Nausea | ||
Positive likelihood ratio 7.00 ( Idris SA et al. ) (average) 7.00 | Negative likelihood ratio 0.10 ( Idris SA et al. ) (average) 0.1 | |
Migration of pain | ||
Positive likelihood ratio 3.60 ( Wagner JM et al. ) 3.20 ( Hardin M et al. ) (average) 3.40 | Negative likelihood ratio 0.40 ( Wagner JM et al. ) 0.50 ( Hardin M et al. ) (average) 0.45 | |
Psoas sign | ||
Positive likelihood ratio 3.20 ( Wagner JM et al. ) 1.06 ( Idris SA et al. ) (average) 2.13 | Negative likelihood ratio 0.90 ( Wagner JM et al. ) 0.86 ( Idris SA et al. ) (average) 0.88 | |
Fever | ||
Positive likelihood ratio 3.20 ( Wagner JM et al. ) 1.06 ( Nshuti R et al. ) 1.03 ( Idris SA et al. ) 1.07 ( Al-gaithy Zuhoor K et ) (average) 1.59 | Negative likelihood ratio 0.40 ( Wagner JM et al. ) 0.99 ( Nshuti R et al. ) 0.95 ( Idris SA et al. ) 0.33 ( Al-gaithy Zuhoor K et ) (average) 0.67 | |
Anorexia | ||
Positive likelihood ratio 3.17 ( Idris SA et al. ) 1.05 ( Al-gaithy Zuhoor K et ) (average) 2.11 | Negative likelihood ratio 0.07 ( Idris SA et al. ) 0.53 ( Al-gaithy Zuhoor K et ) (average) 0.3 | |
Rebound tenderness | ||
Positive likelihood ratio 3.00 ( David G. Bundy et ) 2.41 ( Lamture YR et al. ) (average) 2.71 | Negative likelihood ratio 0.28 ( David G. Bundy et ) 0.48 ( Lamture YR et al. ) (average) 0.38 | |
Vomiting | ||
Positive likelihood ratio 1.31 ( Idris SA et al. ) 1.09 ( Al-gaithy Zuhoor K et ) (average) 1.20 | Negative likelihood ratio 0.56 ( Idris SA et al. ) 0.38 ( Al-gaithy Zuhoor K et ) (average) 0.47 | |
Right lower quadrant pain | ||
Positive likelihood ratio 1.20 ( David G. Bundy et ) 8.00 ( Hardin M et al. ) 1.12 ( Idris SA et al. ) (average) 3.44 | Negative likelihood ratio 0.56 ( David G. Bundy et ) 0.28 ( Hardin M et al. ) 0.29 ( Idris SA et al. ) (average) 0.38 | |
Diarrhea | ||
Positive likelihood ratio 0.71 ( Idris SA et al. ) (average) 0.71 | Negative likelihood ratio 1.78 ( Idris SA et al. ) (average) 1.78 |
Ultrasound for appendicitis | ||
Positive likelihood ratio 4.94 ( Al-Ajerami Y et al. ) 16.60 ( Al-Khayal KA et al. ) 45.50 ( Toorenvliet BR et al. ) 30.33 ( Neufeld D et al. ) 14.17 ( Doria AS et al. ) (average) 22.31 | Negative likelihood ratio 0.19 ( Al-Ajerami Y et al. ) 0.18 ( Al-Khayal KA et al. ) 0.09 ( Toorenvliet BR et al. ) 0.09 ( Neufeld D et al. ) 0.16 ( Doria AS et al. ) (average) 0.14 | |
Leukocytosis (> 10000 / ml) | ||
Positive likelihood ratio 2.23 ( Al-gaithy Zuhoor K et ) 1.60 ( Saaiq M et al. ) 1.89 ( Dahmardehei M et al. ) 2.91 ( Kamran H et al. ) (average) 2.16 | Negative likelihood ratio 0.35 ( Al-gaithy Zuhoor K et ) 0.21 ( Saaiq M et al. ) 0.26 ( Dahmardehei M et al. ) 0.32 ( Kamran H et al. ) (average) 0.29 |
1. | David G. Bundy et al. Does This Child Have Appendicitis? JAMA. 2007 Jul 25; 298(4): 438–451. |
---|
2. | Wagner JM et al. Does This Patient Have Appendicitis? JAMA. 1996;276(19):1589-1594 |
---|
3. | Hardin M et al. Acute Appendicitis: Review and Update. Am Fam Physician. 1999 Nov 1;60(7):2027-2034 |
---|
4. | Nshuti R et al. Clinical presentation of acute appendicitis in adults at the Chris Hani Baragwanath academic hospital. Int J Emerg Med. 2014; 7: 12 |
---|
5. | Lamture YR et al. The role of rebound tenderness in acute appendicitis and appendicular perforation. Int Surg J. 2017 Feb;4(2):725-727 |
---|
6. | Idris SA et al. The sensitivity and specificity of the conventional symptoms and signs in making adiagnosis of acute appendicitis. Sudan journal of medical sciences. 4. 55-61 |
---|
7. | Al-gaithy Zuhoor K et al. Clinical value of total white blood cells and neutrophil counts in patients with suspected appendicitis: retrospective study. World Journal of Emergency Surgery : WJES. 2012;7:32 |
---|
8. | Al-Ajerami Y et al. Sensitivity and specificity of ultrasound in the diagnosis of acute appendicitis. East Mediterr Health J. 2012 Jan;18(1):66-9 |
---|
9. | Al-Khayal KA et al. Computed tomography and ultrasonography in the diagnosis of equivocal acute appendicitis. A meta-analysis. Saudi Med J. 2007 Feb;28(2):173-80 |
---|
10. | Toorenvliet BR et al. Routine ultrasound and limited computed tomography for the diagnosis of acute appendicitis. World J Surg 34(10):2278, October 2010 |
---|
11. | Neufeld D et al. Management of acute appendicitis: an imaging strategy in children. Ped Surg Internat 26(2):167, February 2010 |
---|
12. | Doria AS et al. US or CT for diagnosis of appendicitis in children and adults? A meta-analysis. Radiology 241(1):83, October 2006 |
---|
13. | Saaiq M et al. Diagnostic Accuracy of Leukocytosis in Prediction of Acute Appendicitis. Journal of the College of Physicians and Surgeons Pakistan 2014, Vol. 24 (1): 67-69 |
---|
14. | Dahmardehei M et al. Diagnostic Value of Leukocytosis, ESR and CRP in Patients with Suspected Acute Appendicitis. Zahedan J Res Med Sci 2013 Jul; 15(7): 59-63 |
---|
15. | Kamran H et al. Role of total leukocyte count in diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad 2008;20(3) |
---|
16. | Hastings RS et al. Abdominal pain in the ED: a 35 year retrospective. Am J Emerg Med. 2011 Sep;29(7):711-6 |
---|
17. | Caporale N et al. Acute abdominal pain in the emergency department of a university hospital in Italy. United European Gastroenterology Journal 2016, Vol. 4(2) 297–304 |
---|