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RIPASA Score

Nama: Alamat(Desa/RT/RW):
Usia: No. RM:
Jenis Kelamin: Tanggal:

Date of assesment

Time of Assesment

Score Score Score Score Score Score Score

Demografi

Perempuan 0.5

Laki-laki 1.0

Usia <39.9 th 1.0

Usia >40 th 0.5

Gejala

Nyeri RIF 0.5

Nyeri migrasi ke 0.5


RIF
Anorexia 1.0

Mual & Muntah 1.0

Durasi gejala < 48 1.0


jam
Durasi gejala > 48 0.5
jam
Tanda

RIF Tenderness 1.0


RIF Guarding 2.0
Rebound 1.0
Tenderness
Rovsing Sign 2.0
Demam >37°C, 1.0
<39°C
Penunjang
Peningkatan jumlah 1.0
SDP
Urinalisis negatif* 1.0
Skor tambahan
ForeignNRIC(warga 1.0
negara asing)**
Total

Interpretasi hasil skoring:


• <5 = Probability of acute appendicitis is unlikely
• 5.0 – 7.0 = Low probability of acute appendicitis
• 7.5 – 11.0 = Probability of acute appendicits high
• > 12.0 = Definite acute appendicitis

Tanggal Operasi apendektomi: …


Hasil pemeriksaan PA: …

*Urinalisis negatif: tidak ada dara, neutrophil dan bakteri


**NRIC: National Registry Identity Card

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