Acute appendicitis - Importance of clinical examination in making a confident diagnosis

Pakistan Journal of Medical Sciences

Volumn 21, Issue 2, 2005, Pages 125-132

  Gulzar, Shamsa ^a   Umar, Suhail ^b,c   Dar, Ghulam Murtaza ^b   Rasheed, Rakhshanda ^a  

^a PAKISTAN INSTITUTE OF MEDICAL SCIENCES   (Pakistan)

^b Railway Hospital   (Pakistan)

^c Pakistan Institute of Medical Sciences ^*  (Pakistan)

Author keywords

Acute Leucocyte Count Urine; Appendicitis; Clinical examination; Microscopy

Indexed keywords

ACUTE APPENDICITIS; ADULT; AGE; AGED; ANOREXIA; APPENDECTOMY; ARTICLE; CLINICAL EXAMINATION; CLINICAL FEATURE; CONSTIPATION; CONTROLLED STUDY; COUGHING; DIAGNOSTIC ACCURACY; DIARRHEA; FEMALE; FEVER; GENDER; HISTOPATHOLOGY; HUMAN; LABORATORY TEST; LEUKOCYTE COUNT; MAJOR CLINICAL STUDY; MALE; MICROSCOPY; MICTURITION DISORDER; NAUSEA; OBTURATOR NERVE; PAIN; PAKISTAN; PREOPERATIVE EVALUATION; PROSPECTIVE STUDY; PSOAS MUSCLE; RELIABILITY; SENSITIVITY AND SPECIFICITY; SYMPTOM; URINALYSIS; VOMITING;

EID: 22144473653     PISSN: 1682024X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (24)

1. Walker SJ, West CR, Colmer MR. Acute appendicitis: does removal of a normal appendix matter/what is the value of diagnostic accuracy and is surgical delay important? Ann R Coll Surg Engl 1995; 77(5): 358-63.
2. Amir M, Shami IH. Analysis of early appendicectomies for suspected acute appendicitis. A prospective study. J Surg PIMS. 1992; 3 and 4: 25-8.
3. Bener A, Suwaidi MH, Ghazawi IE et al. Diagnosis of Appendicitis. Can J Rural Med 2002;7(1):26-9.
4. Khalid K, Ahmed N, Farooq O, Anjum A & Sial GA. Acute appendicitis- laboratory dependence can be misleading: audit of 211 cases. J Coll Physicians Surg Pakistan 2001; 11: 434-7.
5. th Ed. 1999. McGraw-Hill NY. 1383-94.
6. Horton MD, Counter SF, Florence MG, Hart MJ. A prospective trial of computed tomography and ultra sonography in diagnosing appendicitis in the atypical patient. Am J Surg 2000; 179: 379-81.
7. John H, Neff U, Kelemen M. Appendicitis diagnosis today: clinical and ultrasonic deductions. World J Surg 1993;17: 243.
8. Adesunkanmi AR. Acute appendicitis: a prospective study of 54 cases. West Afr J Med 1993; 12(4): 197-200.
9. Ahmad N, Abid JK, Khan AZ, Shah STA. Acute Appendicitis - Incidence of Negative Appendicectomies. Ann KE Med Coll. 2002;8(1):32-4.
10. Wazir MA, Anwar AR, Zarin M. Acute Appendicitis, a retrospective study. J Postgrad Med Inst 1998; 12(1): 33-6.
11. Erikson S, Granstorm L. Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis. Br J Surg 1995; 82: 166-9.
12. Lee LS, Walsh AJ, Hung SH. Computed Tomography and Ultrasonography do not improve and may delay the diagnosis and treatment of Acute Appendicitis. Arch Surg 2001; 136: 556-62.
13. Barber MD, Mclaren J, Rainey JB. Recurrent appendicitis. Br J Surg 1997(84): 110-2.
14. Chaudhary IA, Ajmal RM, Mumtaz B & Maqsood R. Cough Sign: Reliability in the diagnosis of Acute Appendicitis. J Coll Physicians Surg Pak 2002;12(9):546-8.
15. Rasmussen OO, Hoffman J. Assessment of the reliability of the symptoms and signs of acute appendicitis. J Roy Coll Surg Edinb 1991; 36: 372-6.
16. Alshehri MY, Ibrahim A, Abuaisha N, Malatani T, Abu-Eshy S, Khairulla S, Bahamdan K. Value of rebound tenderness in acute appendicitis. East Afr Med J 1995; 72(8): 504-6.
17. Clifford PC, Chan M, Hewett DJ. The acute abdomen, management with microcomputer aid. Ann Roy Coll Surg Engl. 1986; 68:182-4.
18. de Carvalho BR, Diogo-Filho A, Fernandes C, Barra CB. [Leukocyte count, C reactive protein, alpha-1 acid glycoprotein and erythrocyte sedimentation rate in acute appendicitis] Arch Gastroenterol 2003;40(1): 25-30.
19. Puskar D, Bedsalov G, Fridrib S, Vuckovic J, Banker T, Pasini J. Urinalysis. Ultrasound analysis and renal dynamic scintigraphy in acute appendicitis. Urology 1995;15:108-12.
20. Faragoso-Maiz C, Ramose-Martinez E, Garcia-Martinez R, Melendez-Blanco S. Acute appendicitis: a clinicopathological analysis of 200 cases. Rev Gastroenterol Mex 1993;58(4): 342-5.
21. Ahmad I. A critical evaluation of acute appendicitis. SPECIALIST (Pak J Med Sci) 1993;9(2): 127-36.
22. David R. Flum, Arden Morris, Thomas Koepsell, E. Patchen Dellinger, Has Misdiagnosis of Appendicitis Decreased Over Time? JAMA 2001;286:1748-53.
23. Paajanen H, Mansikka A, Laato M, Ristamaki R, Pulkki K, Kostiainen S. Novel serum inflammatory markers in acute appendicitis. Scand J Clin Lab Invest. 2002;62(8):579-84.
24. Hale DA, Molloy M, Pearl RH, Schutt DC, Jaques DP. Appendectomy: a contemporary appraisal. Ann Surg 1997;225(3):252-61.