Table 1: Improved Alvarado score (MANTRELS).
Migration | 1 point |
Hyperesthesia in the RLQ | |
Massouh sign | |
Anorexia | 1 point |
Acetonuria | |
Hamburger test | |
Nausea/Vomiting | 1 point |
Tenderness in the RLQ | 2 points |
Tenderness on percussion in right lumbar area, K-sign, psoas sign, obturator sign | |
Rebound pain in the RLQ | 1 point |
Rovsing sign, cough test, inspiration or expiration test, heel drop test, hop test, pain on walking, pain with jolts or road bumps |
|
Elevation of temperature (37.3 ℃ or more) | 1 point |
Leukocytosis (> 10.000 cells/mm3) | 2 points |
Shift to the left | 1 point |
Stabs or bands (> 5%) | |
Segmented neutrophils (> 75%) | |
Headache, body aches, chills | -2 points |
Total | 10 points |