6. The Combined Role of Alvarado Score and Ultrasonography for the Diagnosis of Acute Appendicitis
Zulfiqar Ali1, Wasfa Gul2, Allauddin3 and Haroon Javaid Majid4
ABSTRACT
Objectives: Objective of the study was to evaluate use of Alvarado score and ultrasonography in diagnosis of acute appendicitis.
Study Design: Cross sectional study
Place and Duration of Study: This study was conducted at Department of Surgery along with Department of Radiology at Shaikh Zayed Hospital Lahore from 1st January 2013 to 31st August 2013.
Materials and Methods: 250 patients of Alvarado Score were enrolled for the diagnosis of acute appendicitis attending out-patient, accident & emergency departments.
Results: There were 184 (74%) were males and 66 (26%) were females with mean age of 35.27±12.57 years. One hundred and seventy patients had anorexia while 76 patients had no anorexia. 49.6% patients while in 50.4% were reported anorexia. Right iliac fossa was noted in all patients. 95% patients had rebound tenderness 203 patients have elevated temperature.
Conclusion: Alvarado score is a simple and reliable non-invasive diagnosis modality without any extra cost and complication. It has also proved to be handy for our peripheral h spital settings where backup facilities not available. By application of Alvarado scoring system with non-invasive ultrasonography improves diagnosis accuracy by reducing negative appendicectomies hence reducing complicati ns rate in our settings. Key Words: Acute appendicitis, Alvarado score, Ultrasonographic and histopathology findings
Citation of article: Ali Z, Gul W, Allauddin, Majid HJ. The ombined Role of Alvarado Score and Ultrasonography for the Diagnosis of Acute Append t s. Med Forum 2016;27(8):19-23.