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Alvarado scoreThe Alvarado score is a clinical scoring system used in the diagnosis of appendicitis. The score has 6 clinical items and 1 laboratory measurement which total 9 points. Additional recommended knowledge
The score
A score of less than 5 is not likely appendicitis, 5 or 6 is equivocal, 7 or 8 is probably appendicitis and 9 points means that the patient is highly likely to have appendicitis. Complementary valueThe Alvarado score has a very low sensitivity and a low specificity, especially in women who can have gynecological diseases mimicking appendicitis. The score has been modified to try and find adapted scores with higher clinical importance. Trials have studied the usefulness for the score in guiding the management of patients with pain in the right fossa, for example to see which patients need a CT scan and which patients need surgery. See alsoReferencesMcKay R, Shepherd J. The use of the clinical scoring system by Alvarado in the decision to perform computed tomography for acute appendicitis in the ED. Am J Emerg Med 2007; 25(5): 489-93. PMID 17543650 Categories: General surgery | Gastroenterology |
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This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Alvarado_score". A list of authors is available in Wikipedia. |