scholarly journals Clinical Approach in the Diagnosis of Acute Appendicitis

2018 ◽  
Author(s):  
Alfredo Alvarado
Keyword(s):  
Acute Appendicitis ◽  
Clinical Approach

scholarly journals The Diagnostic Role of Hyperbilirubinemia in Complicated and Non -complicated Appendicitis.

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Valon Zejnullahu ◽  
Rozalinda Isjanovska ◽  
Besnik Bicaj ◽  
Vjosa A. Zejnullahu ◽  
Astrit R. Hamza ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Clinical Signs ◽  
Cross Sectional Study ◽  
Complicated Appendicitis ◽  
Clinical Approach ◽  
Cross Sectional ◽  
Laboratory Marker ◽  
Diagnostic Role ◽  
Sensitivity Specificity

Background: Acute appendicitis is one of the most frequent causes of abdominal pain. Early diagnosis is the key to success for the surgeon, followed by the treatment with operation or conservative treatment as a new approach, before the stage of gangrenous appendicitis or perforation occurs.Aim: This study aims to establish he role of hyperbilirubinemia as a laboratory marker in prediction of acute appendicitis in the early diagnosis.Materials and methods: This is a cross-sectional study; it included 201 patients admitted in the emergency ward with suspicion for acute appendicitis. All patients that participated in this study have been subject to appendectomy. The blood samples were taken from all patients in order to analyze the level of total/direct bilirubin.Results: The study samples of 201 patients consisted of 67.7% with complicated appendicitis and 32.3% with non-complicated appendicitis. The sensitivity, specificity, PPV, NPV for laboratory marker, as predictor for complicated vs non-complicated cases of appendicitis was as follows: Total bilirubin; specificity (72.3%), sensitivity (54.4%), PPV (80.4%), NPV (43.1%),Conclusion: Elevation of total/direct bilirubin level in patients with clinical signs of acute appendicitis might predict the stage of acute appendicitis, such prediction may help surgeons to provide accurate treatment of the disease without delay in the diagnosis. This accuracy can be further supplemented by using Alvarado scoring model during the clinical approach.

scholarly journals The Diagnostic Role of Hyperbilirubinemia in Complicated and Non -complicated Appendicitis

2018 ◽  
Vol 2 (2) ◽  
pp. 151-162
Author(s):  
Valon Zejnullahu ◽  
Rozalinda Isjanovska ◽  
Besnik X. Bicaj ◽  
Vjosa A. Zejnullahu ◽  
Astrit R. Hamza ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Clinical Signs ◽  
Cross Sectional Study ◽  
Complicated Appendicitis ◽  
Clinical Approach ◽  
Cross Sectional ◽  
Laboratory Marker ◽  
Diagnostic Role ◽  
Sensitivity Specificity

Background: Acute appendicitis is one of the most frequent causes of abdominal pain. Early diagnosis is the key to success for the surgeon, followed by the treatment with operation or conservative treatment as a new approach, before the stage of gangrenous appendicitis or perforation occurs.Aim: This study aims to establish he role of hyperbilirubinemia as a laboratory marker in prediction of acute appendicitis in the early diagnosis.Materials and methods: This is a cross-sectional study; it included 201 patients admitted in the emergency ward with suspicion for acute appendicitis. All patients that participated in this study have been subject to appendectomy. The blood samples were taken from all patients in order to analyze the level of total/direct bilirubin.Results: The study samples of 201 patients consisted of 67.7% with complicated appendicitis and 32.3% with non-complicated appendicitis. The sensitivity, specificity, PPV, NPV for laboratory marker, as predictor for complicated vs non-complicated cases of appendicitis was as follows: Total bilirubin; specificity (72.3%), sensitivity (54.4%), PPV (80.4%), NPV (43.1%),Conclusion: Elevation of total/direct bilirubin level in patients with clinical signs of acute appendicitis might predict the stage of acute appendicitis, such prediction may help surgeons to provide accurate treatment of the disease without delay in the diagnosis. This accuracy can be further supplemented by using Alvarado scoring model during the clinical approach.

Angiocentric lymphoma masquerading as acute appendicitis

1999 ◽  
Vol 34 (4) ◽  
pp. 378-380 ◽  
Author(s):  
Huh ◽  
S-M Hong ◽  
Kim ◽  
B-S Kim ◽  
K-H Lee ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Angiocentric Lymphoma

Surgery for Acute Appendicitis May Be Delayed

2010 ◽  
Vol 3 (10) ◽  
pp. 10
Author(s):  
MARY ANN MOON
Keyword(s):  
Acute Appendicitis

Schistosomal Appendicitis in Pregnancy

Swiss Surgery ◽  
2002 ◽  
Vol 8 (3) ◽  
pp. 121-122 ◽  
Author(s):  
Halkic ◽  
Abdelmoumene ◽  
Gintzburger ◽  
Mosimann
Keyword(s):  
Acute Appendicitis ◽  
Schistosoma Haematobium ◽  
Acute Inflammation ◽  
The Body ◽  
Parasitic Infections ◽  
Common Complication ◽  
Surgical Infection ◽  
High Prevalence ◽  
Potential Challenge ◽  
In Pregnancy

Acute appendicitis is the most common acute surgical infection during pregnancy. Although usually pyogenic in origin, parasitic infections account for a small percentage of cases. Despite the relatively high prevalence of acute appendicitis in our environment, it is not commonly associated with schistosomiasis. We report here the association of pregnancy and appendicitis caused by Schistosoma haematobium. Schistosomiasis is very common complication of pregnancy in hyperendemic areas. Schistosome egg masses can lodge throughout the body and cause acute inflammation of the appendix, liver and spleen. Congestion of pelvic vessels during pregnancy facilitates passage of eggs into the villi and intervillous spaces, causing an inflammatory reaction. Tourism and immigration make this disease a potential challenge for practitioners everywhere.

Stepfamily therapy: A 10-step clinical approach.

2012 ◽  
Author(s):  
Scott Browning ◽  
Elise Artelt
Keyword(s):  
Clinical Approach
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