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The sensitivity and specificity of the conventional symptoms and signs in making a diagnosis of acute appendicitis
Other Title(s)
حساسية و نوعية الأعراض و العلامات التقليدية في تشخيص التهاب الزائدة الدودية الحادة
Joint Authors
Idris, Sad al-Din Ahmad
Ali, Ahmad Qurashi
Shalayel, Muhammad H.
Awad, Yasir O.
Idris, Tomadir A.
Muhammad Sulayman A.
Source
Sudan Journal of Medical Sciences
Issue
Vol. 4, Issue 1 (31 Mar. 2009), pp.55-62, 8 p.
Publisher
Omdurman Islamic University Faculty of Medicine
Publication Date
2009-03-31
Country of Publication
Sudan
No. of Pages
8
Main Subjects
Topics
Abstract AR
هذه الدراسة صممت لتقييم حساسية و نوعية الكشف السريري في تشخيص الزائدة الدودية الحاد.
تضمنت الدراسة استعادة و تحليل سجلات 866 من مرضى التهاب الزائدة الدودية الحاد الذين أجري لهم استئصال للزائدة الدودية بالتشخيص ما قبل الجراحة.
القياسات التي قيمت كانت العمر، الجنس، المظهر السريري (أعراض و علامات) و العدد الكلي لكريات الدم البيضاء.
سجلت الموجودات الجراحية على أساس التهاب الزائدة الذي قسم إلى طبيعي، ملتهبة بصورة حادة و غنقريني.
و من ثم قيمت النتائج لتحديد الدور المشترك للكشف السريري و اختبار العدد الكلي لخلايا الدم البيضاء في التشخيص النهائي لالتهاب الزائدة الدودية الحاد.
Abstract EN
Introduction : simple appendicitis can progress to perforation, which is associated with a much higher morbidity and mortality.
So, surgeons have therefore been inclined to operate when the diagnosis is probable rather than wait until it is certain.
Objective : this study is designed to evaluate the sensitivity and specificity of clinical examination in the diagnosis of acute appendicitis.
Methods : the study included 866 patients of acute appendicitis who had undergone appendectomy with preoperative diagnosis of acute appendicitis.
They were analyzed retrospectively.
The parameters evaluated were age / gender, clinical presentation (signs and symptoms) and total white blood cell counts.
The operative findings were recorded and the inflammation of the appendix was graded into normal, acutely inflamed and gangrenous.
Results : clinical diagnosis was made correctly in 807 (93.2 %) of the patients.
White blood cells count ranged from 3.70 to 45.30 / mm3 (mean 17.5353 / mm3).
It was < 10,000 / mm3 in 133 (15.4 %) patients.
Conclusions : clinical assessment is the best criterion to reach a confident diagnosis.
Investigations may supplement the diagnosis but are never a substitute for it.
American Psychological Association (APA)
Idris, Sad al-Din Ahmad& Shalayel, Muhammad H.& Awad, Yasir O.& Idris, Tomadir A.& Ali, Ahmad Qurashi& Muhammad Sulayman A.. 2009. The sensitivity and specificity of the conventional symptoms and signs in making a diagnosis of acute appendicitis. Sudan Journal of Medical Sciences،Vol. 4, no. 1, pp.55-62.
https://search.emarefa.net/detail/BIM-292711
Modern Language Association (MLA)
Idris, Sad al-Din Ahmad…[et al.]. The sensitivity and specificity of the conventional symptoms and signs in making a diagnosis of acute appendicitis. Sudan Journal of Medical Sciences Vol. 4, no. 1 (Mar. 2009), pp.55-62.
https://search.emarefa.net/detail/BIM-292711
American Medical Association (AMA)
Idris, Sad al-Din Ahmad& Shalayel, Muhammad H.& Awad, Yasir O.& Idris, Tomadir A.& Ali, Ahmad Qurashi& Muhammad Sulayman A.. The sensitivity and specificity of the conventional symptoms and signs in making a diagnosis of acute appendicitis. Sudan Journal of Medical Sciences. 2009. Vol. 4, no. 1, pp.55-62.
https://search.emarefa.net/detail/BIM-292711
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 60-61
Record ID
BIM-292711