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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 15, Issue 2, June 2015 pp 305-309
Research Article
Practical tool in diagnosis of acute appendicitis
N Sivarajan1, K Senthil Kumar2, R Ganesan3, Padmanabhan S4
1Associate Professor, Department of General Surgery, Chettinad Hospital and Research Institute Rajiv Gandhi Salai, Kelambakkam, Kancheepuram District- 603103, Tamil Nadu, INDIA.
2Associate Professor, 3Professor and HOD, Department of Surgery, Chettinad Health City, CARE, CHC, Tamil Nadu, INDIA.
4Scientist, Nonmedical NIRRH Field Unit ICMR KMC Hospital, Chennai, Tamil Nadu, INDIA.
Abstract
Patients who report to the casualty after office hours are left to the expert management of a single surgical consultant on duty and his junior collegues viz Postgraduates and ,junior doctors Diagnosing a patient in such situations with The history of lower abdominal pain as Acute Appendicitis is indeed based on clinical findings, Biochemical and Radiological Investigations Often too much of weightage is given to Biochemical and Radiological Findings than clinical Examinations thus proceeding with wrong procedure or inactivity ending up with increased morbidity or mortality. Delayed or incorrect diagnosis, therefore has both clinical and economic consequence5. Despite much Ink has been spilled on this subject, Diagnosing a case as Acute Appendicitis is still equivocal for the surgeon on duty as Presentation with typical clinical symptoms and signs, biochemical parameters and Radiological findings are not common. Hence this study attempts to reveal the practical management of a suspected case of Appendicitis. This study aims to provide the effective guide among the three parameters routinely done, thus preventing over diagnosis and un wanted Emergency Appendectomy.
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