Emergency Diagnostic Radiology

By Dr.Xiu

Alvarado Score for Acute Appendicitis

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.

alvarado-score-for-appendictis

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.

alvaradosocore-appendic-1

Reference: ER Notebook, The royal college of surgeons of Edinburgh, Wikipedia

About these ads

Filed under: Acute Appendicitis, Gastrointestinal Emergency, , ,

One Response

  1. Santosh Timalsina says:

    When do you say it’s shift to left?

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Emergency Radiology Textbooks


Follow

Get every new post delivered to your Inbox.

%d bloggers like this: