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. 2016 Aug 30;16(1):147. doi: 10.1186/s12887-016-0687-6

Table 1.

Alvarado score, Pediatric appendicitis score and Lintula score

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