To Study the Pattern of RIPASA (Raja Isteri Pengiran Anak Saleha Appendicitis) Score in Acute Appendicitis
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Acute appendicitis is the most common cause of an acute abdomen requiring surgery, with a lifetime risk of about 7%. Various scoring systems are used to aid the diagnosis. One of them is Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score. Present study was done to study the pattern of RIPASA in cases of acute appendicitis Material and Methods: This study was a prospective study conducted in 100 patients reporting to surgery department with complaint of pain in right iliac fossa, suspected for acute appendicitis. RIPASA score was calculated preoperatively in all these patients and diagnosis further confirmed through operative findings Results: Out of 100, 70 patients were males and 30 pateints were females. Majority of patients (76%) in this study group presented within first 48 hours of symptoms while 24% patients presents late after 48 hours of onset of symptoms. In this study out of 100 cases ultrasound was able to diagnose 90 cases while rest of 10 cases were diagnosed by CT scan. The sensitivity and specificity of RIPASA score were 90% and92.22% respectively Conclusion: RIPASA score is simple and valuable tool for diagnosis of acute appendicitis and can help the surgeons to reduce the rate of negative appendicectomy.
Authors and Affiliations
Ajay Singh, Amarjit Singh Kuka, Sabarjeet Singh, Pushpinder Singh Kuka
Keywords
Related Articles
- EP ID EP425747
- DOI -
- Views 115
- Downloads 0
Norfloxacin Tinidazole induced Steven Johnsons Syndrome: A Case Report
Introduction: Steven Johnsons Syndrome is a rare auto immune disorder which mainly includes skin and mucous membrane. It manifests as blisters on the skin, facial swelling and hyper pigmentation. Majority of the SJS case...
Genitourinary Fistulas – Our Experience
Introduction: Urogenital fistula is a physically, socially and psychologically devastating condition. Although advances occurred in the understanding of etiology, pathogenesis, diagnosis, and management, it still poses c...
A comparative Clinical Study of Intrathecal Hyperbaric Bupivacaine 0.5% with 25 mg Pethidine Versus 25 mg Tramadol for Infraumbilical Surgeries
Introduction: Requirement of post operative pain relief is mandated due to therapeutic reasons. It was this need of a cost effective but efficient mode of additional post operative analgesia which prompted us to study an...
Clinical Profile Polycystic Ovarian Syndrome - 100 Cases
Introduction: Polycystic ovary syndrome (PCOS) is most common endocrine disorders of reproductive age affecting 5% to 10% of women worldwide. It is a heterogeneous, multifactorial, complex genetic disorder. The objective...
Prevalence of Various Etiologic Factors Responsible for Epilepsy - A Hospital based Study
Introduction: Seizure is the most common neurological disorder occurring worldwide. Various etiologic agents are responsible for this condition. The chief risk factors include CNS infection, metabolic disorders and cereb...