@article { author = {Rizk, Mohamed and Elsayaad, Ibrahim and Shaqueer, Mostafa Moahmed Mostafa and khereba, Walied and Mohammed, Sami}, title = {Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children}, journal = {International Journal of Medical Arts}, volume = {3}, number = {2}, pages = {1282-1287}, year = {2021}, publisher = {Al-Azhar University (Damietta), Faculty of Medicine}, issn = {2636-4174}, eissn = {2682-3780}, doi = {10.21608/ijma.2021.38601.1170}, abstract = {Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed.   The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis.Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS .Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score.Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced.}, keywords = {Appendicitis,Modified Alvarado,Ultrasound,Diagnosis,children}, url = {https://ijma.journals.ekb.eg/article_155055.html}, eprint = {https://ijma.journals.ekb.eg/article_155055_69421332fc001aea729d2cc91471a6b0.pdf} }