Sonography in the diagnosis of acute appendicitis.
Acute appendicitis can be a diagnostic dilemma. The classic triad of leukocytosis, pain at McBurney's point and a history compatible with appendicitis has a diagnostic accuracy rate of only 80 percent. Ultrasonography, combined with this triad, can improve the diagnostic accuracy, decreasing the negative laparotomy rate from 20 percent to less than 10 percent.
Paulman
A A
AA
Immanuel Medical Center, Omaha, Nebraska.
Huebner
D M
DM
Forrest
T S
TS
D000293:Adolescent; D001064:Appendicitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007964:Leukocytosis / Q000097:blood / Q000209:etiology; D008297:Male; D010146:Pain / Q000209:etiology; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000592:standards*