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
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