Department of Emergency Medicine RSUD SUMBAWA

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Alvarado Score for Acute Appendicitis

Clinical feature

Alvarado Score for Acute Appendicitis

Score
Clinical feature

(M)

Migration of pain to RLQ

(A)

Anorexia

(N)

Nausea & Vomiting

(T)

Tenderness in RLQ

(R)

Rebound pain

(E)

Elevated Temperature 37.5 C

(L)

Leukocytosis

(S)

Shift to the left of neutrophils

Criteria for acute appendicitis:

Score 1-4: Acute appendicitis, very unlikely,
keep under observation
Score 5-6: Acute appendicitis, may be, for
regular observation
Score 7-8: Acute appendicitis, probable,
operate
*

Total Score:

(M)

Migration of pain to RLQ

(A)

Anorexia

(N)

Nausea & Vomiting

(T)

Tenderness in RLQ

(R)

Rebound pain

(E)

Elevated Temperature 37.5 C

(L)

Leukocytosis

(S)

Shift to the left of neutrophils

The Alvarado score has a very low sensitivity and a low specificity in women who
can have gynecological diseases mimicking appendicitis.

Score

Criteria for acute appendicitis:

Score 1-4: Acute appendicitis, very unlikely,
keep under observation
Score 5-6: Acute appendicitis, may be, for
regular observation
Score 7-8: Acute appendicitis, probable,
operate
*

Total Score:

The Alvarado score has a very low sensitivity and a low specificity in women who
can have gynecological diseases mimicking appendicitis.

Department of Emergency Medicine RSUD SUMBAWA