Appendicitis diagnostic scoring

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The Alvarado score is the most widely used scoring based system in making a diagnosis of appendicitis.

Diagnostic Scoring

Alvarado Score

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:[1][2]

Alvarado score
Migratory right iliac fossa pain 1 point
Anorexia 1 point
Nausea and vomiting 1 point
Right iliac fossa 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.
In patients with an equivocal score of 5-6, CT scan further reduces the rate of negative appendectomy.

References

  1. Özsoy Z, Yenidoğan E (2017). "Evaluation of the Alvarado scoring system in the management of acute appendicitis". Turk J Surg. 33 (3): 200–204. doi:10.5152/turkjsurg.2017.3539. PMC 5602313. PMID 28944334.
  2. Ohmann C, Yang Q, Franke C (1995). "Diagnostic scores for acute appendicitis. Abdominal Pain Study Group". Eur J Surg. 161 (4): 273–81. PMID 7612771.

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