Alvarado score
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The Alvarado score is a clinical decision rule and predictor of the likelihood of acute appendicitis.
Criteria
- 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 appendicitis
- 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.
History and etymology
Alfredo Alvarado (fl. 2020) is an American-Colombian general surgeon, who is still practising in Florida in the United States 4.
See also
-<p>The <strong>Alvarado score</strong> is a <a href="/articles/clinical-decision-rules-1">clinical decision rule</a> and predictor of the likelihood of <a href="/articles/appendicitis-2">acute appendicitis</a>.</p><h4>Criteria</h4><ul>- +<p>The <strong>Alvarado score</strong> is a <a href="/articles/clinical-decision-rules-1">clinical decision rule</a> and predictor of the likelihood of <a href="/articles/acute-appendicitis-2">acute appendicitis</a>.</p><h4>Criteria</h4><ul>
-</ul><p>Score total:</p><ul>- +</ul><h5>Score total:</h5><ul>
-</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><h4>History and etymology</h4><p><strong>Alfredo Alvarado</strong> (<a href="/articles/biographical-article-structure">fl.</a> 2020) is an American-Colombian general surgeon, who is still practising in Florida in the United States <sup>4</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><h4>History and etymology</h4><p><strong>Alfredo Alvarado</strong> (<a href="/articles/biographical-article-structure">fl.</a> 2020) is an American-Colombian general surgeon, who is still practising in Florida in the United States <sup>4</sup>.</p><h4>See also</h4><ul><li><a title="APPEND score" href="/articles/append-score">APPEND score</a></li></ul>