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====[https://www.mdcalc.com/alvarado-score-acute-appendicitis Alvarado Clinical Scoring System]==== <!--T:1-->

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{| class="wikitable"
|-
| Right Lower Quadrant Tenderness || +2
|-
| Elevated Temperature (37.3°C or 99.1°F) || +1
|-
| Rebound Tenderness || +1
|-
| Migration of Pain to the Right Lower Quadrant || +1
|-
| Anorexia || +1
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| Nausea or Vomiting || +1
|-
| Leukocytosis > 10,000 || +2
|-
| Leukocyte Left Shift || +1
|}

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Clinical scoring system, where a score (Total=10) is composed on presence/absence of 3 signs, 3 symptoms and 2 lab values to help guide in case management.

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*≤3 = Appendicitis unlikely
*≥7 = Surgical consultation
*4-6 = Consider CT

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'''MANTRELS''' Mnemonic: '''M'''igration to the right iliac fossa, '''A'''norexia, '''N'''ausea/Vomiting, '''T'''enderness in the right iliac fossa, '''R'''ebound pain, '''E'''levated temperature (fever), '''L'''eukocytosis, and '''S'''hift of leukocytes to the left (factors listed in the same order as presented above).
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