsing’s sign in diagnosing acute appendicitis.
Authors and Affiliations
Gandla Anil Kumar, B Nagendar
Keywords
Related Articles
- EP ID EP482310
- DOI -
- Views 119
- Downloads 0
Study of Lipid Profile in Patients with Chronic Kidney Disease on Conservative Management and Hemodialysis
Background: Chronic renal failure results in profound lipid disorders which stem largely from the deregulation of high-density lipoproteins (HDL) and triglyceride-rich lipoprotein metabolism which increases the risk of a...
Fiber-reinforced Composite Resin Fixed Partial Denture to Restore Missing Anterior Teeth: A Case Report
Prosthetic dentistry constantly evolving as a result of innovative treatment solution based on new material, treatment technique, and technologies. The advent of fiber reinforced has further increased the potential uses...
Role of a Dental Surgeon in Management of Oral Cancer Patients: A Review Article
In the 21st century, oral cancer is rapidly becoming a global health priority. Head and neck cancer ranks among the top three cancers in India and its treatment involves radiotherapy, which has various dental complicatio...
Study of Incisional Hernia in Relation to Specific Risk Factors
Background: Incisional hernia is a serious post-operative complication of laparotomy. Its incidence following abdominal surgery ranges from 2% to 11%, and it accounts to 15–20% of all abdominal wall hernias. A number of...
A Rare Case of Leiomyosarcoma with Hemoperitoneum in Pregnancy
Uterine leiomyosarcoma during pregnancy is an extremely rare event. We report a retrospectively diagnosed case of a ruptured primary uterine leiomyosarcoma with hemoperitoneum diagnosed during pregnancy. The patient came...