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- W2899395541 abstract "INTRODUCTION: Diagnosing appendicitis is primarily a clinical evaluation. This would lead to increased negativity on histopathological examination. Diagnosing appendicitis may require adjuvant studies such as computed tomography or ultrasound. Combining clinical evaluation with surgeon performed ultrasonogram may increase diagnostic accuracy, reduce time delay, reduces complications and decrease radiation & costs.METHODS: A prospective study was conducted with a diagnosis of acute appendicitis. A surgeon performed a clinical examination and ultrasonogram to make the diagnosis. Final diagnosis was confirmed by histopathological examination (Gold standard). Results were grouped and tabulated. The Sensitivity, Specificity, Predictive value & Accuracy of surgeon performing ultrasound were analysed. As ultrasonogram was performed by Radiologist, we compared Surgeon performed ultrasonogram with radiologist in cohort of patients. Analysis was performed by kappa value and fisher exact test.RESULTS: One hundred and twelve patients were evaluated. Eighty six patients had appendicitis (76.8%). The negative appendectomy rate by clinical examination was 23.2%. The accuracy of surgeon was 92% & yielded sensitivity & specificity as 94% & 81.4%. Radiologist performed ultrasonogram on 35 patients yielded an accuracy of 85.7%. Surgeon performed ultrasonogram on those 35 patients yielded an accuracy of 82.8%. The argument between surgeon and radiologist was good (kappa value- 0.778) implying the surgeon is effective and reliable as radiologists.CONCLUSION: Accuracy of surgeon performing ultrasonogram was similar with of radiologist performed. Further, when surgeon performs both clinical examination and ultrasonogram a high level of accuracy can be achieved. Based on our study with these high degree of accuracy, surgeon performed bedside ultrasonogram can be used as a primary diagnostic tool in initial evaluation of patient along with clinical examination in cases of acute appendicitis." @default.
- W2899395541 created "2018-11-09" @default.
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- W2899395541 date "2014-04-01" @default.
- W2899395541 modified "2023-09-27" @default.
- W2899395541 title "A study on surgeon performing bedside ultrasonogram in acute appendicitis with histopathologigal correlation" @default.
- W2899395541 hasPublicationYear "2014" @default.
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