To compare and evaluate diagnostic accuracy of Modified Alvarado score in co-relation to histopathology report for diagnosis of acute appendicitis. Materials and methods Study Design: A Cross Sectional Study of 100 patients with complaint of Lower Abdominal pain. Place of Study: Trichy SRM medical hospital and research centre period of study -Janaury 2017 to January 2019. Inclusion criteria Patients hospitalized with abdominal pain suggestive of acute appendicitis. Age range of 15 -50 years Both males and females Ability to understand and give consent Exclusion criteria Patients less than 15 years of age and older than 50 years. Patients who have underwent Appendicectomy previously. Chronic/Subacute/Recurrent Appendicitis Results 1. Histopathological diagnosis was accepted as the final confirmation of the diagnosis. 2. Though large number of consultants were involved in clinical diagnosis of acute appendicitis, no significance was attached to the inter observer variation.
Conclusion:The study concludes that establishing diagnosis in cases of suspected acute appendicitis might require a combination of different diagnostic tools such as modified Alvarado score, investigative modalities such as ultrasonography and the indispensible clinical judgment.
Background: In our era of improved care at primary and secondary health care centres, we wanted to study the epidemology and clinicoradilogical presentation of acute appendicitis in our tertiary care centre. Materials and Method: The age and sex incidence, position of appendix, radiological corelation with clinical diagnosis were analysed retrospectively of 132 cases of acute appendicitis out of 200 cases of acute abdomen which were treated surgically in department of general surgery Trichy SRM medical college, from October 2018 to October 2019. Results: Highest incidence of appendicitis was 61 cases (46.21 %) were in the 21-30years age group, among 32 cases 88 cases (66.67%) were male and 44 cases (34.09%) were female, Retrocaecal position was 68.18% and 95% of times radiological corelation was positive or acute appendicitis. Conclusion: Our study showed highest incidence of acute appendicitis in the age group of 21-30 yrs with male preponderance. Most common position of tip of appendix was retrocaecal and radiological corelation of diagnosis of acute appendicitis was 95%.
Background: Acute abdominal pain is one of the most frequent causes of admission to emergency departments. Here the difference of outcomes or etiology of acute abdominal pain according to age is an important criteria. The aim is to study the age and sex distribution of these conditions. In Trichy SRM
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