| Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc |
| Journal website http://www.currentsurgery.org |
Original Article
Volume 4, Number 4, December 2014, pages 107-109
Diagnostic Challenge of Acute Appendicitis: Appraisal Through Alvarado Score
Tables
| Features | Score |
|---|---|
| Symptoms | |
| Migratory right iliac fossa pain | 1 |
| Nausa/vomiting | 1 |
| Anorexia | 1 |
| Signs | |
| Right iliac fossa tenderness | 2 |
| Fever > 37.3 °C | 1 |
| Rebound pain in right iliac fossa | 1 |
| Laboratory test | |
| Leucocytosis (> 10 × 109/L) | 2 |
| Neutrophilic shift to the left > 75% | 1 |
| Total score | 10 |
| Frequency | Percent | Valid percent | Cumulative percent | |
|---|---|---|---|---|
| Unlikely | 23 | 20.4 | 20.4 | 20.4 |
| Possible | 29 | 25.7 | 25.7 | 46.0 |
| Probable | 46 | 40.7 | 40.7 | 86.7 |
| Very probable | 15 | 13.3 | 13.3 | 100.0 |
| Count | Alvarado gps | ||||
|---|---|---|---|---|---|
| Unlikely | Possible | Probable | Very probable | Total | |
| Normal | 20 | 8 | 7 | 0 | 35 |
| Inflamed | 3 | 20 | 41 | 14 | 78 |
| Total | 23 | 28 | 48 | 14 | 113 |
| Alvarado score | No. of patients | Inflamed appendix | Normal appendix |
|---|---|---|---|
| 1 - 4 | 23 | 3 | 20 |
| 5 - 6 | 28 | 20 | 8 |
| 7 - 8 | 48 | 41 | 7 |
| 9 - 10 | 14 | 14 | 0 |
| Total | 113 | 78 | 35 |