Resumen

CASADO MENDEZ, Pedro Rafael et al. Valor actual de la secuencia de Murphy en el diagnóstico de apendicitis agudaCurrent value of the Murphy sequence in the diagnostic of acute appendicitis. AMC [online]. 2017, vol.21, n.1, pp. 806-817. ISSN 1025-0255.

Background: when diagnosing acute appendicitis the sequence of Murphy is a described diagnostic element. Objective: to determine the current value of the sequence of Murphy in the diagnosis of acute appendicitis. Methods: a descriptive study in 183 patients diagnosed with acute appendicitis in the emergency room at Celia Sánchez hospital, Manzanillo, Granma, during the last four months of 2015. Results: the sequence of Murphy was identified in half of the patients. Male sex prevailed and that sequence was represented. The sequence had an average age of 2,71 years less than in the patients who did not present it. The 20 to 29 age group was the most frequent. Patients who presented the sequence attended the institution 2,81 hours later that those who did not present it. It was higher in patients with less than 24 hours and over 73 years old. Patients who presented the sequence did not have a surgical diagnosis of phlegmonosa and perforated acute appendicitis, and those with histopathological diagnosis presented the sequence. Conclusions: The sequence of Murphy is a useful clinical element in the diagnosis of acute appendicitis when presented in near half of the suspicious patients.

Palabras clave : APPENDICITIS [diagnosis]; CLINICAL DIAGNOSIS; CHRONOLOGY; ADULT; EPIDEMIOLOGY, DESCRIPTIVE.

        · resumen en Español     · texto en Español     · Español ( pdf )