Table 1.
Alvarado score [4] | Pediatric appendicitis score [5] | Lintula score [6] | ||||
Migration to right lower quadrant | 1 | Migration of pain | 1 | Male | 2 | |
Anorexia - acetone | 1 | Anorexia | 1 | Intensity of pain = severe | 2 | |
Nausea - vomiting | 1 | Nausea/emesis | 1 | Relocation of pain | 4 | |
Tenderness in the right lower quadrant | 2 | Tenderness over the right iliac fossa | 2 | Vomiting | 2 | |
Rebound pain | 1 | Cough/percussion/hopping tenderness in the right lower quadrant | 2 | Pain in right lower quadrant | 4 | |
Elevation of temperature > 37.3 | 1 | Pyrexia | 1 | Fever >37.5 | 3 | |
Leukocytosis >10.0 × 10 9 /L | 2 | Leukocytosis > 10.0 × 10 9 /L | 1 | Guarding | 4 | |
Shift to the left >75 % | 1 | Polymorphonuclear neutrophilia | 1 | Absent, tinkling or high-pitched bowel sounds | 4 | |
Rebound tenderness | 7 | |||||
Total | 10 | 10 | 32 | |||
Score interpretation | Non-appendicitis | <5 | Non-appendicitis | ≤5 | Low probability of appendicitis – amenable to discharge | ≤15 |
Compatible with appendicitis – may be observed | 5–6 | High probability of appendicitis | ≥6 | Intermediate probability of appendicitis – further observation | 16–20 | |
Probable appendicitis – requires surgery | 7–8 | High probability of appendicitis – emergency surgery | ≥21 | |||
Very probable appendicitis – requires surgery | 9–10 |
Components based on laboratory investigation have been underlined