Selva Sankar, S (2016) Role of modified alvarado scoring in acute appendicitis and its histopathological correlation in Government Vellore Medical College Hospital. Masters thesis, Government Vellore Medical College, Vellore.
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Abstract
BACKGROUND: Acute Appendicitis is more common surgical emergency encountered in day to day surgical practice. There are many methods for diagnosis of acute appendicitis both by clinically and radiologically. The delay in diagnosis usually leads on to various complications that causes increase in both morbidity and mortality of the patient. AIMS AND OBJECTIVES: To study the effectiveness of Modified Alvarado score in acute appendicitis & to correlate the same with post operative histo pathological report in acute appendicitis. METHODS: In this study 100 patients with features suggestive of acute appendicitis were included. Modified Alvarado score is used for scoring the patients and their post operative histo pathological features were evaluated and p value is calculated accordingly about p=0.0001 which is found to be significant by chi square test. RESULTS: Among the 100 patients the prevalence of acute appendicitis is more commonly seen in patients who were scored >7 (41/46) ie about 89% . The patients with score between 5-7 were found to be within the reactive lymphoid hyperplasia group (30/42) ie about 71%. The patients with score 1-4 was found to be in the group of reactive lymphoid hyperplasia(7/12) ie 58.3% and others with unremarkable pathology(5/12) ie 41.7%. CONCLUSION: Modified Alvarado score is used in diagnosing acute appendicitis(13) and with score > 7 is most commonly seen with acute appendicitis by post operative histo pathological report and patients with score 5-7 are observed and followed up(12). Those with score 1-4 are being observed have shown less chances of appendicitis.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Acute appendicitis ; Modified Alvarado scoring system ; Histopathology. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 27 Sep 2017 03:54 |
| Last Modified: | 27 Sep 2017 03:54 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3394 |
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