Presented during Surgical Grand Round in Clonmel Hospital in 2011. The purpose of this presentation is to educate junior doctors on appendicitis.
This presentation was presented in 2011. So the content may be outdated. So please keep yourself updated.
WanYusof Wan Jeffery
zenslides.com [Eng]
presentasipukau.com [Malay]
16. M
A
N
T
R
E
L
igration to RIF
norexia-acetone
ausea
enderness
ebound tenderness
levation of T
eukocytosis
17. Evaluation of the modified Alvarado
score in the diagnosis of acute
appendicitis: a prospective study
M. Kalan, A. J Rich, D. Talbot, W.J Cunliffe
18. No of pt Score >= 7 Appendicitis Sensitivity
Men 21 15 14 93%
Women 17 15 10 67%
Children 11 11 11 100%
Score < 7
Men 6 4 67%
Women 2 1 50%
Children 0 0 0%
19. MAS carries a false-positive rate
which varies according to group
MAS simple to use and easy to apply
20. MAS is effective in children and men
Diagnostic laparoscopy is advised to
minimise the unacceptably high false-negative
rate in women
21. Evaluation of the Alvarado score in
acute appendicitis
T.D Owen, H. Williams, G. Stiff, L.R Jenkinson, B.I Rees
University Hospital of Wales, Heath Park, Cardiff
22. Final diagnosis Men Women Children
Acute Appendicitis 94% 78% 88%
Normal appendix 6% 22% 12%
Mesenteric adenitis 1% 2% 8%
Gastroenteritis 4% 2% 3%
Carcinoid tumor - 1% -
Appendix fibrosis - 1% -
PID - 6% -
Salpingitis - 2% -
Ruptured ovarian cyst - 1% -
UTI - 2% -
No diagnosis 1% 4% 1%
Final diagnosis of patients with Alvarado Score >7 having appendicectomy
23. MAS >= 7
<7 active obs
MEN CHILD WOMEN
Rule out
mesenteric
adenitis+UTI
Rule out
gynae
pathology
Laparoscopic Appendicectomy +/- open
Notas do Editor
Otherwise a healthy young girl. No other medical hx
Otherwise a healthy young girl. No other medical hx