[MED-GS] Appendicitis & Alvarado score

Background:
This score originally is for evaluation of the nessesar of CT scan for abdominal pain, but now it is really useful for initial differential diagnosis of acute appendicitis.

The Alvarado score
Symptom：　Migratory RLQ pain (1)　Anorexia (1)　Nausea/vomiting (1)
Sign：　Tenderness(RLQ) (2)　　Rebound tendmess(RLQ) (1)　　Elevated temperature (1)
Laboratory：　Leukocytosis (2)　　Shift to the left (1)
Total 10
score>6 for men: highly suspect acute appendicitis
sonogram is recommended for the first choice of diagnosis tool
score>6 for women: should rule out PID EP, and then highly suspect acute appendicitis

abdominal pain–>P.E.