Evaluation of Utility of Alvarado Scoring System in Diagnosis of Acute Appendicitis at a Tertiary Care Centre of Dakshina Kannada

2018 ◽  
Vol 9 (3) ◽  
pp. 390-392
Author(s):  
Kiran T. ◽  
◽  
Shafeek Ashraf ◽  
Keyword(s):  
Acute Appendicitis ◽  
Scoring System ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre

APPENDICITIS IN PREGNANCY : OUR CLINICAL EXPERIENCE AT A TERTIARY CARE CENTRE

2021 ◽  
pp. 22-23
Author(s):  
Anil Kumar ◽  
Rekha Rani ◽  
Hamid Wani
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Correct Diagnosis ◽  
Tertiary Care ◽  
Fetal Loss ◽  
Common Symptom ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Lower Quadrant ◽  
Number Of Patients

Objective: Acute appendicitis is a common surgical condition presented to emergency. In this study we evaluated the clinical presentation, management and outcome of acute appendicitis complicating pregnancy at a tertiary care centre. Material And Methods: A total of 20 cases of pregnant women who were diagnosed as a case of acute appendicitis were studied from January 2018 to December 2020. Results: Total number of patients diagnosed with acute appendicitis were 20. There were 10 (50%) patients in rst trimester , 6 (30%) in second and 4 (20%) in the third trimester. Abdominal pain was the most common symptom seen in all patients. 12 (60%) patients were multigravida whereas 8 (40%) patients were primigravida. Duration of abdominal pain was 6 hours to 5 days with median of 30 hours. Right lower quadrant was the most common site of pain. Rebound tenderness was seen in 14 (70%) patients. Total leucocyte was raised in 14 (70%)cases. Ultrasound was done in all patients showing viable fetus and features of acute appendicitis in 12 (60%) cases. Surgery was done in 16 (80%) cases. Midline laparatomy was done in 3 patients whereas 4 (20%) patients were managed conservatively with antibiotics. Postoperative tocolytics were given in 6 patients. Postoperative complications such as wound infections seen in 5 cases and pelvic abscess in 1 case. Fetal loss was seen in 2 (10%)cases. Conclusion: Diagnosis of acute appendicitis during pregnancy can be difcult due to anatomical and biochemical changes during pregnancy. Correct diagnosis can be achieved by taking proper history, clinical examination and relevant investigations. Surgery remains the treatment of choice.

scholarly journals ROLE OF TLC NLR & SERUM CREATININE IN DIAGNOSING ACUTE APPENDICITIS: A PROSPECTIVE STUDY IN A TERTIARY CARE CENTRE

2021 ◽  
pp. 1-3
Author(s):  
Madhu B S ◽  
Shraddha Shenoy
Keyword(s):  
Acute Appendicitis ◽  
Serum Creatinine ◽  
Prospective Study ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cutoff Value ◽  
A Prospective Study ◽  
Complicated Acute Appendicitis

Aim- To assess the role of TLC and NLR and serum creatinine in diagnosing acute appendicitis. Background-Acute appendicitis being the most common surgical emergency globally can lead to varied consequences if not detected and treated accurately. Early and precise biochemical detectors affect the severity of acute appendicitis. Materials and methodology- A prospective study was conducted in K R Hospital, Mysore from 2019-2020. All cases of acute appendicitis during this period were assessed for severity. TLC, NLR and serum creatinine were assessed and correlated with severity of acute appendicitis. Results- A total of 96 patients were included in the study, 72 patients had SAA and 24 had CAA. This was classified in accordance to the cut off values. TC cut off point was 15,050 cells/cumm ,Sn 91.7 %, Sp 74.6%. The NLR cutoff value was 4.56, Sn of 83.3%, Sp of 66.2%. The cutoff value for neutrophil count was 77.6%, Sn 91.7% , Sp 71.18%. The cutoff value for lymphocyte count was 18.2%, Sn was 91.7%, Sp 65.8%. The cutoff value of creatinine was 0.73, Sn of 83.3%, Sp 80.03%. Conclusion- TC, TLC, NLR and Serum creatinine combinedly help distinguishing between the simple acute appendicitis and complicated acute appendicitis and is a very economical measure for the prediction

scholarly journals Validation of SICK score - A severity of illness scoring system at a tertiary care centre in Puducherry

2017 ◽  
Vol 4 (3) ◽  
pp. 231-239
Author(s):  
Dr. Shivaramakrishna Babji.N. ◽  
◽  
Dr. Bala gopal. M ◽  
Dr. N Anoop Sharma ◽  
Dr. Chandran Sivaguru ◽  
...  
Keyword(s):  
Scoring System ◽  
Tertiary Care ◽  
Severity Of Illness ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals A Comparative Study of CURB-65 and Expanded CURB-65 Scoring Systems in Community Acquired Pneumonia in a Tertiary Care Centre of Patna

2021 ◽  
Vol 8 (16) ◽  
pp. 1074-1078
Author(s):  
Debjit Mitra ◽  
Uttiya Roy ◽  
Abhay Kumar Sinha ◽  
Shiv Shankar Bharti
Keyword(s):  
Mechanical Ventilation ◽  
Mortality Rate ◽  
Scoring System ◽  
Tertiary Care ◽  
Community Acquired Pneumonia ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Co Morbidity ◽  
Significant Difference

