Conclusion:
In the lieu of the study and its results herein we conclude that RIPASA scoring system is the scoring system of choice for the doctor in ED to help in diagnosis of the acute appendicitis with good sensitivity albeit a hit high and specificity albeit a bit low profile. Furthermore, it is recommended that the age group 15-30 years be considered high risk group to be taken into account and taken on low threshold for diagnosis. Also, care must be taken to rule out all the possible differentials in women of childbearing age to keep the number of negative appendectomies in check.