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Abstract:
Severe appendix inflammation is a powerful operation oriented ailment. Appendicitis depends mainly on clinical assessment supported by imaging tests particularly ultra-sound. Acute appendicitis is primarily a clinical diagnosis, but the new concepts and trends rely mostly on U/S, CT scan. We tried to improve the identification of acute inflammation depending on clinical examination and emphasizing on some features much more than others. Hence, this study enrolled 108 cases of Acute Appendicitis operated upon and the pathology confirmed grossly. Each case correlated with its original symptoms and signs with white blood cells count (WBC) . On clinical bases we found that migratory pain, anorexia, and nausea are most important while vomiting is least significant. Tenderness and rebound tenderness with the abdominal guard are main important signs. Pulse rate and body temperature are inconclusive findings, WBC count was increased in 77.7% of cases. No imaging study done in all cases. In conclusion, clinical assessment still crucial in the identification of acute appendix discomfort. Some symptoms and signs are more diagnostics than other symptoms thus it is unnecessary to rush and send a patient for U/S, or CT scans.
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