Características diagnósticas de la apendicitis aguda en el Hospital Regional de Duitama, Colombia en el periodo de Enero-Marzo del 2010 (Diagnostic characteristics of acute appendicitis at the regional hospital of Duitama, Colombia during the period of January-March in year 2010)

Resumen
Introducción: la apendicitis aguda sigue siendo la enfermedad que con mayor frecuencia obliga a una intervención quirúrgica
ed analysis by age, gender, type of diagnosis and histopathological diagnosis. Results: 56.6% were males, mean age 27.9 years (SD = 16.4)
the most important symptoms found were abdominal pain (94.5%), migration of pain (65.6% ), vomiting (53.5%)
as predominant signs: Blumberg (59.4%), WBC> 12000 / mm3, and neutrophils >70 (70.7%)
necrosis was associated with progression time greater than 48 hours, leukocytosis greater than 15 000 / mm3 and heart rate above 85 per minute. Conclusion: there are symptoms and signs of high value for the correct diagnosis of appendicitis: abdominal pain, migration of pain, rebound tenderness, leukocytosis and neutrophilia. It is recommended for training institutions, to establish mechanisms that emphasize medical training, for to obtain early diagnoses and to minimize the risk of perforation, because early diagnosis depends on the ease of access to specialist care and diagnosis is mainly clinical.