Role of clinical judgment and tissue harmonic imaging ultrasonography in diagnosis of paediatric acute appendicitis

Table 2 Modified clinical practice and harmonic ultrasonographic grading score (MCPGS):

			1	0
Clinical data	General	- Fever	Yes	No
		- HR	> 120/min.	< 120/min.
		- Vomiting	Yes	No
	Abdominal	*Abd. Pain*
		- Localized	Yes	No
		- History of similar - attacks	No	Yes
		- Character	Constant	Intermittent
		- Severity	Intolerable	Tolerable
		- Course	Progressive	Regressive
		- Relief by antispasmodic	No	Yes
		- Bowel Habit alteration	Yes	No
		- Tenderness	Yes	No
		- Guarding or rigidity	Yes	No
		- +ve P.R. Associated intra- abdomin,. Disease	Yes No	No Yes
Investigations	Laboratory	- High WBCs - Elevated CRP	Yes Yes	No No
		- Urine analysis (Findings of UTI)	No	Yes
	Tissue Harmonic U.S. RLQ	-Aperistaltic non- Compressible blind ended tubular structure	Yes	No
		-Distinct thickened appendicial wall layers	Yes	No
		- Outer diameter > 6 mm	Yes	No
		-Target sign appearance	Yes	No
		-Appendicolith(s)	Yes	No
		-Periappendiceal fluid collection	Yes	No
		- Echogenic Prominent pericecal fat Appendicolith	Yes	No
		- +ve findings in female Adnxae	No	Yes
Total score

ISSN: 1749-7922