The Alvarado score is a clinical scoring system used in the diagnosis of appendicitis. The score has 6 clinical items and 2 laboratory measurements with a total 10 points.
A score of 5 or 6 is compatible with the diagnosis of acute appendicitis. A score of 7 or 8 indicates a probable appendicitis, and a score of 9 or 10 indicates a very probable acute appendicitis.
A popular mnemonic used to remember the Alvarado score factors is MANTRELS
Migration to the right iliac fossa
Anorexia, Nausea/Vomiting
Tenderness in the right iliac fossa
Rebound pain
Elevated temperature (fever)
Leukocytosis
Shift of leukocytes to the left
Due to the popularity of this mnemonic, the Alvarado score is sometimes referred to as the MANTRELS score.
Here is some recommended guideline.
Reference: ER Notebook, The royal college of surgeons of Edinburgh, Wikipedia
Filed under: Acute Appendicitis, Gastrointestinal Emergency, Acute Appendicitis, Alvarado Score, MANTRELS score
When do you say it’s shift to left?