Dr. Amna Arif, Dr. Madiha Safdar, Dr. Asma Nazir
Aim: To assess the effectiveness of the Alvarado result in the diagnosis of acute appendicitis and to link it to the histopathological and surgical findings. Study design: A prospective cross-sectional study. Place and duration: In the Surgical department of Sir Ganga Ram Hospital Lahore for one year duration from March 2019 to March 2020. Methods: A total of 100 patients were enrolled in the study and were diagnosed with acute appendicitis during the study. After collecting basic and clinical data, patients were divided into three groups according to the Alvarado scoring. Conservative treatment was applied to patients in group I (scores 1-4) and sent home, while patients in group II (score 5-6) were re-evaluated and conservative treatment was re-established a few hours later. While the settlers were discharged and when the results of Alvarado increased, those patients were operated. Group III patients were operated on after necessary preparations. The modified Alvarado result was correlated with surgical and histopathological findings. Results: The study included 100 subjects, including 62 men and 38 women. The majority (67%) are young or 20 years old. Among them, 89 patients, group 9 and 80 group III, underwent appendicitis. These 16 cases had normal appendix. Conclusion: The Alvarado result is an easy, inexpensive, simple and effective help in the diagnosis of acute appendicitis. Key Words: acute appendicitis, Appendectomy, scoring system, Alvarado score.