Clinical Diagnosis Superiority in Appendicitis Cases: An Integrative Analysis with Ultrasound Findings and Complete Hemogram

Abstract

Aim: This study aims to evaluate the diagnostic effectiveness of clinical diagnosis compared to ultrasound findings and elevated total count in identifying acute appendicitis.  Methods: A cross-sectional study was conducted over three months with 30 patients aged 10-60 years presenting to the General Surgery OPD/ER. The patients were evaluated using clinical diagnosis, ultrasound, and complete hemogram. Clinical findings included McBurney’s tenderness, Blumberg sign, and lateral wall tenderness on Digital Rectal Examination. Data on ultrasound findings and total leukocyte count were collected and analyzed.  Results: Clinical diagnosis accurately identified acute appendicitis in all 30 cases. Ultrasound confirmed appendicitis in 18 cases (60%), while elevated total leukocyte count was observed in 20 cases (66.6%). When combining clinical evaluation, ultrasound, and hemogram data, a comprehensive diagnosis was achieved in 13 cases (43.4%).  Conclusion: Clinical diagnosis remains the superior method for identifying acute appendicitis. Ultrasound and hemogram serve as valuable adjuncts, refining diagnostic accuracy. The integrative approach ensures optimal patient management. This study advocates for the continued development of clinical expertise alongside auxiliary