A study on the usefullness of pediatric appendicitis scoring system in the diagnosis of acute appendicitis

Sathyanarayanan, M (2014) A study on the usefullness of pediatric appendicitis scoring system in the diagnosis of acute appendicitis. Masters thesis, Stanley Medical College, Chennai.

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Abstract

Acute appendicitis is the most common surgical emergency worldwide. If not detected early and treated, it can lead to perforation, peritonitis,& abscess formation. Despite many advances in imaging modalities, the diagnosis of this condition is essentially clinical. In children, because of poor development of omentum, the rate of perforation is high. Hence to detect this condition early and to reduce the rate of negative appendicitis in children, many scoring systems have been developed. Our study deals with the PEDIATRIC APPENDICITIS SCORING SYSTEM by ,Madhan Samuel. In this study, about 50 children between the age group 4-15 years of age presenting with acute abdominal pain to Govt Stanley Medical College were selected and PAS was applied. Each of them were assigned a score based on 8 variables to a total score of 10.They were into 3 groups those with >8 were taken up for surgery, <4 were discharged and those with scores 5-7 were subjected to imaging and taken up for surgery if proven by imaging. The groups were compared and the sensitivity of the test was 97%, specificity was 85 % and positive predictive value was comparable to the original study. The study showed that PAS can be used as adiagnostic tool in the diagnosis of acute appendicitis in children.

Item Type: Thesis (Masters)
Uncontrolled Keywords: pediatric appendicitis scoring system ; acute appendicitis.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 05 Jul 2018 03:44
Last Modified: 05 Jul 2018 04:01
URI: http://repository-tnmgrmu.ac.in/id/eprint/8639

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