Title: Evaluation of Modified Alvarado Score and Ultrasonography for the Diagnosis of Acute Appendicitis at Tertiary Care Hospital in Western Rajasthan
Authors: Samay Singh, Ashok Kumar, Diwan Jakhar, Dharmveer
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.17
Abstract
Background: Acute appendicitis is most common cause of pain abdomen. The diagnosis of which remain difficult in many cases.
Methods: A 100 consecutive patients suspected of acute appendicitis who were admitted in department of surgery, sardar patel medical college & AGH, Bikaner, Rajasthan. They were prospectively evaluated using the modified Alvarado scoring (MAS) to determine whether or not they had acute appendicitis. The MAS was correlated with USG and histopathological findings.
Results: 78 (true positive) patients who had MAS 7 or more had appendicitis on histopathology while no patients (false positive) had a normal appendix; 15(false negative) patients with MAS less than 7 had appendicitis and 7(true negative) had a normal appendix removed.
Conclusion: The MAS should be combined with USG for the diagnosis of acute appendicitis. But nothing can replace careful evaluation by an experienced surgeon.
Keywords: Modified Alvarado Score (MAS), Acute appendicitis, false positive.
