Determination of Sensitivity and Specificity of Modified Alvarado Score and Ultrasonography in Patients with Acute Appendicitis

Autor: Nishikant Gujar, Sajid Mudhol, Ravi Kumar Choudhari, Sachin D.M.
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Krishna Institute of Medical Sciences University, Vol 04, Iss 02, Pp 89-99 (2015)
Druh dokumentu: article
ISSN: 2231-4261
Popis: Background: In spite of improvement in modern diagnostic technology, diagnosis of appendix based on clinical suspicion, leads to removal of normal appendix some time, Modified Alvardo Score system is helpful in minimizing same. Aim: To evaluate the sensitivity and specificity of Modified Alvarado Score (MAS) and Ultrasonography (USG). Material and Methods: 350 patients suspected of acute appendicitis were admitted, investigated and treated. They were evaluated using Modified Alvarado Scoring and all cases were subjected to ultrasonography. The sensitivity and specificity of Modified Alvarado Score and Ultrasonography were correlated with histopathological findings. Results: Modified Alvarado score >7 were seen in158 patients in whom 151(95.60%) were histopathologically proved acute appendicitis and 7 (4.43%) patients were histopathologically negative. Modified Alvarado score 7, 152 (96.2%) were ultrasonographically diagnosed as acute appendicitis and 6(3.8%) patients were ultrasonography negative. Among 192 patients those with Modified Alvarado Score
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