Early in the morning today, we got a case of appendicitis which was already diagnosed and all we had to do was give them a picture of the ultrasound image so that they could get the surgery done free of cost.
My senior started finding the appendix(inflamed) with the probe and after he found it on the screen, freezed it and started taking measurements of the cross section of the appendix.
He freezed two images. One of the cross section and the other of the longitudinal section.
The diameter in the cross section image measured 6.7 mm and the diameter on the longitudinal section measured 7.3 mm (measured at the biggest bulge).
He could have given the cross section diameter, but instead he opted for the diameter in the longitudinal section, that is 7.3 mm.
I started thinking. The book GRAINGER AND ALLISON DIAGNOSTIC RADIOLOGY, gives the measurement of 7mm or greater than 7mm, as diagnostic of appendicitis, where as DAVID SUTTON radiology gives the measurement of greater than 6.5 mm as diagnostic of appendicitis.
Though all the other ultrasound signs of acute appendicitis were present, i was wondering
*if there was an exact value of diameter of appendix that was diagnostic of appendicitis?
*if the value changed from country to country or from gender to gender?
*if the diagnosis can be given even with smaller measurements when there are certain additional signs?
My senior started finding the appendix(inflamed) with the probe and after he found it on the screen, freezed it and started taking measurements of the cross section of the appendix.
He freezed two images. One of the cross section and the other of the longitudinal section.
The diameter in the cross section image measured 6.7 mm and the diameter on the longitudinal section measured 7.3 mm (measured at the biggest bulge).
He could have given the cross section diameter, but instead he opted for the diameter in the longitudinal section, that is 7.3 mm.
I started thinking. The book GRAINGER AND ALLISON DIAGNOSTIC RADIOLOGY, gives the measurement of 7mm or greater than 7mm, as diagnostic of appendicitis, where as DAVID SUTTON radiology gives the measurement of greater than 6.5 mm as diagnostic of appendicitis.
Though all the other ultrasound signs of acute appendicitis were present, i was wondering
*if there was an exact value of diameter of appendix that was diagnostic of appendicitis?
*if the value changed from country to country or from gender to gender?
*if the diagnosis can be given even with smaller measurements when there are certain additional signs?
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