“Modified Alvarado Scoring System” In Diagnosis Of “Acute Appendicitis” In Adults
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Introduction: The most common cause of surgical emergencies in the world is Acute Appendicitis. Appendicitis when progressing to perforation , has a higher mortality and morbidity, hence appendicitis has to be operated if the diagnosis is probable but not to wait still it is certain. Acute appendicitis is diagnosed by thorough clinical examination.Modified Alvarado scoring system was designed so that to reduce negative Appendicectomy rate hence to reduce the morbidity and mortality. Aim Of The Study : To evaluate sensitivity and efficiency of “Modified Alvarado Scoring System” in diagnosis of “Acute Appendicitis” in Adults. Methodology: A prospective study of 100 patients, with a clinical diagnosis of Acute Appendicitis admitted in the Department of General Surgery of Tirunelveli Medical College , was conducted during a period from December 2012 To August 2013. Conclusion: From present study it can be concluded that high scores of 7-9 in Modified Alvarado score is dependable aid in early diagnosis of acute appendicitis in men but it is not the same far as women are concerned due to other conditions mimicking appendicitis like ureteric colic, mesenteric adenitis, ruptured ectopic pregnancy, pelvic inflammatory disease, etc.
Authors and Affiliations
Dr, R. Selvan M. S, Dr.G.Kamalin Viji M.S
Keywords
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