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	<title>Template:Alvarado scoring system/en - Revision history</title>
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	<updated>2026-04-19T11:22:54Z</updated>
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		<title>FuzzyBot: Updating to match new version of source page</title>
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		<summary type="html">&lt;p&gt;Updating to match new version of source page&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&amp;lt;noinclude&amp;gt;&amp;lt;languages/&amp;gt;&amp;lt;/noinclude&amp;gt;&lt;br /&gt;
&lt;br /&gt;
====[https://www.mdcalc.com/alvarado-score-acute-appendicitis Alvarado Clinical Scoring System]====&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|-&lt;br /&gt;
| Right Lower Quadrant Tenderness || +2&lt;br /&gt;
|-&lt;br /&gt;
| Elevated Temperature (37.3°C or 99.1°F) || +1&lt;br /&gt;
|-&lt;br /&gt;
| Rebound Tenderness || +1&lt;br /&gt;
|-&lt;br /&gt;
| Migration of Pain to the Right Lower Quadrant || +1&lt;br /&gt;
|-&lt;br /&gt;
| Anorexia || +1&lt;br /&gt;
|-&lt;br /&gt;
| Nausea or Vomiting || +1&lt;br /&gt;
|-&lt;br /&gt;
| Leukocytosis &amp;gt; 10,000 || +2&lt;br /&gt;
|-&lt;br /&gt;
| Leukocyte Left Shift || +1&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Clinical scoring system, where a score (Total=10) is composed on presence/absence of 3 signs, 3 symptoms and 2 lab values to help guide in case management.&lt;br /&gt;
&lt;br /&gt;
*≤3 = Appendicitis unlikely&lt;br /&gt;
*≥7 = Surgical consultation&lt;br /&gt;
*4-6 = Consider CT&lt;br /&gt;
&lt;br /&gt;
'''MANTRELS''' Mnemonic: '''M'''igration to the right iliac fossa, '''A'''norexia, '''N'''ausea/Vomiting, '''T'''enderness in the right iliac fossa, '''R'''ebound pain, '''E'''levated temperature (fever), '''L'''eukocytosis, and '''S'''hift of leukocytes to the left (factors listed in the same order as presented above).&lt;/div&gt;</summary>
		<author><name>FuzzyBot</name></author>
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