DOI: 10.36347/sjams.2019.v07i04.020

Pages: 1472-1475

Background: Appendicitis results from an acute inflammation of the appendix. It is most common in 10 to 19 years old age group (233/100,000 population annually). The classic presentation for appendicitis involves the onset of vague epigastric or periumbilical pain followed by anorexia, nausea or vomiting and the migration of pain to the right lower quadrant (RLQ). It is one of the most common causes of acute abdominal pain in pediatrics and is the most common indication for emergency abdominal surgery in childhood. Pediatric appendicitis score is a simple, relatively accurate diagnostic tool, which is applicable in all clinical situations and has been proposed as a guide to assist in deciding whether to operate or observe a child with abdominal pain. Methods: This study was conducted in Vardman Mahavir Medical Collage and Safdarjung Hospital, New Delhi over a period of about 18 months from November 2012 to July 2014. A total of 190 clinically suspected patients of appendicitis were taken as study subjects. After obtaining informed consent, a data collection form contained information about patient age, sex, date and time of the examination, the date and time of the onset of symptoms, and each of the eight PAS components was completed. Results: In appendicitis children, (81.0%) children were in age group 09-15 years and (19.0%) patients were in age group 5-8 years. Male (70.0%) were predominant than female (30.0%).Migration of pain, nausea and anorexia were in 37 (48.68%), 42 (55.3%) and 41 (53.95%) appendicitis children respectively. Fever, cough/percussion tenderness and tenderness in RLQ were in 28 (36.8%), 39 (51.3%) and 44 (57.8%) appendicitis children respectively. Leukocytosis and neutophilia were present in 31 (40.7%) and 33 (43.4%) appendicitis children respectively. Conclusion: Pediatric Appendicitis Score is a good tool but not good enough for diagnosis of pediatric appendicitis. It cannot be recommended for diagnosis of pediatric appendicitis because its