Alvarado score

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Alvarado score

(al-vă-rod′ō)

[A. Alvarado, U.S. physician]

A diagnostic tool to estimate the likelihood that a patient with abdominal pain has appendicitis. It includes the following clinical features: 1) an elevated white blood cell count (esp. when associated with a left shift); 2) abdominal pain that migrates to the right lower quadrant of the abdomen; 3) loss of appetite; 4) nausea and/or vomiting; 5) tenderness in the right lower quadrant; 6) rebound tenderness; and 7) fever. Patients with few of these clinical features are unlikely to have an inflamed appendix; patients with most of these findings are likely to benefit from appendectomy.

References in periodicals archive ?

To evaluate diagnostic accuracy of modified Alvarado score and Ohmann score in co-relation to histopathology report for diagnosis of acute appendicitis.

A CLINICOPATHOLOGICAL STUDY TO ESTABLISH THE CORRECTNESS OF THE DIAGNOSIS OF ACUTE APPENDICITIS IN CASES OF ACUTE RIGHT LOWER QUADRANT PAIN OF ABDOMEN

Scenarios like these are a dilemma where despite a high Alvarado score, the surgery was delayed due to unexplained hypertension.

Pheochromocytoma - An incidental finding in a child with acute appendicitis

Many studies suggest combining ultrasonography with Alvarado score that is a quick and inexpensive diagnostic tool38-41, though, when used alone, has a high negative appendicectomy rate especially when the scores are less than eight38.

ACCURACY OF ULTRASONOGRAPHY IN DIAGNOSIS OF ACUTE APPENDICITIS; RESULTS OF A CROSS-SECTIONAL SURVEY AT TWO CENTRES

Rees, "Evaluation of the Alvarado score in acute appendicitis," Journal of the Royal Society of Medicine, vol.

Retrospective Multivariate Analysis of Data from Children with Suspected Appendicitis: A New Tool for Diagnosis

(1) aimed to show the value of Alvarado Score (AS) in AA and to suggest a "management algorithm" according to AS in their study.

Editorial comment on: 'Evaluation of the Alvarado scoring system in the management of acute appendicitis?

The role of ultrasonography and Alvarado score in diagnosis of acute appendicitis.

Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?

In the present study, the Alvarado score was higher in the partial cecectomy group than in the extended cecectomy group.

Prognostic factors for extended cecectomy in complicated appendicitis

The appendicitis inflammatory response score: a tool for the diagnosis of acute appendicitis that outperforms the Alvarado score. World J Surg.

Synchronous obstructive ureterolithiasis and acute appendicitis

Sohail made a presentation on "An Experience of Alvarado Score in LUMHS".

Interesting cases presented as Society of Surgeons meeting held at Mirpur Khas

The investigators matched the control patients with cases on age, gender, Alvarado score (a numeric value based on eight signs and symptoms of acute appendicitis), and year of diagnosis.

Study: early analgesia not associated with delayed appendicitis diagnosis

The RIPASA score is more extensive than the Alvarado score. It includes parameters such as age, gender and duration of symptoms prior to presentation, which have been shown to affect the sensitivity and specificity of the Alvarado and Modified Alvarado scores.

A PROSPECTIVE STUDY OF COMPARISON OF RIPASA AND ALVARADO SCORES FOR THE DIAGNOSIS OF ACUTE APPENDICITIS IN GOVERNMENT VELLORE MEDICAL COLLEGE

Alvarado score of non-perforated###0.348*###0.021###0.707**###0.001

Raftlin, presepsin levels and thiol-disulphide homeostasis in acute appendicitis: A pilot study