Role of Investigations and Alvarado Score in acute Appendicitis at Peoples Medical College Hospital Nawabshah

Abstract

Aim of Study: Role of investigations and Alvarado score in acute appendicitis at  Peoples Medical College Hospital 
Nawabshah. 
Study Design: Prospective observational study: 
Place and Duration: Two years study from October 2008 to November 2010. 
Was conducted in Peoples Medical College Nawabshah. 
Patients and methods: The study comprises 50 patients all were admitted from OPD (Out Patients Department) and 
COD (Casulty Department). 
The patients were evaluated fully after history, clinical examination and specific investigation, blood CP, X-Ray 
abdomen, supin & erect posture, X-Ray KUB,  ultra sound of abdomen and general assessment. All Patients of pain 
in right iliac fossa included  all  patients  were manage on the basis  of Alvarado score, Complete Blood Picture and 
Ultra Sound report. 
Result: In this study 50 patients of acute appendicitis in which 25 were female and 25 were male. The maximum of 
patients were in age group 15 to 40 years. Peak age group 25 years. Out of 50 patients 42 patients were present 
leucocytosis. On the behalf of Ultra sound report 38 patients were diagnose acute appendicitis.10 patients were 
diagnose perforated appendix, 2 patients were diagnose appendicular abscess.  8 patients were present Alvarado 
score 3 to 4, 30 patients were present Alvarado score 6-7, 12 patients were present Alvarado score 8-9. Patients were 
operated  through procedure of  appendectomy then  tissue sent for histopathology. 
Conclusion: Acute appendicitis is a common cause of acute abdomen. Anorexia, migrating pain, tenderness and 
rebound tenderness are evidence of acute appendicitis.