Appendicitis in a Community Hospital

Ross, F. Patrick

doi:10.1001/archsurg.1962.01310060172033

Cited by 15 publications

(1 citation statement)

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“…However, there is some international improvement in the diagnosis of acute appendicitis due to modern imaging techniques and the development of different scoring system, based on the clinical symptoms and signs, as well as laboratory investigations 25 . The study revealed that the negative appendicectomy rate was 11.8%, which is comparable with other global studies shown on table 3 [26][27][28][29][30][31][32][33][34][35] .…”

Section: Discussionsupporting

confidence: 83%

The sensitivity and specificity of the conventional symptoms and signs in making a diagnosis of acute appendicitis

Idris¹,

Shalayel²,

Awad³

et al. 2009

Sud Jnl Med Sci.

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Introduction: Simple appendicitis can progress to perforation, which is associated with a much higher morbidity and mortality. So, surgeons have therefore been inclined to operate when the diagnosis is probable rather than wait until it is certain. Objective: This study is designed to evaluate the sensitivity and specificity of clinical examination in the diagnosis of acute appendicitis. Methods: The study included 866 patients of acute appendicitis who had undergone appendicectomy with preoperative diagnosis of acute appendicitis. They were analyzed retrospectively. The parameters evaluated were age/gender, clinical presentation (signs and symptoms) and total white blood cell counts. The operative findings were recorded and the inflammation of the appendix was graded into normal, acutely inflamed and gangrenous. Results: Clinical diagnosis was made correctly in 807 (93.2%) of the patients. White blood cells count ranged from 3.70 to 45.30 /mm 3 (mean 17.5353 /mm 3). It was <10,000/mm 3 in 133 (15.4%) patients. Conclusions: Clinical assessment is the best criterion to reach a confident diagnosis. Investigations may supplement the diagnosis but are never a substitute for it.

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Section: Discussionsupporting

confidence: 83%