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Alvarado scoring systemSymptomsScore

Migratory right iliac fossa pain 1

Nausea / Vomiting 1

Anorexia 1

Signs

Tenderness in right iliac fossa 2

Rebound tenderness in right iliac fossa 1

Elevated temperature 1

Laboratory findings

Leucocytosis 2

Shift to the left of neutrophils 1

Total10

A score of 5 or 6 is compatible with the diagnosis of acute appendicitis A score of 7 or 8 indicates a probable appendicitis A score of 9 or 10 indicates a very probable acute appendicitisMANTRELS :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

the Alvarado score is sometimes referred to as the MANTRELS [email protected] DIGESTIVESept. 24th 2010