Appendicitis diagnostic scoring: Difference between revisions
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==Diagnostic Scoring== | ==Diagnostic Scoring== | ||
===Alvarado Score=== | ===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: | 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:<ref name="pmid28944334">{{cite journal |vauthors=Özsoy Z, Yenidoğan E |title=Evaluation of the Alvarado scoring system in the management of acute appendicitis |journal=Turk J Surg |volume=33 |issue=3 |pages=200–204 |year=2017 |pmid=28944334 |pmc=5602313 |doi=10.5152/turkjsurg.2017.3539 |url=}}</ref><ref name="pmid7612771">{{cite journal |vauthors=Ohmann C, Yang Q, Franke C |title=Diagnostic scores for acute appendicitis. Abdominal Pain Study Group |journal=Eur J Surg |volume=161 |issue=4 |pages=273–81 |year=1995 |pmid=7612771 |doi= |url=}}</ref> | ||
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==References== | ==References== | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
Latest revision as of 20:27, 29 July 2020
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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]
| 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
- ↑ 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.
- ↑ 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.