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

Table 1 Clinical Practice Guideline Scoring System (CPGS) [1]:

			1	0
Clinical data	General	- Fever	Yes	No
		- HR	> 120/min.	< 120/min.
		- Vomiting	Yes	No
		- Dehydration	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
		- Rebound tenderness	Yes (3)	No
		- Guarding or rigidity	Yes	No
		- +ve P.R. examination	Yes	No
Investigations	Laboratory	- WBCs leukocytosis	Yes	No
		- Urine analysis (Findings of UTI)	Yes	No
	Focused abdominal U.S.	- Appendicitis or mass	Yes	No
		- +ve findings in female Adnxae	No	Yes
		- +ve findings in liver, Gall bladder, billiary passages	No	Yes
		- +ve findings kidneys	No	Yes
		- Free fluid	Yes	No
Total score

ISSN: 1749-7922