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What is A 23-year-old lady presents with acute right sided lower abdominal pain since 4 hours. There is tenderness at McBurney's point. Which investigation is best suited to confirm the diagnosis of appendicitis and explain in detail?
Ans. (a) CT scanRef: Sabiston 20th edition, Page 1299Various investigations done for acute appendicitis:* X-ray abdomen erect -- Fecalith can be seen in 5% cases only* USG abdomen -- noncompressible appendix +sensitivity +78-83%, Specificity = 83-93%.* CECT abdomen with only IV contrast -- sensitivity and specificity is high (90-100%) -- Thickened appendix 7mm diameter+, most accurate imaging used.* MRI abdomen -- is 100% sensitive and, 98% sensitive. Used only in pregnant females. Operator dependent.