THE INTRODUCTION OF CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF SUSPECTED APPENDICITIS IN FEMALE PATIENTS MAY INFLUENCE COMPUTED TOMOGRAPHY USAGE
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 6
Abstract
Introduction- Concerns about the radiation exposure have led to decrease in use of computed tomography (CT) in appendicitis, with increased reliance on the ultrasound. Females with appendicitis should be risk stratified using the combination of the clinical signs and symptoms, white blood cell count (WBCs), and ultrasound in order to show further evaluation and management. Material and Methods-We prospectively evaluated the clinical guideline in female patients with suspected . Patients appendicitis were riskstratified based on the history, physical examination findings, and laboratory results. Imaging was ordered selectively based on the risk category, with ultrasound as initial imaging modality. Computed tomography was ordered if US was indeterminate or negative. Results- One hundred and twenty patients were involved in the study with 49 patients having had appendicectomies for appendicitis while 71 were not diagnosed with apendicititis. CT usage was less in the post guideline implementation. There was not much difference between the sensitivity and the specificity of Ct and USG findings. Conclusion- We concluded that hospitals with the high CT usage rates for appendicitis may reduce their CT usage to be reliable with national average & clinical practice guidelines.
Authors and Affiliations
Dr. Prashant Pandey, Dr. Madhulika Mishra
Keywords
Related Articles
- EP ID EP580555
- DOI -
- Views 20
- Downloads 0
A COMPARATIVE STUDY OF CLOSED REDUCTION AND PERCUTANEOUS CROSSED PINNING VS OPEN REDUCTION AND CROSSED PINNING IN GARTLAND TYPE III SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN.
Background: Many methods have been proposed to treat displaced supracondylar fractures of the humerus in children, most are either closed reduction and pinning in different configurations or Open reduction and pinning wi...
A STUDY OF ANTHROPROMETRIC PARAMETERS OF ANTERIOR BORDER OF 100 HUMAN HIP BONES OF NORTH INDIAN REGION
hip bone is a large irregular innominate bone which is useful in determining the sex of an unknown individual because of the morphology and its differences in shape in males and females. Present study was aimed to study...
INTRATHECAL FENTANYL VERSUS DEXMEDETOMIDINE AS ADJUVANTS TO HYPERBARIC BUPIVACAINE IN INFRAUMBILICAL SURGERIES
The study evaluated and compared the efficacy of intrathecal fentanyl 25μg and dexmedetomidine 5μg with 0.5% hyperbaric bupivacaine. Each study group consisted of 25 patients. Patients were randomly divided to receive in...
ROLE OF NIGELLA SATIVA IN RENOPROTECTION
Objective: To evaluate the role of Nigella sativa in renoprotection Material and Methods: This prospective, comparative study was completed in a tertiary care centre of north India in patients of Chronic Kidney Disease (...
MALIGNANT INFANTILE OSTEOPETROSIS
Osteopetrosis is a disorder involving defective bone resorption [1]. Two main forms of osteopetrosis have been delineated: a severe autosomal recessive form with an incidence of 1 in 250,000 births and a mild autosomal d...