BACKGROUND A variety of organisms cause community-acquired pneumonia, including bacteria, viruses and fungi. Pathogens vary in age and other factors, but the relative importance of each pneumonia as a cause of community-acquired pneumonia remains uncertain because most patients do not undergo thorough testing and because even when tested, specific agents are found in < 50 percent of cases. This study was conducted to evaluate a severity scoring system for community acquired pneumonia and compare it with the standard confusion, urea, respiratory rate, blood pressure and 65 years of age or older (CURB-65) scoring system in a tertiary care centre in Patna Medical College. METHODS This hospital based prospective study was conducted among 100 consecutive patients of community-acquired pneumonia (CAP) attending OPD or getting admitted in General Medicine ward of Patna Medical College. The CURB-65 and Expanded CURB-65 scores for these patients were calculated and the accuracy of either in predicting outcomes was statistically analysed, during the period September 2018 - May 2019. RESULTS The mean age of CAP patients in our study was 59.09 ± 12.942 years, the most common co-morbidity observed was diabetes mellitus followed by chronic obstructive pulmonary disorders (COPD), cardiovascular disease, chronic liver disease and chronic renal disease. Our study showed that the mortality rate of the study population was 12 % and 30 % patients needed admission in the ICU and 24 % patients needed invasive mechanical ventilation. In the above analysis for 30-day mortality rate, ICU admission rate, and the need for mechanical ventilation among 0 - 2 and 3 - 5 CURB 65 scores, we found no statistically significant difference (P-value = > 0.05). CONCLUSIONS The extended CURB-65 score gives priority to both clinical and laboratory parameters and is a more accurate marker for the evaluation of CAP severity and may boost the effectiveness of predicting mortality in CAP patients compared to the current CURB-65 score system. KEYWORDS CAP, CURB-65, Expanded CURB-65

New scoring system for differentiating xanthogranulomatous cholecystitis from gall bladder carcinoma: a tertiary care centre experience

2016 ◽  
Vol 88 (1-2) ◽  
pp. E34-E39 ◽  
Author(s):  
Kishore Rajaguru ◽  
Siddharth Mehrotra ◽  
Shailendra Lalwani ◽  
Vivek Mangla ◽  
Naimish Mehta ◽  
...  
Keyword(s):  
Gall Bladder ◽  
Bladder Carcinoma ◽  
Scoring System ◽  
Tertiary Care ◽  
Xanthogranulomatous Cholecystitis ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Gall Bladder Carcinoma ◽  
New Scoring

scholarly journals Management of Acute Appendicitis during COVID-19 Pandemic in a Tertiary Care Centre: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (235) ◽  
Author(s):  
Anupama Thapa Basnet ◽  
Suraj Singh ◽  
Bijay Thapa ◽  
Anuj Kayastha
Keyword(s):  
Acute Appendicitis ◽  
Conservative Management ◽  
Binary Data ◽  
Tertiary Care ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional

Introduction: Acute appendicitis is the most common reason for abdominal surgery in children. Though appendectomy considered the gold standard there are a lot of complications related to it. Conservative management of acute appendicitis is not new to medical science. In pandemic like COVID-19 when all the health systems were about to shut-down because of lack of manpower and resources, we started a trial of non-operative management. The main aim of this study is to find out the management of acute appendicitis during COVID-19. Methods: This was a descriptive cross-sectional study conducted in a tertiary care centre. Data collection was done from the record section which included the patients diagnosed with acute appendicitis from February 2020 to July 2020 after obtaining ethical clearance from Institutional Review Committee. Cases of appendicular lump, appendicular abscess, appendicular perforations have been excluded. Data was collected and entry was done in Statistical Package for the Social Science software version 20, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The conservative management of acute appendicitis was done in 44 cases (55.7%) while 35 cases (44.3%) had to undergo appendectomy. Conclusions: COVID-19 can complicate the perioperative course as a result of direct lung injury and multiple organ dysfunctions and can also bring serious threats to the safety of medical staffs involved in managing the acute appendicitis case operatively, so conservative management can be considered as an alternative way of management of acute appendicitis in the pandemic outbreak.

A STUDY ON SAFETY AND ADVANTAGE OF EARLY ORAL FEEDING OVER TRADITIONAL LATE ORAL FEEDING AFTER OPEN APPENDICECTOMY

2021 ◽  
pp. 11-14
Author(s):  
T.Babu Antony ◽  
S. Thirunavukkarasu ◽  
Gokul Prabhu ◽  
Madhan Kumar ◽  
S Kiran kumar
Keyword(s):  
Acute Appendicitis ◽  
South India ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Oral Feeding ◽  
Care Centre ◽  
Open Appendicectomy ◽  
Tertiary Care Centre ◽  
Early Oral Feeding ◽  
Surgical Emergency

Acute appendicitis is a surgical emergency and requires surgical intervention. This is a study among 30 patients in tertiary care centre in south india to compare the efcacy of early oral feeding compared to traditional late oral feeding. Early oral feeding was found to be superior in all aspects over tradional oral feeding. Hence this can be promoted in all patients undergoing appendicectomy .

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