ACUTE APPENDICITIS WITH NORMAL TOTAL WBC COUNTS, A SINGLE CENTRE EXPERIENCE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 4
Abstract
Background: Acute appendicitis is the most common general surgery emergency. Prompt diagnosis minimizes morbidity and mortality. Historically the diagnosis would be clinical. One of the most frequently used laboratory investigation especially in developing regions is the WBC count. Although the total WBC count is elevated in the majority of the patients, normal total WBC count does not rule out acute appendicitis. Materials and methods: A prospective study of patients who underwent emergency appendectomy at our hospital for suspected acute appendicitis between January 2018 and December 2018 was carried out. Patients were studied with respect to preoperative complaints, clinical examination findings, laboratory and imaging results. Patients were specifically analyzed with respect to total and differential WBC counts. Patients with histopathologically confirmed appendicitis were divided into two groups, one with normal and the other with elevated total WBC counts. Results were analyzed and statistical significance determined. Results: A total of 386 patients underwent an emergency appendectomy for presumed appendicitis between January 2018 and December 2018. 377 patients were found to have acute appendicitis, simple or complicated on exploration, subsequently verified on histopathology. The total WBC count was found to be normal in 55 patients (14.58%) as compared to elevated total WBC counts found in 322 patients (85.41%). Polymorphonuclear leucocytes were more than 75% in 52 of the patients (94.54 %) with normal total WBC counts. The same was found in 306 (95.03 %) patients with elevated total WBC counts. Conclusion: A normal total WBC count does not rule out the diagnosis of acute appendicitis straightaway. The differential WBC count seems to be a more important predictor of acute appendicitis than the total WBC count alone.
Authors and Affiliations
Syed Rayees, Ajaz Ahmad Rather.
ELECTRONEGATIVITY: EXPECTATION VALUE OF POWER OF AN ATOM IN A MOLECULE.
Advancing theory of electronegativity , new approach is established by the study of binding (or bonding) state in between two homo- atoms or hetero- atoms. Electronegativity is a confused as it is sandwiched among three...
DETERMINANTS OF COST OF EQUITY CAPITAL.
This study aims to identify the effect of information asymmetry, right issue, interest rate, inflation rate, return on asset(ROA), earning per share (EPS), price to earning ratio (PER), debt to equity ratio(DER) to cost...
CORNEAL ALTERATION IN EYES WITH PSEUDOEXFOLIATION SYNDROME.
Background: Pseudoexfoliation syndrome (PXS) is an age-related systemic microfibrillopathy, caused by gradual deposition of extracellular grey and white material over various tissues .In pseudoexfoliation eyes, corneal e...
NARRATIVE TRANSFORMATIONS, AS ONE OF THE MAIN INSTRUMENT FOR MODELING NARRATIVE DISCOURSE.
The manuscript presents an investigation of the peculiarities of modeling narrative transformations in the discourse of ?stream of consciousness? and their representation in the fiction on the basis of W. Faulkner\'s nov...
INNOVATION DYNAMICS: A STUDY OF DIFFUSION MODEL WITH EFFICIENCY RESTRICTIONS AND POLICY MAKING.
Technology is the privilege. One can?t simply define the future prediction if he/she doesn?t give priority to the theoretical assumption rather than just doing the R&D. Technology really changes over the time. Technologi...