Appendicitis other diagnostic studies: Difference between revisions

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{{Appendicitis}}
{{Appendicitis}}
{{CMG}}


==Overview==
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The Alvarado score is the most widely used scoring based system in making a diagnosis of appendicitis.
==References==
 
{{reflist|2}}
==Alvarado score==
{{WH}}
A number of clinical and laboratory based scoring systems have been devised to assist the diagnosis of appendicitis. The most widely used is the Alvarado score:
{{WS}}
 
[[Category:Primary care]]
{| class="wikitable" style = "margin-left:15px; text-align:center"
[[Category:emergency medicine]]
|+ Alvarado score
[[Category:Inflammations]]
|-
[[Category:Medical emergencies]]
| Migratory right [[iliac fossa]] pain
[[Category:General surgery]]
| 1 point
[[Category:Gastroenterology]]
|-
[[Category:Disease]]
| [[Anorexia (symptom)|Anorexia]]
[[Category:Needs content]]
| 1 point
|-
| [[Nausea]] and [[vomiting]]
| 1 point
|-
|Right iliac fossa [[tenderness (medicine)|tenderness]]
|2 points
|-
|[[Rebound tenderness]]
|1 point
|-
|[[Fever]]
|1 point
|-
|[[Leukocytosis]]
|2 points
|-
|Shift to left (segmented [[neutrophils]])
|1 point
|-
!Total score
!10 points
|}
A score of 7 or more is strongly predictive of acute appendicitis.<br>
In patients with an equivocal score of 5-6, CT scan further reduces the rate of negative [[appendectomy]].

Revision as of 20:43, 6 February 2013