Diagnostic Challenge of Acute Appendicitis: Appraisal Through Alvarado Score

Abstract

Background: Acute appendicitis is a common surgical emergency which, even with modern diagnostic facilities, remains a challenging task for the surgeon. The variations in presentation pertaining to time, signs and symptoms can baffle even the very experienced surgeons. The aim of the study was to find out the predictive value of the Alvarado scoring system in diagnosis of acute appendicitis and its clinical applicability.

Improved Alvarado Score (MANTRELS) for the Early Diagnosis of Acute Appendicitis

“…According to Chandio, et al [32] the Alvarado score was found accurate with a p-value of 0.0001 depending on the score points as follows.…”

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“…According to Chandio, et al [32] the Alvarado score was found accurate with a p-value of 0.0001 depending on the score points as follows. In the majority of the studies, a score of 1-4 ruleout the diagnosis of acute appendicitis, and a score of 7 or more confirms the diagnosis.…”