Introduction: Acute appendicitis is one of the most common surgical emergency making up to 10%of all emergency abdominal surgeries. It is difficult to diagnose acute appendicitis in young, elderly patients and female of reproductive age group because they have atypical presentation. No investigation is fool proof combination of clinical history, physical examination and laboratory studies lead to development of several scoring systems.

Material and Methods: 60 subjects of both age and sex presenting with pain in right iliac fossa and suspected to have acute appendicitis enrolled for the study.

Result: These findings were statistically significant. (p value <0.05) Sensitivity of the ANDERSON scoring system in the study was 76.6%, specificity came out to be 100%. The positive and negative values were 100% and 21.43% respectively.. Apart from ALVARDO and modified ALVARDO score Anderson score (appendicitis inflammatory response score ) was developed with better sensitivity and specificity for diagnosis of appendicitis

Conclusion: Anderson score (appendicitis inflammatory response score) was developed with better sensitivity and specificity for diagnosis of appendicitis.

Keywords: Acute Appendicitis, Anderson Score, Alvardo and modified ALVARDO score

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Dr Sahjanand Prasad Singh

Associate  Professor & HOD, Department of General Surgery, Vardhman Institute of Medical Sciences(VIMS) ,  Pawapuri, Nalanda, Bihar-803115

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