Utilidad de la escala de Alvarado como diagnóstico y caracterización clínica de apendicitis aguda en el Hospital Delfina Torres de Concha del cantón Esmeraldas período 2014
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Una herramienta que puede resultar muy útil en la práctica clínica es la escala de Alvarado, que evalúa 8 variables, asignándoles una puntuación específica a cada una de ellas, con esta escala es posible precisar la posibilidad de una apendicitis. Este sistema de calificación se diseñó para mejorar el diagnóstico de la apendicitis y se proyectó al proporcionar el peso relativo de una manifestación clínica específica y una escala de puntuación.
Por ende este trabajo de titulación se realiza para determinar el conocimiento que los médicos en el área del servicio de cirugía ponen en práctica al momento de evaluar al paciente, es necesario mencionar que por experiencia de la autora se permitió evidenciar que la mayor patología de síndromes dolorosos abdominales eran las apendicitis, y como criterio era sorprendente ver cinco pacientes en el día el que llegaron por un dolor que empezaba en epigastrio y con horas de evolución terminaban en un dolor localizado de moderad intensidad en fosa iliaca derecha, que por caracterización clínica y por semiología aplicada más datos de laboratorio se determinaba un diagnostico apendicular. Pero al momento del tratamiento quirúrgico algunos casos no daban con el diagnostico presuntivo si no que por experiencia de los médicos daban como hecho una apendicitis aguda siendo esta una apendicitis negativa “blanca”.
A tool that can be very useful in clinical practice is the Alvarado score, which assesses eight variables, assigning a specific score to each of them, with this scale is possible to determine the possibility of appendicitis. This rating system is designed to improve the diagnosis of appendicitis and was projected to provide the relative weight of a specific clinical manifestation and a rating scale. Therefore this work titration is performed to determine the knowledge that doctors in the area of the surgery implemented when evaluating the patient, it is necessary to mention that experience allowed the author to demonstrate that most pathology syndromes abdominal painful were the appendicitis, and as a criterion was surprising to see five patients on the day they arrived by pain began epigastric and hours of evolution ended in a localized pain temper intensity in the right iliac fossa, which clinical characterization and semiotics applied for more data appendiceal laboratory diagnosis is determined. But at the time of surgical treatment in some cases they gave no presumptive diagnosis if not by experience doctors gave as acute appendicitis being made this a "white" negative appendicitis.
A tool that can be very useful in clinical practice is the Alvarado score, which assesses eight variables, assigning a specific score to each of them, with this scale is possible to determine the possibility of appendicitis. This rating system is designed to improve the diagnosis of appendicitis and was projected to provide the relative weight of a specific clinical manifestation and a rating scale. Therefore this work titration is performed to determine the knowledge that doctors in the area of the surgery implemented when evaluating the patient, it is necessary to mention that experience allowed the author to demonstrate that most pathology syndromes abdominal painful were the appendicitis, and as a criterion was surprising to see five patients on the day they arrived by pain began epigastric and hours of evolution ended in a localized pain temper intensity in the right iliac fossa, which clinical characterization and semiotics applied for more data appendiceal laboratory diagnosis is determined. But at the time of surgical treatment in some cases they gave no presumptive diagnosis if not by experience doctors gave as acute appendicitis being made this a "white" negative appendicitis.
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Apendicitis, Escala de Alvarado, Hospital Delfina Torres de Concha, Cantón Esmeraldas, Ecuador