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Category: Volume 06 Issue 02 February 2018
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Title: Application of Alvarado Scoring System in Diagnosis of Acute Appendicitis

Authors: Dr Ramgopal Meena, Dr Vishal Kumar Neniwal, Dr Akhilesh Meena,  Dr Pankaj Sharma, Dr Manish Khandelwal

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.108

Abstract

Objective: Acute appendicitis is one of the most common surgical emergencies around the world with Surgery for acute appendicitis is most frequent operation performed being 10% of all emergency abdominal operation. Removing of normal appendix is an economical burden both on patients and health resources. Misdiagnosing and delay in surgery can lead to complications like perforation and finally peritonitis.

Material & Methods: A prospective study was conducted in department of Surgery Jawahar Lal Nehru Medical College and Hospitals with a clinical diagnosis of acute appendicitis. The purpose of this study is to evaluate value of Alvarado score in 50 patients of right lower quadrant abdominal pain suspected as acute appendicitis.

Result: A total 50 patients operated for acute appendicitis on the application of Alvarado score.32 male and 18 female patients in this study. Pain present in all patient in RIF along with nausea, vomiting, anorexia. Almost all patients observed tenderness in RIF, 44% patients show leucocytosis.

Conclusion: To conclude that when the Alvarado score is more than 7, no false positive result obtained. Thus the application of Alvarado scoring system increases the sensitivity and specificity for diagnosis of acute appendicitis with the added advantages of being simple and easy to use.

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Corresponding Author

Dr Vishal Kumar Neniwal

3rd year Resident Surgery Dept. G.M.C. Kota

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