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https://www.readbyqxmd.com/read/29809191/-comparative-analysis-of-diagnostic-scales-of-acute-appendicitis-alvarado-ripasa-and-air
#1
Martín A Bolívar-Rodríguez, Benny A Osuna-Wong, Ana B Calderón-Alvarado, Jaime Matus-Rojas, Edgar Dehesa-López, Felipe de Jesús Peraza-Garay
Introduction: Acute appendicitis is the most common surgical disease in emergency surgery, however, it remains a diagnostic problem and represents a challenge despite the experience and the different clinical and paraclinical diagnostic methods. Objective: To evaluate in a comparative way the scale of Alvarado, AIR and RIPASA to determine which one is best as a diagnostic test of acute appendicitis in our population in order to arrive to an accurate diagnosis in the shortest possible time and cost...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/29521805/the-alvarado-score-should-be-used-to-reduce-emergency-department-length-of-stay-and-radiation-exposure-in-select-patients-with-abdominal-pain
#2
Jamie J Coleman, Bryan W Carr, Tyrone Rogers, Matthew S Field, Ben L Zarzaur, Stephanie A Savage, Peter M Hammer, Brian L Brewer, David V Feliciano, Grace S Rozycki
BACKGROUND: Abdominal pain is the common reason patients seek treatment in emergency departments (ED), and computed tomography (CT) is frequently used for diagnosis; however, length of stay (LOS) in the ED and risks of radiation remain a concern. The hypothesis of this study was the Alvarado score (AS) could be used to reduce CT scans and decrease ED LOS for patients with suspected acute appendicitis (AA). METHODS: A retrospective review of patients who underwent CT to rule out AA from January 1, 2015, to December 31, 2015, was performed...
June 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29486897/sensitivity-specificity-and-reliability-of-the-ripasa-score-for-diagnosis-of-acute-appendicitis-in-relation-to-the-alvarado-score
#3
Celerino Arroyo-Rangel, Iván O Limón, Ángel G Vera, Pedro M Guardiola, Enrique A Sánchez-Valdivieso
INTRODUCTION: In order to avoid delay in the diagnosis of acute appendicitis and reduce the margin of error, the use of scales has been used. The aim of this study was to compare the effectiveness of the Alvarado and RIPASA scores in the clinical diagnosis of acute appendicitis and to correlate with the histopathological results. METHODS: Prospective, longitudinal, analytical, comparative and observational study. Patients with abdominal pain syndrome suggestive of acute appendicitis and submitted to surgical intervention were included; the Alvarado and RIPASA scores were simultaneously applied...
March 2018: Cirugía Española
https://www.readbyqxmd.com/read/29426650/the-ripasa-score-for-the-diagnosis-of-acute-appendicitis-a-comparison-with-the-modified-alvarado-score
#4
C Z Díaz-Barrientos, A Aquino-González, M Heredia-Montaño, F Navarro-Tovar, M A Pineda-Espinosa, I A Espinosa de Santillana
INTRODUCTION AND OBJECTIVES: Acute appendicitis is the first cause of surgical emergencies. It is still a difficult diagnosis to make, especially in young persons, the elderly, and in reproductive-age women, in whom a series of inflammatory conditions can have signs and symptoms similar to those of acute appendicitis. Different scoring systems have been created to increase diagnostic accuracy, and they are inexpensive, noninvasive, and easy to use and reproduce. The modified Alvarado score is probably the most widely used and accepted in emergency services worldwide...
February 6, 2018: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/29383305/different-clinical-features-and-lower-scores-in-clinical-scoring-systems-for-appendicitis-in-preschool-children-comparison-with-school-age-onset
#5
Chun Woo Song, Joon Won Kang, Jae Young Kim
Purpose: To clarify the clinical features of appendicitis in preschool children and to explore clinical appendicitis scoring systems in this age group. Methods: We retrospectively collected data on 142 children, aged 10 years or younger, with confirmed diagnosis of appendicitis based on surgical and pathologic findings. Enrolled subjects were divided into two groups: Group 1 (preschool children aged ≤5 years, n=41) and Group 2 (school children aged >5 to ≤10 years, n=101)...
