A STUDY ON CLINICAL PROFILE OF PATIENTS WITH ACUTE APPENDICITIS AT A TERTIARY CARE CENTRE- A SECONDARY DATA ANALYSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 18
Abstract
BACKGROUND Acute appendicitis is the leading cause of surgical acute abdomen worldwide with a prevalence of approximately 7% of population. There are very few studies conducted on the clinical profile of acute appendicitis in the North East region of India. Therefore, this research is conducted to know the clinical profile of acute appendicitis. Aims and Objectives- To study the clinical profile of acute appendicitis treated at a tertiary care centre at the Department of Surgery, Tripura Medical College and Dr. BRAM Teaching Hospital, Tripura state. One hundred and fifty cases (150) of acute appendicitis were studied in detail and were compared with previous data from literature. All the one hundred and fifty cases were brought to our hospital as a case of acute abdomen. All age group of patients were included in this study, since we have no separate paediatric surgery department. Anorexia nearly always accompanies appendicitis in these cases. MATERIALS AND METHODS 150 cases with provisional diagnosis of acute appendicitis, which were posted for surgery were selected using randomisation. Patients were methodically enquired according to the proforma. Ultrasonography was the key investigation for the diagnosis of these cases. Leucocytosis was the commonest finding in complete blood count. RESULTS Pain was the most common symptom among all 150 cases. The entire 150 patients suffered from pain in the periumbilical region or in right lower quadrant area. Migration of pain were present in 78 (52%) nos. of patients and the mean duration of pain was 24 hours. Apart from pain nausea, vomiting, fever of low grade were the other commonest signs. Surgical appendectomy was the mode of treatment in maximum patients without having appendicular mass formation. All the patients recovered. There was no mortality. CONCLUSION Nausea was common. Pain occurred in right lower quadrant of abdomen in all the patients. Migration of pain was present in only 52% of cases. The sequence of appearance of symptoms are of great diagnostic value. These begin with pain followed by nausea or vomiting and later with low-grade fever.
Authors and Affiliations
Surajit Kumar Das, Sibendu Mohan Das
Keywords
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- EP ID EP417269
- DOI 10.14260/jemds/2018/491
- Views 98
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