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Table 2 MANTRELS (Alvarado) Score, reference No. 89

From: Acute appendicitis in young children less than 5 years: review article

Features

Points

Migration of pain from central abdomen to right lower quadrant

1

Anorexia

1

Nausea with vomiting

1

Tenderness in right lower quadrant

2

Rebound tenderness

1

Elevated temperature ≥38 °c (100.4 °F)

1

Leukocytosis (≥10, 400/mm3)

2

Shifted WBC count ( 75% neutrophils)

1

Total possible points

10