January 2018: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/29151848/developing-and-validating-of-ramathibodi-appendicitis-score-rama-as-for-diagnosis-of-appendicitis-in-suspected-appendicitis-patients
#6
Chumpon Wilasrusmee, Boonying Siribumrungwong, Samart Phuwapraisirisan, Napaphat Poprom, Patarawan Woratanarat, Panuwat Lertsithichai, John Attia, Ammarin Thakkinstian
Background: Diagnosis of appendicitis is still clinically challenging where resources are limited. The purpose of this study was to develop and externally validate Ramathibodi Appendicitis Score (RAMA-AS) in aiding diagnosis of appendicitis. Methods: A two-phase cross-sectional study (i.e., derivation and validation) was conducted at Ramathibodi Hospital (for derivation) and at Thammasat University Hospital and Chaiyaphum Hospital (for validation). Patients with abdominal pain and suspected of having appendicitis were enrolled...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/29123605/evaluation-of-modified-alvarado-scoring-system-and-ripasa-scoring-system-as-diagnostic-tools-of-acute-appendicitis
#7
Abdullah Shuaib, Ali Shuaib, Zainab Fakhra, Bader Marafi, Khalid Alsharaf, Abdullah Behbehani
BACKGROUND: Acute appendicitis is the most common surgical condition presented in emergency departments worldwide. Clinical scoring systems, such as the Alvarado and modified Alvarado scoring systems, were developed with the goal of reducing the negative appendectomy rate to 5%-10%. The Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring system was established in 2008 specifically for Asian populations. The aim of this study was to compare the modified Alvarado with the RIPASA scoring system in Kuwait population...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28988188/enterobius-vermicularis-pinworm-infestation-in-a-child-presenting-with-symptoms-of-acute-appendicitis-a-wriggly-tale
#8
Louise Dunphy, Zoe Clark, Mazhar H Raja
Acute appendicitis is the most common surgical emergency worldwide. However, it can still present a challenging diagnosis especially in the young, elderly and those individuals of reproductive age, thus encompassing a wide spectrum of varied clinical presentations. Parasitic infections of the appendix are a rare cause of acute appendicitis. However, they must be considered in children presenting with abdominal pain. We report a case of Enterobius vermicularis infestation mimicking the features of acute appendicitis in a 10-year-old girl...
October 6, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28983880/cannabis-and-cannabinoids-for-chronic-pain
#9
REVIEW
E Alfonso Romero-Sandoval, Ashley L Kolano, P Abigail Alvarado-Vázquez
PURPOSE OF REVIEW: The purpose of this study was to provide the most up-to-date scientific evidence of the potential analgesic effects, or lack thereof, of the marijuana plant (cannabis) or cannabinoids, and of safety or tolerability of their long-term use. RECENT FINDINGS: We found that inhaled (smoked or vaporized) cannabis is consistently effective in reducing chronic non-cancer pain. Oral cannabinoids seem to improve some aspects of chronic pain (sleep and general quality of life), or cancer chronic pain, but they do not seem effective in acute postoperative pain, abdominal chronic pain, or rheumatoid pain...
October 5, 2017: Current Rheumatology Reports
https://www.readbyqxmd.com/read/28661313/acute-appendicitis-after-kidney-transplantation-experience-at-a-tertiary-care-hospital-in-mexico-city
#10
Edgar Ortiz-Brizuela, Alejandro Quiroz-Compeán, Mario Vilatobá-Chapa, Josefina Alberú-Gómez
OBJECTIVES: Here, we describe the presentation, treatment, and outcomes of acute appendicitis in kidney transplant recipients at a tertiary care hospital in Mexico City. MATERIALS AND METHODS: We conducted a retrospective case series study at a tertiary care hospital in Mexico City from January 2000 to January 2015. RESULTS: During our study period, 1186 patients received a kidney transplant; among these patients, we identified 10 cases of acute appendicitis (0...
April 2018: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/28530770/diagnostic-value-of-appendicular-doppler-ultrasonography-in-acute-appendicitis
#11
Hüseyin Uzunosmanoğlu, Yunsur Çevik, Şeref Kerem Çorbacıoğlu, Emine Akıncı, Hakan Buluş, Kadir Ağladıoğlu
BACKGROUND: Acute appendicitis is one of the most common causes of acute abdominal pain prompting emergency department (ED) visits. It is critical for the physicians to promptly and accurately diagnose acute appendicitis. The present study aimed to evaluate the diagnostic efficacy of Doppler ultrasonography (USG) in patients with acute appendicitis and compare this new method with other commonly used radio-diagnostic tools. METHODS: All patients who were diagnosed with acute appendicitis at the Kecioren Training and Research Hospital ED and later underwent appendectomy between October 2012 and April 2013 were included in the study...
