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Background: the aim of the study was to study the clinical presentations, modes of management and outcome in a patient with splenic trauma. Setting and design of study retrospective observational study conducted in a tertiary care hospital in GMC Jammu.Methods: The study was done in the department of general surgery in a tertiary care centre that has round the clock availability of all radiological investigations. A total 50 cases of splenic trauma diagnosed by focussed abdominal sonography in trauma (FAST) or CT scan or per operatively were enrolled in the study.Results: Maximum number (36%) of patients were aged between 31-40 years of age. Most of the patients (92%) presented with blunt abdominal trauma. RTA (40%) and fall (40%) were the common causes of blunt abdominal trauma. Maximum patients (36%) had grade III splenic injury.30% of the patients managed by NOM while 70% underwent splenectomy.Conclusions: Patients with splenic injury (grade I-grade III) can be managed by NOM without increased morbidity and mortality through proper monitoring.

Background: Acute appendicitis is one of the common surgical emergencies. This study analysed C- reactive protein as a diagnostic marker of acute appendicitis.Objective of the current study was to investigate the efficacy of C-reactive protein in the diagnosis of acute appendicitis.Methods: A prospective study done on patients coming to hospital with clinical diagnosis of acute appendicitis and underwent appendectomy. Operative and histopathological findings were compared and analyzed with C- reactive protein.Results: A total of 100 patients were included in the study. CRP was more than 6mg/l in 89 patients, and out of 89 patients, 87 patients had histopathologically inflamed appendix and serum CRP estimation in diagnosis of acute appendicitis yield sensitivity of 90.6%, specificity of 50%, positive predictive value of 97.75% and negative predictive value of 18.2%.Conclusions: CRP was raised in patients with acute appendicitis and it aids as a marker for diagnosing acute appendicitis and decreasing the rate of negative appendectomy.