Alvarado score in the diagnostic of pain in the right lower quadrant
SUMMARY:Background: Acute appendicitis neither suspected nor diagnosed could develop a perforation or otherwise it would take to removing of a normal appendix. Objectives: Utilization of a clinical score system for aided diagnosis of this pathology and can reduce a negative appendicitis.Setting: Nat...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2017
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Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/14568 |
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Universidad Nacional de Córdoba |
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Revistas de la UNC |
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Artículo revista |
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Acute appendicitis. Score system for diagnosis acute appendicitis. Alvarado Score. Palabras claves Apendicitis aguda. Score clínico para el diagnóstico de apendicitis aguda. Score de Alvarado. apendicitis aguda score clínico para el diagnóstico de apendicitis aguda score de alvarado |
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Acute appendicitis. Score system for diagnosis acute appendicitis. Alvarado Score. Palabras claves Apendicitis aguda. Score clínico para el diagnóstico de apendicitis aguda. Score de Alvarado. apendicitis aguda score clínico para el diagnóstico de apendicitis aguda score de alvarado Lada, Paul Eduardo Alvarado score in the diagnostic of pain in the right lower quadrant |
topic_facet |
Acute appendicitis. Score system for diagnosis acute appendicitis. Alvarado Score. Palabras claves Apendicitis aguda. Score clínico para el diagnóstico de apendicitis aguda. Score de Alvarado. apendicitis aguda score clínico para el diagnóstico de apendicitis aguda score de alvarado |
author |
Lada, Paul Eduardo |
author_facet |
Lada, Paul Eduardo |
author_sort |
Lada, Paul Eduardo |
title |
Alvarado score in the diagnostic of pain in the right lower quadrant |
title_short |
Alvarado score in the diagnostic of pain in the right lower quadrant |
title_full |
Alvarado score in the diagnostic of pain in the right lower quadrant |
title_fullStr |
Alvarado score in the diagnostic of pain in the right lower quadrant |
title_full_unstemmed |
Alvarado score in the diagnostic of pain in the right lower quadrant |
title_sort |
alvarado score in the diagnostic of pain in the right lower quadrant |
description |
SUMMARY:Background: Acute appendicitis neither suspected nor diagnosed could develop a perforation or otherwise it would take to removing of a normal appendix. Objectives: Utilization of a clinical score system for aided diagnosis of this pathology and can reduce a negative appendicitis.Setting: National Clinicas Hospital. Córdoba. Argentina.Design: Prospective and protocolized study.Methods: 594 patients were studied between October 2002 and December 2013. 312 males and 282 females their age average was 26.2 years. Alvarado score was realized in all patients when they entered. According clinic and second valoration with the score surgical exploration was decided in 574 patients. The remaining 20 were excluded due to other pathology. The diagnosis in acute appendicitis was confirmed by surgical finding and histopathologic studies. Results: In surgical finding we showed 594 patients (91,28 %) had acute appendicitis. There was no operative mortality. Respects morbidity there was 1,74 % of medical and 13,93 % of surgical complications. The anatomo-pathologic report showed a normal cecal appendix in 50. The incidence of negative appendicectomy was about 8.71 %.Conclusions: The utilization of score related to the surgical and anatomo-pathologic finding confirmed it was appreciable from 6 points to acute appendicitis diagnosis. |
publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
publishDate |
2017 |
url |
https://revistas.unc.edu.ar/index.php/med/article/view/14568 |
work_keys_str_mv |
AT ladapauleduardo alvaradoscoreinthediagnosticofpainintherightlowerquadrant AT ladapauleduardo scorealvaradoeneldolordelafosailiacaderecha |
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2022-08-20T01:24:40Z |
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2022-08-20T01:24:40Z |
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1770718866324848640 |
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I10-R10-article-145682019-05-20T10:36:47Z Alvarado score in the diagnostic of pain in the right lower quadrant Score Alvarado en el dolor de la fosa iliaca derecha Lada, Paul Eduardo Acute appendicitis. Score system for diagnosis acute appendicitis. Alvarado Score. Palabras claves Apendicitis aguda. Score clínico para el diagnóstico de apendicitis aguda. Score de Alvarado. apendicitis aguda score clínico para el diagnóstico de apendicitis aguda score de alvarado SUMMARY:Background: Acute appendicitis neither suspected nor diagnosed could develop a perforation or otherwise it would take to removing of a normal appendix. Objectives: Utilization of a clinical score system for aided diagnosis of this pathology and can reduce a negative appendicitis.Setting: National Clinicas Hospital. Córdoba. Argentina.Design: Prospective and protocolized study.Methods: 594 patients were studied between October 2002 and December 2013. 312 males and 282 females their age average was 26.2 years. Alvarado score was realized in all patients when they entered. According clinic and second valoration with the score surgical exploration was decided in 574 patients. The remaining 20 were excluded due to other pathology. The diagnosis in acute appendicitis was confirmed by surgical finding and histopathologic studies. Results: In surgical finding we showed 594 patients (91,28 %) had acute appendicitis. There was no operative mortality. Respects morbidity there was 1,74 % of medical and 13,93 % of surgical complications. The anatomo-pathologic report showed a normal cecal appendix in 50. The incidence of negative appendicectomy was about 8.71 %.Conclusions: The utilization of score related to the surgical and anatomo-pathologic finding confirmed it was appreciable from 6 points to acute appendicitis diagnosis. RESUMENAntecedentes: La apendicitis aguda no sospechada y diagnosticada puede evolucionar hacia la perforación, ó por el contrario conduce a la remoción de un apéndice normal. Objetivo: La utilización de un sistema de Score, desde un punto de vista clínico, para el diagnóstico de esta patología y lograr disminuir las apendicetomías negativas.Lugar de Aplicación: Hospital Nacional de Clínicas. Córdoba. (Argentina)Diseño: Estudio prospectivo y protocolizado.Material y Métodos: Comprende a 594 pacientes estudiados entre octubre de 2002 y diciembre del 2013. De ellos, 312 eran del sexo masculino y 282 del femenino, con una edad promedio de 26,2 años de edad. A todos los pacientes se les realizo al ingreso el Score de Alvarado. En base a la clínica y a una segunda valoración con el Score se decidió la exploración quirúrgica en 574 pacientes. De los 20 restantes, fueron excluidos por otra patología. El diagnóstico de apendicitis aguda fue confirmado por los hallazgos quirúrgicos y la anatomía patológica.Resultados: En los hallazgos operatorios se encontró en 524 pacientes (91,28%) que tenían una apendicitis aguda. No hubo mortalidad postoperatoria. En relación a la morbilidad hubo un 1,74 % de complicaciones médicas y un 13,93 % de las quirúrgicas. El informe anatomopatológico mostró en 50 pacientes un apéndice cecal normal. Por lo tanto la incidencia de las apendicetomías negativas fue del 8,71%. Conclusiones: La utilización del Score en relación a los hallazgos quirúrgicos y anatomopatológicos confirma que fue sensible a partir de 6 puntos para el diagnóstico de apendicitis aguda. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017-09-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/msword https://revistas.unc.edu.ar/index.php/med/article/view/14568 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 74 No. 3 (2017); 214-218 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 74 Núm. 3 (2017); 214-218 Revista da Faculdade de Ciências Médicas de Córdoba; v. 74 n. 3 (2017); 214-218 1853-0605 0014-6722 10.31053/1853.0605.v74.n3 eng https://revistas.unc.edu.ar/index.php/med/article/view/14568/19249 https://revistas.unc.edu.ar/index.php/med/article/view/14568/26049 Derechos de autor 2017 Universidad Nacional de Córdoba |