Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children

Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed. The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagn...

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Autores principales:	Mohamed Rizk, Ibrahim Elsayaad, Mostafa Moahmed Mostafa Shaqueer, Walied khereba, Sami Mohammed
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	appendicitis modified alvarado ultrasound diagnosis children Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ef712e3c9bb5465aa048f0073180be03
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spelling	oai:doaj.org-article:ef712e3c9bb5465aa048f0073180be032021-12-02T15:42:47ZComparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children2636-41742682-378010.21608/ijma.2021.38601.1170https://doaj.org/article/ef712e3c9bb5465aa048f0073180be032021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_155055_69421332fc001aea729d2cc91471a6b0.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed. The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis. Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS . Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score. Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced.Mohamed RizkIbrahim ElsayaadMostafa Moahmed Mostafa ShaqueerWalied kherebaSami MohammedAl-Azhar University, Faculty of Medicine (Damietta)articleappendicitismodified alvaradoultrasounddiagnosischildrenMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1282-1287 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	appendicitis modified alvarado ultrasound diagnosis children Medicine (General) R5-920
spellingShingle	appendicitis modified alvarado ultrasound diagnosis children Medicine (General) R5-920 Mohamed Rizk Ibrahim Elsayaad Mostafa Moahmed Mostafa Shaqueer Walied khereba Sami Mohammed Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
description	Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed. The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis. Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS . Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score. Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced.
format	article
author	Mohamed Rizk Ibrahim Elsayaad Mostafa Moahmed Mostafa Shaqueer Walied khereba Sami Mohammed
author_facet	Mohamed Rizk Ibrahim Elsayaad Mostafa Moahmed Mostafa Shaqueer Walied khereba Sami Mohammed
author_sort	Mohamed Rizk
title	Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
title_short	Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
title_full	Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
title_fullStr	Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
title_full_unstemmed	Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
title_sort	comparative study between modified alvarado score and abdominal ultrasound diagnostic value of acute appendicitis in children
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/ef712e3c9bb5465aa048f0073180be03
work_keys_str_mv	AT mohamedrizk comparativestudybetweenmodifiedalvaradoscoreandabdominalultrasounddiagnosticvalueofacuteappendicitisinchildren AT ibrahimelsayaad comparativestudybetweenmodifiedalvaradoscoreandabdominalultrasounddiagnosticvalueofacuteappendicitisinchildren AT mostafamoahmedmostafashaqueer comparativestudybetweenmodifiedalvaradoscoreandabdominalultrasounddiagnosticvalueofacuteappendicitisinchildren AT waliedkhereba comparativestudybetweenmodifiedalvaradoscoreandabdominalultrasounddiagnosticvalueofacuteappendicitisinchildren AT samimohammed comparativestudybetweenmodifiedalvaradoscoreandabdominalultrasounddiagnosticvalueofacuteappendicitisinchildren
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Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children

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