Alvarado score

also known as the MANTRELS score

used to assess acute appendicitis

Here is a table summarizing the components and scoring system-


Component

Score

Symptoms


- Migration of pain to RLQ

1

- Anorexia

1

- Nausea/Vomiting

1

Signs


- Tenderness in RLQ

2

- Rebound tenderness

1

- Elevated temperature

(>37.3°C/99.1°F)

1

Laboratory Findings


- Leukocytosis

(WBC >10,000/mm³)

2

- Left shift 

(increased neutrophils)

1

Total Score

0-10


Interpretation:

  • 0-4: Low probability of appendicitis
  • 5-6: Moderate probability of appendicitis (consider observation or further imaging)
  • 7-8: High probability of appendicitis (consider surgery)
  • 9-10: Very high probability of appendicitis (strongly consider surgery)
View in web app Open in TCML App