Template:Alvarado scoring system: Difference between revisions
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====[https://www.mdcalc.com/alvarado-score-acute-appendicitis Alvarado Clinical Scoring System]==== | ====[https://www.mdcalc.com/alvarado-score-acute-appendicitis Alvarado Clinical Scoring System]==== <!--T:1--> | ||
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Clinical scoring system, where a score (Total=10) is composed on presence/absence of 3 signs, 3 symptoms and 2 lab values to help guide in case management. | Clinical scoring system, where a score (Total=10) is composed on presence/absence of 3 signs, 3 symptoms and 2 lab values to help guide in case management. | ||
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*≤3 = Appendicitis unlikely | *≤3 = Appendicitis unlikely | ||
*≥7 = Surgical consultation | *≥7 = Surgical consultation | ||
*4-6 = Consider CT | *4-6 = Consider CT | ||
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'''MANTRELS''' Mnemonic: '''M'''igration to the right iliac fossa, '''A'''norexia, '''N'''ausea/Vomiting, '''T'''enderness in the right iliac fossa, '''R'''ebound pain, '''E'''levated temperature (fever), '''L'''eukocytosis, and '''S'''hift of leukocytes to the left (factors listed in the same order as presented above). | '''MANTRELS''' Mnemonic: '''M'''igration to the right iliac fossa, '''A'''norexia, '''N'''ausea/Vomiting, '''T'''enderness in the right iliac fossa, '''R'''ebound pain, '''E'''levated temperature (fever), '''L'''eukocytosis, and '''S'''hift of leukocytes to the left (factors listed in the same order as presented above). | ||
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Latest revision as of 08:08, 20 January 2026
Alvarado Clinical Scoring System
| Right Lower Quadrant Tenderness | +2 |
| Elevated Temperature (37.3°C or 99.1°F) | +1 |
| Rebound Tenderness | +1 |
| Migration of Pain to the Right Lower Quadrant | +1 |
| Anorexia | +1 |
| Nausea or Vomiting | +1 |
| Leukocytosis > 10,000 | +2 |
| Leukocyte Left Shift | +1 |
Clinical scoring system, where a score (Total=10) is composed on presence/absence of 3 signs, 3 symptoms and 2 lab values to help guide in case management.
- ≤3 = Appendicitis unlikely
- ≥7 = Surgical consultation
- 4-6 = Consider CT
MANTRELS Mnemonic: Migration to the right iliac fossa, Anorexia, Nausea/Vomiting, Tenderness in the right iliac fossa, Rebound pain, Elevated temperature (fever), Leukocytosis, and Shift of leukocytes to the left (factors listed in the same order as presented above).