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Algorithm: Diagnostic evaluation of suspected appendicitis in nonpregnant adults

Algorithm: Diagnostic evaluation of suspected appendicitis in nonpregnant adults

AAS: adult appendicitis score; AIR: appendicitis inflammatory response score; CT: computed tomography; MRI: magnetic resonance imaging.

* Based on local preferences, the clinician may substitute the Alvarado score with another clinical prediction rule (eg, AIR, AAS) to triage the patient into low- versus intermediate/high-risk groups for appendicitis.

¶ Abdominal ultrasound or MRI may be performed in lieu of CT in young women (<30) who are particularly concerned about radiation risks.
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