Friday, 16 October 2015

Alvarado score

Alvarado score is used to diagnose appendicitis.
It is divided into three categories in diagnosis : 1. Symptoms
                                                                            2. Signs
                                                                            3. Laboratory findings

Mnemonic used : MANTRELS                         SCORE
M = migration to right iliac fossa (pain)                1
A = anorexia                                                       1
N = nausea/vomiting                                           1
T = tenderness in right iliac fossa                        2
R = rebound tenderness                                     1
E = elevated temperature (fever)                          1
L = leukocytosis                                                  2
S = shift of leukocytes to left                               1

Interpretations of score :
5-6 score = compatible with diagnosis of acute appendicitis
7-8 score = probable appendicitis
9-10 score = very possible of acute appendicitis

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