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Modified Alvarado score for diagnosis of appendicitis

Modified Alvarado score for diagnosis of appendicitis
Feature Points
Migratory right lower quadrant pain 1
Anorexia 1
Nausea or vomiting 1
Tenderness in the right lower quadrant 2
Rebound tenderness in the right lower quadrant 1
Fever >37.5°C (>99.5°F) 1
Leukocytosis of white blood cell count >10 × 109/liter 2
Total 9
Score of 0 to 3 indicates appendicitis is unlikely and other diagnoses should be pursued. Score of ≥4 indicates that the patient should be further evaluated for appendicitis.
C: centigrade; F: Fahrenheit.
Modified from: Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986; 15:557.
Graphic 111766 Version 2.0

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