Escalas diagnósticas en apendicitis aguda

Abstract

The prompt, rapid and accurate diagnosis of this condition is based mainly on the clinical evaluation of the patient, the results of laboratory tests and imaging. However, a difficulty arises since not all patients present the typical symptomatology. In order to avoid future complications that can lead to death due to late diagnosis or lack of complementary tests, two methods have had to be included to help in these cases. These two systems that have been included are a quasi-quantitative evaluation, they are called modified Alvarado scale and RIPASA that score the patients and according to this will evaluate them through parameters indicating the probability of having appendicitis according to the number of signs and symptoms that are present. For the search of this information the main databases such as Scielo, Pubmed, Elsevier, Scopus and Web of Science have been used, where the most recent articles on the investigated topic have been deeply searched. It is expected to find results that provide us with information on which scale is superior to make an accurate diagnosis of AA. Conclusion: The RIPASA scoring system has been shown to be superior to the so-called modified Alvarado scale in diagnosing AA.