000			03234nam a2200337 a 4500
003			EG-GiCUC
005			20250223032911.0
008			220112s2021 ua d f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.14.M.Sc.2021.Ni.V
100	0		_aNirmal Thapa
245	1	0	_aValue of total leucocytic count and Pelviabdominal ultrasound in distinguishing Complicated from non complicated acute Appendicitis / _cNirmal Thapa ; Supervised George Abdelfady Nashed , Mohamed Hamdy Khaattab
246	1	5	_aتقييم تعداد مجرات الدم البيضاء و موجات صوتية علي البطن و الحوض فى التفريق بين الالتهابات الحادة للزائدة الدودية المصاحب بمضاعفات
260			_aCairo : _bNirmal Thapa , _c2021
300			_a101 P . : _b charts ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of general surgery
520			_aBackground: In both industrialised and developing countries, acute appendicitis is the most common cause of non-traumatic acute abdomen. The patient may have non-specific abdominal pain or classic signs of right iliac fossa pain, tenderness, and rebound tenderness on examination.According to statistics, out of every five cases of appendicitis, one is misdiagnosed, and 15% to 40% of individuals who undergo emergency appendectomy have a normal appendix revealed. The aim of this study is to compare the results of total leucocytic count and pelviabdominal ultrasonography findings in determining whether an acute appendicitis is complicated or not. Methods: A case series prospective study carried out on 80 patients different age groups (15- 60) diagnosed as acute appendicitis evidenced by clinical assessment ,laboratory investigations &imaging (Ultrasound examination) admitted in the emergency department of Cairo University Hospitals(KasrAlAiny) , from March 2021 to September 2021.Preoperative TLC and Pelviabdominal ultrasound was done for all patients.All cases were observed for their intraoperative findings.Results: The current study combining pelviabdominal collection (US diagnosis) and TLC of more than 12.95cells/mm3 showed a sensitivity of 37.5% and a high NPV of 70.15%, with the specificity of 97.9% and PPV of 92.31%, and accuracy of 73.75%. Conclusion:A high TLC (>12.95 cells/mm3 ) can raise the suspicion of complicated acute appendicitis. Incorporation of the abdominal US would increase the likelihood of complicated acute appendicitis. Therefore, the surgical intervention decision vs medical treatment can be taken with minimal drawbacks. Moreover, fluid collection in the RIF and/or pelvis can be suspected with a high rise of TLC and confirmed by the abdominal US, thus increasing the likelihood of complicated appendicitis
530			_aIssued also as CD
653		4	_aAcute appendicitis,
653		4	_aComplicated
653		4	_aTotal Leucocyte Count
700	0		_aGeorge Abdelfady Nashed ,
700	0		_aMohamed Hamdy Khaattab ,
856			_uhttp://172.23.153.220/th.pdf
905			_aAmira _eCataloger
905			_eRevisor
942			_2ddc _cTH
999			_c83944 _d83944