The early diagnosis of Acute appendicitis: evaluation of the reliability of MAS

Abstract

Aim: To compare and evaluate diagnostic accuracy of Modified Alvarado score in co-relation to histopathology report for diagnosis of acute appendicitis.Materials and methods: This Cross Sectional Study evaluated 100 patients with complaint of Lower Abdominal pain. Subjects in the age range of 15 - 50 years hospitalized with abdominal pain suggestive of acute appendicitis were include towards the success of the study. Results : Histopathological diagnosis was accepted as the final confirmation of the diagnosis.Though large number of consultants were involved in clinical diagnosis of acute appendicitis, no significance was attached to the inter observer variation.Conclusion: The study concludes that establishing diagnosis in cases of suspected acute appendicitis might require a combination of different diagnostic tools such as modified Alvarado score, investigative modalities such as ultrasonography and the indispensible clinical judgment.