Manifestations of Acute Appendicitis: A Prospective Study on Acute Abdominal Pain

2013 ◽  
Vol 30 (3) ◽  
pp. 198-206 ◽  
Author(s):  
H. Laurell ◽  
L.-E. Hansson ◽  
U. Gunnarsson
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Prospective Study ◽  
Acute Abdominal Pain ◽  
A Prospective Study

Clinical spectrum of acute abdominal pain in Turkish pediatric patients: A prospective study

2004 ◽  
Vol 46 (3) ◽  
pp. 325-329 ◽  
Author(s):  
Tulay Erkan ◽  
Halit Cam ◽  
Hilda Cerci Ozkan ◽  
Evrim Kiray ◽  
Ethem Erginoz ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Prospective Study ◽  
Pediatric Patients ◽  
Acute Abdominal Pain ◽  
Clinical Spectrum ◽  
A Prospective Study

Accuracy of bedside emergency physician performed ultrasound in diagnosing different causes of acute abdominal pain: a prospective study

2015 ◽  
Vol 39 (3) ◽  
pp. 476-479 ◽  
Author(s):  
Seyyed Abbas Hasani ◽  
Marzieh Fathi ◽  
Marzieh Daadpey ◽  
Mohammad Amin Zare ◽  
Nader Tavakoli ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Prospective Study ◽  
Emergency Physician ◽  
Acute Abdominal Pain ◽  
A Prospective Study

scholarly journals Predictive Value of Alvarado Score and Ultrasound in the Diagnosis of Acute Appendicitis (A prospective study

2021 ◽  
Vol 62 (4) ◽  
pp. 99-103
Author(s):  
Waleed Saadi Ahmed ◽  
Salah M. Tajer ◽  
Hend M. Sayaly
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
General Surgeon ◽  
Emergency Ward ◽  
Alvarado Score ◽  
Combined Application ◽  
Abdominal Emergencies ◽  
A Prospective Study

Background:  Acute appendicitis is the commonest non traumatic cause of acute abdominal pain that needs surgical management .Alvarado score and ultrasonographies are the most cost effective, easy and available aids for diagnosis. The aim of the study was determining   the reliability of Alvarado score and ultrasound in the diagnosis of acute appendicitis. Results: The study was applied with 100 cases with different types of abdominal pain at presentation with 51 males and 49 females .The sensitivity was97.3% ,specificity 90%, and accuracy  89 of combined usage of Alvarado score and U/S findings preoperatively. Patients and method:  A prospective non-interventional study including patients admitted with suggestive history with signs and symptoms of acute appendicitis to the surgical emergency ward of Baghdad teaching hospital from July 1st 2017 to Feb 10th 2018, Alvarado score calculated and ultrasonography done for each patient enrolled in this study, then to be followed for intraoperative findings. Conclusions: Combined application of Alvarado score and U/S has sensitivity 94.1% ,specificity 90% and accuracy 89% . In our medical facility and emergency ward, acute appendicitis remains as one of the top acute abdominal emergencies needing surgery in patients presenting with atypical clinical finding. So diagnosis becomes difficult. So Alvarado score along with ultrasound findings are useful for increasing the reliability in emergency department for  accurate diagnosis of acute appendicitis therefore there should be training for the use of U/S by emergency physician and general surgeon in the diagnosis of acute appendicitis in order to decrease the rate of negative appendectomies .  

scholarly journals THE COMPARATIVE ANALYSIS OF ALVARADO AND PAS SCALES IN THE DIFFERENTIAL DIAGNOSTICS OF ACUTE ABDOMINAL PAIN IN CHILDREN

2020 ◽  
Vol 23 (6) ◽  
pp. 309-313
Author(s):  
Viktor G. Vakulchyk
Keyword(s):  
Clinical Trial ◽  
Abdominal Pain ◽  
Comparative Analysis ◽  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Acute Abdominal Pain ◽  
Differential Diagnostics ◽  
Current Trends

Introduction. Current trends in the diagnostics of acute appendicitis have the following main objectives: to improve the diagnostic accuracy in destructive forms; to reduce the number of negative appendectomies and diagnostic laparoscopies. Purpose. To compare the effectiveness of Alvarado and PAS scales and to find out which of them is more appropriate in the differential diagnostics of acute abdominal pain in children. Material and Methods. A prospective randomized blind clinical trial was performed. 326 children aged 5-17 years with abdominal pain were examined. Results. No significant advantages of any of the analyzed scales were found in the differential diagnostics of acute abdominal pain in children aged 5-17 years. Both scales can be used in the primary stratification of patients. With the conclusion “Acute appendicitis is likely possible,” the level of non-diagnosed cases of acute appendicitis will not exceed 3%. Conclusions. Further assessment of various scales for the diagnostics of acute appendicitis in children has to be done in order to select the optimal one. The obtained results urge to make scales’ modification so as to improve the diagnostic accuracy and to reduce the number of negative appendectomies and diagnostic laparoscopies.

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