Alvarado A.

"A practical score for the early diagnosis of acute appendicitis"

Ann Emerg Med. 1986 May;15(5):557-64. PubMed PMID: 3963537.

I➜The Alvarado Score is a clinical scoring system used in the diagnosis of appendicitis. The score has 6 clinical items and 2 laboratory measurements with a total 10 points. A popular mnemonic used to remember the Alvarado score factors is MANTRELS - Migration to the right iliac fossa, Anorexia, Nausea/Vomiting, Tenderness in the right iliac fossa, Rebound pain, Elevated temperature (fever), Leukocytosis, and Shift of leukocytes to the left. Due to the popularity of this mnemonic, the Alvarado score is sometimes referred to as the MANTRELS score.

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