Diagnosing acute appendicitis: is there any role of ultrasonography?

Alvarado score neither takes into account of the temporal profile of the disease nor considers anatomic variations of the position of appendix. [...]in the day-to-day management of right iliac fossa pain, Alvarado score must be correlated with the overall clinical profile of the patient before makin...

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Bibliographic Details
Published in:The American journal of surgery 2014-06, Vol.207 (6), p.1000-1001
Main Authors: Debnath, Jyotindu, M.D, Sharma, Vivek, M.D, Chatterjee, Samar, M.D
Format: Article
Language:English
Subjects:
Abdomen
Age
Appendicitis
Appendicitis - diagnosis
Appendix
Decision making
Female
Humans
Male
Medical imaging
Pain
Physical Examination
Surgery
Tomography
Tomography, X-Ray Computed
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Summary:Alvarado score neither takes into account of the temporal profile of the disease nor considers anatomic variations of the position of appendix. [...]in the day-to-day management of right iliac fossa pain, Alvarado score must be correlated with the overall clinical profile of the patient before making any definitive decision. [...]we appeal to the medical fraternity, particularly radiologists, to take another look at the full potential, versatility, and utility of USG; use USG as the first-line modality; reserve CT and magnetic resonance imaging as problem-solving tools; understand the pros and cons of CT; and put a stop to the liberal use of CT for suspected AA for the greatest benefit of humanity.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2013.05.013