STUDY ON DIFFERENT DIAGNOSTIC VALUES [USG, TWBC AND SERUM AMYLASE] IN ACUTE APPENDICITIS

DR.S.NARESH KUMAR; DR. K.VIJAY BABU

Volume : VI, Issue : X, October - 2016

STUDY ON DIFFERENT DIAGNOSTIC VALUES [USG, TWBC AND SERUM AMYLASE] IN ACUTE APPENDICITIS

Dr. S. Naresh Kumar, Dr. K. Vijay Babu

Abstract :

Aims and Objectives The aim of this study is to review different diagnostic methods (USG, TWBC and Serum Amylase) and to evaluate its feasibility and usefulness in diagnosing acute appendicitis. Methodology • A study of 50 patients presenting with pain abdomen and diagnosed provisionally as acute appendicitis, was undertaken. • Depending on individual presentation of symptoms and sings the USG abdomen, Total Count and Serum Amylase was done for each case of suspected acute appendicitis. • Depending on the severity of the condition and according to the investigation the patients were treated and operated. • The surgical specimens were sent for HPE, an attempt was made to correlate the investigation modalities with pathological findings. • The results of diagnostic methods, operative measures and HPE were reviewed. RESULTS AND OBSERVATION • In our study males were predominant in number, in the ratio of 3:2 with females. Out of 50, who were operated, 45 had appendicitis and 5 had normal appendix. • Sensitivity of each diagnostic method was calculated and it was found that sensitivity of USG abdomen was 77.7%, sensitivity of WBC was 73.33% . • Sensitivity of Serum amylase was 8%,this signifies that there is no role of Serum amylase in diagnosing appendicitis though they were slightly increased in 4 appendicular perforation cases and it differentiates complicated appendicitis from uncomplicated appendicitis. CONCLUSION : Different diagnostic values which included USG, WBC have shown to be effective as basic routine investigations necessary for diagnosing Acute Appendicitis .S.Amylase is not significant to diagnose the appendicitis, but it differentiates complicated appendicitis from uncomplicated appendicitis. The sensitivity of USG abdomen signifies its diagnostic value in diagnosing Appendicitis, TWBC alone is not diagnostic criteria for appendicitis, but still it is a helpful investigation in decision making regarding appendicitis especially in doubtful cases.