CONTEXT Evaluation of abdominal pain in children can be difficult. Rapid, accurate diagnosis of appendicitis in children reduces the morbidity of this common cause of pediatric abdominal pain. Clinical evaluation may help identify (1) which children with abdominal pain and a likely diagnosis of appendicitis should undergo immediate surgical consultation for potential appendectomy and (2) which ...

various scoring systems have been devised to aid diagnosis of acute appendicitis. the main objective of this study was finding the accuracy of modified alvarado score in prediction of acute appendicitis. the registries of cases with appendectomy, who had been admitted to a referral medical center in the capital of iran from february 2000 to march 2004, were studied. sensitivity and specificity ...

BACKGROUND The aim of the present study was to examine the efficacy of simple laboratory parameters including neutrophil-to-lymphocyte ratio (NLR), platelet count (PLT), mean platelet volume (MPV), and serum bilirubin level in the diagnosis of acute appendicitis and recognition of perforated appendicitis. METHODS Records of 3392 patients who underwent appendectomy in a 10-year period were rev...

OBJECTIVES To evaluate the accuracy of emergency physicians using bedside ultrasound to detect appendicitis (BUSA). METHODS Patients presenting to the emergency department with a clinical suspicion of appendicitis were prospectively enrolled and received a 5-min BUSA. Patients received routine work-up for acute appendicitis as deemed appropriate by the attending physician. Radiologists and co...

Objective: Appendicitis is part of the differential of an acute abdomen and can be difficult diagnosis to make. A number of clinical scores have been developed attempting to decrease the falsepositive rates of appendectomies. In this study we evaluated validity of Alvarado score in patients with suspected appendicitis and compared its performance between men and women. Methodology: From May 200...

OBJECTIVE The aim of the study was to review evidence-based data regarding the use of antibiotics for the treatment of appendicitis in children. DATA SOURCE Data were obtained from PubMed, MEDLINE, and citation review. STUDY SELECTION We conducted a literature search using "appendicitis" combined with "antibiotics" with children as the target patient population. Studies were selected based ...

A STUDY of the literature suggests that few authorities are in agreement about the entity "chronic appendicitis" and the way in which it manifests itself. A number of authors deny that it exists. Alvarez (1940), after a review of 385 patients who had been subjected to appendicectomy for non-acute symptoms, concluded that "chronic appendicitis is the rarest of intra-abdominal diseases." McClure ...

BACKGROUND The role of free oxygen radicals in inflammatory conditions is well known. Free radicals cause lipid peroxidation of cellular membranes resulting in cell death. The purpose of this study was to investigate the levels of total anti-oxidant status (TAS), as a marker of anti-oxidant defense system and malondialdehyde (MDA), as a marker of oxidative stress, in the plasma of patients with...

Background. The incidence of perforated appendicitis in elderly patients is high and carries increased morbidity and mortality rates. The aim of this study was to identify risk factors of perforation in elderly patients who presented with clinical of acute appendicitis. Methods. This was a retrospective study, reviewing medical records of patients over the age of 60 years who had a confirmed di...