Department of Emergency Medicine RSSA

Name/Sex/Age :
Date : Name/Sex/Age :
MR # : Date :
MR # :

Alvarado Score for Acute Appendicitis

Alvarado Score for Acute Appendicitis
Clinical feature Score
Clinical feature Score
(M) Migration of pain to RLQ 1
(M) Migration of pain to RLQ 1
(A) Anorexia 1
(A) Anorexia 1
(N) Nausea & Vomiting 1
(N) Nausea & Vomiting 1
(T) Tenderness in RLQ 2
(T) Tenderness in RLQ 2
(R) Rebound pain 1
(R) Rebound pain 1
(E) Elevated Temperature ≥ 37.5 ºC 1
(E) Elevated Temperature ≥ 37.5 ºC 1
(L) Leukocytosis 2
(L) Leukocytosis 2
(S) Shift to the left of neutrophils 1
(S) Shift to the left of neutrophils 1

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Criteria for acute appendicitis:

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Score 1-4: Acute appendicitis, very unlikely, Criteria for acute appendicitis:
keep under observation Score 1-4: Acute appendicitis, very unlikely,
Score 5-6: Acute appendicitis, may be, for Total Score: keep under observation
regular observation Score 5-6: Acute appendicitis, may be, for Total Score:
Score 7-8: Acute appendicitis, probable, regular observation
operate Score 7-8: Acute appendicitis, probable,
operate
* The Alvarado score has a very low sensitivity and a low specificity in women who
can have gynecological diseases mimicking appendicitis. * The Alvarado score has a very low sensitivity and a low specificity in women who
can have gynecological diseases mimicking appendicitis.
Department of Emergency Medicine RSSA