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SAS Journal of Surgery | Volume-5 | Issue-09
Evaluation of Modified Alvarado Score in Diagnosis of Acute Appendicitis at Tertiary Care Hospital in Ajmer Rajasthan
Shivaji H Vidyarthi, Shweta Khandelwal
Published: Sept. 29, 2019 |
183
130
DOI: 10.36347/SASJS.2019.v05i09.003
Pages: 349-351
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Abstract
Background: Acute appendicitis is most common cause of pain abdomen. The diagnosis of which remain difficult in
many cases. Methods: A 87 consecutive patients suspected of acute appendicitis who were admitted in department of
surgery, JLN medical college Ajmer, Rajasthan. They were prospectively evaluated using the modified Alvarado
scoring (MAS) to determine whether or not they had acute appendicitis. The MAS was correlated with
histopathological findings. Results: 64 (true positive) patients who had MAS 7 or more had appendicitis on
histopathology while no patients (false positive) had a normal appendix; 9 (false negative) patients with MAS less
than 7 had appendicitis and 5(true negative) had a normal appendix removed. Conclusion: This study shows that use
of modified Alvarado scoring system in patients with acute appendicitis provides a high degree of diagnostic accuracy