Alvarado score

Changed by Craig Hacking, 9 Aug 2021

Updates to Article Attributes

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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 &lt;5, than "ruling in" appendicitis with a &gt;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 &lt;5, than "ruling in" appendicitis with a &gt;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>

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