INTRODUCTION Acute appendicitis is the most common abdominal emergency requiring emergency surgery. However, the diagnosis is often challenging and the decision to operate, observe or further work-up a patient is often unclear. The utility of clinical scoring systems (namely the Alvarado score), laboratory markers, and the development of novel markers in the diagnosis of appendicitis remains co...

Several clinical scoring systems have been developed to improve diagnostic accuracy in cases of suspected acute appendicitis. In 1986, Alvarado [1] described a scoring system, the Alvarado or MANTRELS score, to aid the diagnosis of acute appendicits. Samuel [2] was the first to describe a Pediatric Appendicitis Score (PAS) specifically for children incorporating eight statistically significant ...

Background: Appendicitis is one of the most common abdominal emergency. Some predictive scoring systems are recommended to decrease the rate of negative appendectomy. Aim: To evaluate sensitivity, specificity, positive predictive value, and negative predictive value of modified Alvarado score in children who underwent appendectomy. Methods: Four hundred children with initial diagnosis of ap...

INTRODUCTION By processing the data of a large number of patients with abdominal pain, diagnostic scores whose implementation attempts to facilitate acute appendicitis diagnostics were developed. Modified Alvarado score, Ohmann score and Eskelinen score are used as assistance when setting the diagnosis and making a decision to undertake surgery. AIM To assess accuracy of Alvarado score, Ohman...

Introduction: Appendicitis is a common surgical emergency and diagnosis is usually straight forward. However, negative appendicectomy is still a problem. Several appendicitis predictive scores have been developed. To prospectively compare the RIPASA score with the Alvarado score and Pediatric Appendicitis score (PAS) for the diagnosis of acute appendicitis in pediatric patients presenting with ...

introduction: appendicitis is one of the most common surgical emergencies. in spite of the relatively high rate of negative appendectomy, as a result of miss diagnosis, uncertainty of diagnosis still continues to challenge physicians. the objective of this prospective study was to investigate the role of 99mtc-ubiquicidin (ubi) scintigraphy in the diagnosis of acute appendicitis and to compare ...

OBJECTIVE To determine the negative appendectomy rate; utilization, accuracy of Alvarado scale, ultrasound (US), computed tomography (CT) in diagnosis of acute appendicitis. METHODS Hospital records of 124 female patients admitted for suspicious of acute appendicitis from January 2003-January 2004 to the Emergency Department (ED) at King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia we...

OBJECTIVE We tried to evaluate the accuracy of the heel drop test in patients with suspected appendicitis and tried to develop a new clinical score, which incorporates the heel drop test and other parameters, for the diagnosis of this condition. METHODS We performed a prospective observational study on adult patients with suspected appendicitis at two academic urban emergency departments betw...

BACKGROUND Appendicitis is a common disease requiring surgery. Bedside ultrasound (BUS) is a core technique for emergency medicine (EM). The Alvarado score is a well-studied diagnostic tool for appendicitis. This study aimed to investigate the relationship between patients' symptoms, Alvarado score and ultrasound (US) findings, as performed by emergency physicians (EPs) and radiologists, of pat...

Background: Acute appendicitis is one of the common and urgent illnesses among children.  Children usually are unable to help the physicians completely due to weakness in describing the medical history. Moreover, acute appendicitis overlaps with conditions of other diseases in terms of Symptoms and signs in the first hours of presentation. These conditions lead to unwanted biases as well as err...