Alvarado score
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The Alvarado score is a clinical predictor of the likelihood of acute appendicitis:
- right lower quadrant tenderness (+2)
- elevated temperature (37.3°C or 99.1°F) (+1)
- rebound tenderness (+1)
- migration of pain to the right lower quadrant (+1)
- anorexia (+1)
- nausea or vomiting (+1
- leucocytosis >10,000 (+2)
- leucocytosis left shift (+1)
Score total:
- 5-6 compatible with acute
appenditicitisappendicitis - 7-8 probable acute appendicitis
- 9-10 very probable acute appendicitis
The score can be useful for decision making when evaluating nonspecific imaging or equivocal ultrasound findings 2.
The score may be more useful for ruling out appendicitis with a score <5, than "ruling in" appendicitis with a >7 score 3.
-<p>The <strong>Alvarado score</strong> is a clinical predictor of the likelihood of <a title="Acute appendicitis" href="/articles/appendicitis">acute appendicitis</a>:</p><ul>- +<p>The <strong>Alvarado score</strong> is a clinical predictor of the likelihood of <a href="/articles/appendicitis">acute appendicitis</a>:</p><ul>
-<li>5-6 compatible with acute appenditicitis</li>- +<li>5-6 compatible with acute appendicitis</li>
-</ul><p>The score can be useful for decision making when evaluating nonspecific imaging or equivocal ultrasound findings <sup>2</sup>.</p><p>The score may be more useful for ruling out appendicitis with a score <5, than "ruling in" appendicitis with a >7 score <sup>3</sup>.</p>- +</ul><p>The score can be useful for decision making when evaluating nonspecific imaging or equivocal ultrasound findings <sup>2</sup>.</p><p>The score may be more useful for ruling out appendicitis with a score <5, than "ruling in" appendicitis with a >7 score <sup>3</sup>.</p>
Tags changed:
- general surgery
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