WHITE BLOOD COUNT AS A DIAGNOSTIC PARAMETER IN ACUTE APPENDICITIS: A DOUBLE BLIND STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 6
Abstract
Although appendicectomy is the most commonly done emergency surgery still its diagnosis remains an enigmatic challenge, with persisting high rate of negative explorations. The objective of the study was to evaluate the role of accuracy of WBC measurement in the diagnosis of acute appendicitis and to reduce the morbidity by avoiding negative explorations. METHODS: The present study was conducted in 50 patients at the hospital have been clinically diagnosed by surgeons as having acute appendicitis and posted for emergency appendicectomy. Preoperatively blood was sent for WBC estimation, (more than 10,000 per mmg) after operation all specimens were sent for HPE examination; results of WBC were correlated with HPE reports to evaluate their role in diagnosis of acute appendicitis. RESULTS: In present study, WBC has highest sensitivity and specificity of 97.7% and 85.7% with positive predictive value of 97.7%. Hence it was proved that WBC level can be used to rule out negative appendicitis, so that surgery can be deferred in them and to reduce rate of negative appendicectomies. INTERPRETATION AND CONCLUSION: We continue to stress that history and clinical examination by a skilled surgeon still remain indispersible in diagnosis of acute appendicitis, and its importance cannot be undermined. But WBC helps to reduce negative appendicectomy rate drastically and hence should always be included in diagnostic work up of acute appendicitis
Authors and Affiliations
Chaitra S.
Keywords
Related Articles
- EP ID EP221392
- DOI 10.18410/jebmh/2014/56
- Views 69
- Downloads 0
A CLINICAL STUDY OF HELLP SYNDROME
BACKGROUND HELLP syndrome is an acronym for Haemolysis (H), Elevated Liver Enzymes (EL) and Low Platelet (LP). This is a rare complication of preeclampsia (10-15%). HELLP syndrome may develop even without hypertension. T...
MANAGEMENT OF FRACTURE NECK OF FEMUR BY HIP ARTHROPLASTY WITH BIPOLAR HIP PROSTHESIS
BACKGROUND Fracture neck of femur as well as hip fractures in general, represent a major challenge to today’s healthcare systems, probably due to higher mortality and morbidity, frequent lengthy hospitalisation and post-...
A CASE OF ANGLE-CLOSURE GLAUCOMA SECONDARY TO CHRONIC ANTERIOR UVEITIS
Elevation of intraocular pressure secondary to intraocular inflammation frequently presents a diagnostic & therapeutic challenge. Secondary glaucoma is more common in chronic anterior uveitis. We present a case of the sa...
A CASE SERIES OF CYSTIC LESIONS OF CONJUNCTIVA
INTRODUCTION: Cysticercosis is the most common parasitic disease of the nervous system. The disease occurs when humans become the intermediate host in the life cycle of Taenia solium by ingesting its eggs from contaminat...
A RARE CASE REPORT OF SCHWANNOMA OF RIGHT LOWER EYE LID
INTRODUCTION: Schwannoma, also referred to as neurilemmoma, is a benign tumor of peripheral nerve arising from Schwann cells that form the neural sheath. These tumours along with neurofibromas form the two most common pr...