Comparative Evaluation Of Ultrasound And Clinicopathological Alvarado Score In The Diagnosis Of Acute Appendicitis

Alvarado score is an established clinicopathological objective assessment score to diagnose and exclude acute appendicitis. However, in spite of this decade old scoring tool there is no certainty of accurate diagnosis in the setting of acute appendicitis. Ultrasound remains a mainstay in the diagnosis and exclusion of acute appendicitis. New ultrasound techniques like graded compression techniques have led to increased diagnostic accuracy of ultrasound. Inspite of both the modalities the rates of negative laparotomy remain high. This study aims at combined use of Alvarado score and ultrasonography as a tool for diagnosis and exclusion of acute appendicitis.