Role of Total Leukocyte Count in Diagnosis of Acute Appendicitis

Javed Iqbal Khan, M. Nawaz and Noreen Sultan
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Javed Iqbal Khan: Abbottabad International Medical College, Abbottabad, Pakistan
M. Nawaz: Women Medical College, Abottabad, Pakistan
Noreen Sultan: Ayub Medical College, Abottabad, Pakistan

International Journal of Health and Medical Sciences, 2017, vol. 3, issue 2, 50-53

Abstract: Acute appendicitis is one of the common surgical emergencies. It usually presents with acute migrating pain in right iliac fossa with anorexia and nausea or vomiting. Usually clinical features are augmented with Total Leukocyte Count (TLC), urine routine examination, and abdominal ultrasound to arrive at diagnosis. Study was conducted at DHG teaching hospital, Haripur from 1st July 2016 to 31st December 2016. It was an observational study and 100 patients with clinical features of acute appendicitis were included. Laboratory tests and post-operative histopathology were performed. Most of the patients were belonging to age group 21-50 years with mean age of 26.4±8.8. TLC was raised to more than 9000/cm3 in 80% cases. Statistics showed that TLC was 83.3% sensitive, 44.4% specific with PPV of 94.1% and NPV of 20% with accuracy of 80% in diagnosis of acute appendicitis. TLC is a very useful marker in diagnosing acute appendicitis especially when combined with typical clinical features and experience of surgeon. CRP and abdominal ultrasound should also be considered to further add to diagnostic accuracy.

Keywords: Acute Appendicitis; Appendicectomy; TLC (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:apa:ijhmss:2017:p:50-53

DOI: 10.20469/ijhms.3.30004-2

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