Emergency Medicine
Alvarado Score (MANTRELS) for Acute Appendicitis
Calculates Alvarado score (0–10) from symptoms, signs, and labs to guide CT imaging and urgent appendectomy.
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Parameters
Alvarado Score (MANTRELS) for Acute Appendicitis Result
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Formula
Alvarado Score (MANTRELS) = Migratory RLQ pain (1) + Anorexia (1) + Nausea (1) + RLQ Tenderness (2) + Rebound tenderness (1) + Temp ≥37.3°C (1) + Leukocytosis >10k (2) + Left shift (1)Clinical Pearls
World-renowned diagnostic tool reducing negative appendectomy rates and identifying patients requiring urgent surgical exploration.
Limitations
Lower specificity in female patients of childbearing age due to gynecological mimics; pelvic ultrasound or CT imaging is recommended.