Vol. 5, Issue 4, Part B (2019)

Abstract
Acute appendicitis is the most widely surgical emergency a specialist runs over by and by. Yet, the finding of intense a ruptured appendix still speaks to a standout amongst the most troublesome issue in surgery. Several clinical scoring systems and diagnostic modalities are in use to diagnose acute appendicitis. The aim of this study is to compare reliability of Alvarado Score, a clinical scoring system and sonography of abdomen in diagnosis of acute appendicitis. One hundred and ten patients attended OPD and emergency with lower abdominal pain suggestive of acute appendicitis were included in the study. Results of diagnostic accuracy of Alvarado scoring and sonography of abdomen were analysed and compared. Though all the accuracies related to diagnosis of appendicitis of USG were better than that of Alvarado Score, since these were more or less comparable to USG. Thus Alvarado Score can be used in place of USG in case of non-availability of USG facilities to diagnose appendicitis in case of emergency.