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Alvarado Score

The Alvarado Score is a clinical scoring system used to assess the likelihood of acute appendicitis. The score is based on the following criteria:

Symptoms:

• Migration of pain to the right lower quadrant (1 point)
• Anorexia (1 point)
• Nausea and vomiting (1 point)

Signs:

• Tenderness in the right lower quadrant (2 points)
• Rebound pain (1 point)
• Elevated temperature (1 point)

Laboratory Findings:

• Leukocytosis (2 points)
• Shift to the left of neutrophils (1 point)

Scoring:

• Score 1-4: Low probability of appendicitis
• Score 5-6: Intermediate probability (consider further evaluation)
• Score 7-10: High probability of appendicitis (consider surgical consultation)