Diagnostic Accuracy of Total Leucocyte Count and Ultrasound in the Diagnosis of Acute Appendicitis
Background: To compare the diagnostic accuracy of Total Leucocyte Count (TLC) with Ultrasound (USG) abdomen and pelvis in diagnosis of acute appendicitis. Methods: In this cross sectional study 100 patients, with clinical diagnosis of acute appendicitis, were included. In histopathologically dignose...
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| Format: | Article |
| Language: | English |
| Published: |
Rawalpindi Medical University
2012-12-01
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| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/573 |
| Summary: | Background: To compare the diagnostic accuracy of
Total Leucocyte Count (TLC) with Ultrasound (USG)
abdomen and pelvis in diagnosis of acute appendicitis.
Methods: In this cross sectional study 100 patients, with
clinical diagnosis of acute appendicitis, were included. In
histopathologically dignosed cases, TLC and ultrasound
(USG) abdomen and pelvis findings were compared.. Chi
Square test was used to find correlation.
Results: The mean age was 30.17 years. The sensitivity,
specificity, positive predictive and the negative predictive
value of total leukocyte count was 87.5 %, 78.6%, 91.3%
and 71.0%, respectively. The sensitivity, specificity,
positive predictive and the negative predictive value of
USG abdomen and pelvis was 44%,89.3%,91.4% and 38.5%,
respectively.
Conclusion: TLC has more sensitivity and diagnostic
accuracy in acute appendicitis in comparison to USG
abdomen and pelvis. As diagnosis in acute appendicitis is
more clinical, hence it can be used alone to enhance
diagnostic accuracy. |
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| ISSN: | 1683-3562 1683-3570 |