Surgery · Appendix, Small Intestine and Intestinal Obstruction

Which scoring system uses CT morphology, CRP, and clinical parameters to differentiate complicated (perforation/abscess) from uncomplicated acute appendicitis pre-operatively?

  • A AAST appendicitis grade
  • B Alvarado score
  • C RIPASA score
  • D Adult Appendicitis Score (AAS)
Correct answer: A. AAST appendicitis grade

Explanation

The AAST (American Association for the Surgery of Trauma) Appendicitis Grade uses CT findings to grade appendicitis severity from Grade 1 (no perforation, non-gangrenous) to Grade 5 (perforation with diffuse peritonitis), guiding operative vs non-operative decision-making. Alvarado and RIPASA are clinical prediction scores without imaging components. The Adult Appendicitis Score uses CRP, white cell count, and clinical parameters but not CT morphology specifically for complication prediction.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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