Appendicitis diagnosis relies heavily on the patient's medical history, physical examination, and laboratory tests such as elevated white blood cell count. Although appendicitis is a frequently encountered surgical issue, diagnosing it can be challenging in certain cases, particularly in very young or elderly patients and women of childbearing age, due to overlapping symptoms with other genitourinary and gynaecological conditions. The medical history was collected through direct interviews with both the patients and their accompanying relatives. A comprehensive clinical history and examination were performed on all patients, and both clinical and scoring assessments were calculated. After evaluating the hemodynamic stability of each patient, resuscitation was administered if necessary, and blood investigations were conducted. Among the 70 cases analysed, 47 cases were positive according to both systems (>7 for Alvarado, >7.5 for Fenyo‐Lindberg), indicating significant overlap. However, discrepancies occurred where the Alvarado score was positive (>7), but Fenyo‐Lindberg was negative (<7.5) in 18 cases and vice versa in 5 cases.
Niyaz Ahmed, C. Shashidhara Naik, R. Praveen Kumar and MS. Aishwarya. The Diagnostic Accuracy of Alvarado Score and to Compare it with Fenyo‐Lindberg Score in the Diagnosis of Acute Appendicitis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.423.426
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.423.426