May 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28492221/accuracy-of-modified-alvarado-score-eskelinen-score-and-ohmann-score-in-diagnosing-acute-appendicitis
#12
Pejana Rastović, Zoran Trninić, Gordan Galić, Zdrinko Brekalo, Josip Lesko, Marko Pavlović
INTRODUCTION: By processing the data of a large number of patients with abdominal pain, diagnostic scores whose implementation attempts to facilitate acute appendicitis diagnostics were developed. Modified Alvarado score, Ohmann score and Eskelinen score are used as assistance when setting the diagnosis and making a decision to undertake surgery. AIM: To assess accuracy of Alvarado score, Ohmann score and Eskelinen score in diagnosing acute appendicitis and to establish connection of total score of these scoring systems with histopathological degree of appendicitis...
May 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28442835/how-much-reliable-is-alvarado-scoring-system-in-reducing-negative-appendectomy
#13
Mehmet Tahsin Tekeli, Enver Ilhan, Orhan Ureyen, Abdullah Senlikci, Eyup Yeldan, Mucteba Ozturk, Mehmet Akif Ustuner, Ugur Gokcelli, Emrah Dadali, Fevzi Cengiz, Savas Yakan
There is still an ongoing debate, especially regarding early diagnosis of acute appendicitis. Early surgery leads to inadequate evaluation of acute abdominal pain and negative appendectomy, whereas delayed surgery leads to appendicitis perforation complications. The diagnosis of this condition is considerably difficult, especially due to subtle early symptoms and clinical condition. The aim of the present study was to identify whether the Alvarado scoring system could reduce the incidence of negative appendectomy in patients who will undergo surgery for acute appendicitis...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28261767/should-alvarado-and-ohmann-scores-be-real-indicators-for-diagnosis-of-appendicitis-and-severity-of-inflammation
#14
Eyüp Murat Yılmaz, Mücahit Kapçı, Sebahattin Çelik, Berke Manoğlu, Mücahit Avcil, Erkan Karacan
BACKGROUND: Acute appendicitis is one of the most common causes of abdominal pain seen in surgical clinics. Although it can be easily diagnosed, the picture may be confusing, particularly in premenopausal women and the elderly. The present study is an evaluation of 2 of the current scoring systems with respect to accurate diagnosis of the disease and indication of inflammation severity. METHODS: A total of 105 patients diagnosed with acute appendicitis were included in the study...
January 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28202345/circulating-human-leucine-rich-%C3%AE-2-glycoprotein-1-mrna-and-protein-levels-to-detect-acute-appendicitis-in-patients-with-acute-abdominal-pain
#15
T H Rainer, L Y Leung, Cpy Chan, Y K Leung, N M Cheng, Pbs Lai, Y S Cheung, C A Graham
BACKGROUND: Elevated levels of circulating plasma and urine leucine-rich-2-glycoprotein-1 (LRG1) protein has been found in patients with acute appendicitis (AA) and may be useful for diagnosis. This study aimed to investigate whether combined tests including circulating LRG1 mRNA levels improve the early diagnosis of AA. METHODS: Between December 2011 and October 2012, a prospective study was conducted on patients aged 18years or older presenting to the ED with acute abdominal pain (<7days of symptom onset)...
