A Study on the Accuracy of Alvarado Scoring System in the Diagnososis of Acute Appendicitis

Jedidiah, Samraj (2015) A Study on the Accuracy of Alvarado Scoring System in the Diagnososis of Acute Appendicitis. Masters thesis, Thanjavur Medical College, Thanjavur.


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BACKGROUND AND OBJECTIVE: Acute appendicitis is the most common surgical emergency. Failure to make an earlier diagnosis leads to complications like perforation and intra abdominal abscess. The objectives of the study are; 1. To study the accuracy of the Alvarado score system in the diagnosis of acute apprndicitis by comparing with the histopathological examination report of removed appendix. 2. To compare the negative laparotomy in this study against other study. METHODS: The study population consists of patient admitted with pain in the right iliac fossa and the diagnoses of acute appendicitis was confirmed by investigations like ultra sonogram abdomen and CT abdomen. The severity of the acute appendicitis is scored by Alvarado score and the patients were managed according to the severity. RESULTS: Most cases acute appendicitis presented with right iliac fossa pain and it was commoner in younger age group. Patients with higher Alvarado score were considered to have acute appendicitis. Such patients were initially resuscitated and the taken for emergency appendicectomy. Early surgical intervention reduced the morbitidy and mortality associated with acute appendicitis. Those patients with lesser scores were managed conservatively and discharged home. INTERPRETATION AND CONCLUSION: Alvarado scoring system has a higher sensitivity and positive predictive value. Thus scoring system is a dynamic one, allowing observation and re evaluation of clinical picture. Its value in decision making is high both in males and females. In females the reason is multifactorial and diagnostic laparocopy is essential. Its application improves diagnostic accuracy and considerably reduces the negative laparotomy rate. The score system is quite and cost effective.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Acute appencitis ; Alvarado score ; emergency appendicectomy.
Subjects: MEDICAL > General Surgery
Depositing User: Punitha K
Date Deposited: 04 May 2018 18:26
Last Modified: 04 May 2018 18:49
URI: http://repository-tnmgrmu.ac.in/id/eprint/7455

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