- 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)