June 2017: Clinical Biochemistry
https://www.readbyqxmd.com/read/28167457/laparoscopic-diagnosis-and-repair-of-spigelian-hernia-a-case-report-and-literature-review
#16
Raul Mederos, Jose R Lamas, Javier Alvarado, Moises Matos, Ivett Padron, Anika Ramos
INTRODUCTION: Spigelian hernias are a rare type of hernia which protrude through the abdominal wall at the semilunar line. They are especially difficult to diagnose due to their location and non-specific symptoms and are often overlooked because of their positioning between muscular layers. Patients may present with localized pain which can aid the diagnosis. CT and ultrasound are also helpful. PRESENTATION OF CASE: We present the case of a 75-year-old female patient who presented to Hialeah Hospital with a one-year history of abdominal pain localized to the left lower quadrant...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27980858/influence-of-toxoplasma-gondii-infection-on-symptoms-and-signs-of-premenstrual-syndrome-a-cross-sectional-study
#17
Cosme Alvarado-Esquivel, Luis Francisco Sánchez-Anguiano, Jesús Hernández-Tinoco, Alma Rosa Pérez-Álamos, Yazmin Del Rosario Rico-Almochantaf, Sergio Estrada-Martínez, Raquel Vaquera-Enriquez, Arturo Díaz-Herrera, Agar Ramos-Nevarez, Ada Agustina Sandoval-Carrillo, José Manuel Salas-Pacheco, Sandra Margarita Cerrillo-Soto, Elizabeth Irasema Antuna-Salcido, Oliver Liesenfeld, Carlos Alberto Guido-Arreola
Infection with Toxoplasma gondii in brain may cause some symptoms that resemble those in women with premenstrual syndrome. To determine the association of T. gondii infection with symptoms and signs of premenstrual syndrome, we examined 489 women aged 30-40 years old. Sera of participants were analyzed for the presence of anti-Toxoplasma IgG and IgM antibodies using enzyme-linked immunoassays (EIA) and T. gondii DNA by polymerase chain reaction (PCR). Anti-T. gondii IgG antibodies were found in 38 (7.8%) of the women studied...
December 1, 2016: European Journal of Microbiology & Immunology
https://www.readbyqxmd.com/read/27955852/-chronic-appendicitis-due-to-multiple-fecaliths-a-case-report
#18
Álvaro José Montiel-Jarquín, Celso Ramírez-Sánchez, Eugenio García-Cano, Nicolás González-Hernández, Fabiola Rodríguez-Pérez, Ivan Alvarado-Ortega
BACKGROUND: The appendix inflammatory process is the most common cause of chronic abdominal pain in the right lower quadrant. The frequency of appendiceal lumen obstruction by fecalith ranges from 10 to 20%; few cases of obstruction by multiple fecaliths had been reported. CLINICAL CASE: Sixty-nine years old male, diabetic and hypertensive in control, he underwent bowel resection 30 years previously. He completed 6 months with intermittent, mild pain in the right lower quadrant abdomen; 14 days prior to admission with increasing pain, nausea, vomiting, constipation, abdominal distension and absence of peristalsis; 12,750 leukocytes, neutrophils 90%; plain abdominal radiography without specific bowel pattern, TAC with 3 dense images in right lower quadrant; exploratory laparotomy was performed and perforated appendix with 3 free fecaliths was found...
December 2017: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27625212/incidence-of-normal-white-cell-count-and-c-reactive-protein-in-adults-with-acute-appendicitis
#19
Nalin H Dayawansa, Julian D S Segan, Henry H I Yao, Hon I Chong, Paul J Sitzler
BACKGROUND: Normal C-reactive protein (CRP) and white cell count (WCC) are often used to exclude a diagnosis of acute appendicitis in the Emergency Department (ED). Retrospective review of 281 adult patients with acute appendicitis was performed to study the incidence of normal CRP and WCC on admission and examine any possible predisposing factors. METHOD: Retrospective analysis of patient clinical records yielded CRP, WCC, operative diagnosis, time of symptom onset, imaging results and history and examination features...
September 14, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27613754/diagnostic-accuracy-of-the-appy1-test-in-patients-aged-2-20-years-with-suspected-acute-appendicitis-presenting-to-emergency-departments
#20
Juan González Del Castillo, Francisco Javier Ayuso, Victoria Trenchs, Mikel Martinez Ortiz de Zarate, Carmen Navarro, Kinda Altali, Cristina Fernandez, David Huckins, Francisco Javier Martín-Sánchez
OBJECTIVE: Evaluate the diagnostic accuracy of the APPY1 Test alone and in combination with the Alvarado score (AS) to rule out acute appendicitis (AA) in patients presenting to EDs with abdominal pain suspicious for AA. METHODOLOGY: Observational study in a prospective consecutive cohort including all patients from 2 to 20 years with abdominal pain suggestive of AA in four EDs. The APPY1 Test was performed and AS was calculated to determine risk stratification for each patient...
December 2016: Emergency Medicine Journal: EMJ
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