症例 challenge · Surgery / Emergency · teaching
Acute Appendicitis · Alvarado Score Pathway · case challenge
Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.
← View the full flowchartBased on Alvarado / WSES 2020
Case #1Surgery / Emergency
📋 Case data
- Alvarado scoreIntermediate (5–6)
Data is taken from this pathway's reviewed node text. Work through the pathway step by step.
Step 1 / 1 · Alvarado score
Which Alvarado (MANTRELS, 10-point) band?
💡 Migratory RLQ pain (1), anorexia (1), nausea/vomiting (1), RLQ tenderness (2), rebound (1), fever ≥37.3°C (1), WBC >10×10⁹ (2), left shift of neutrophils (1). 0–4 low, 5–6 intermediate, 7–10 high. Low scores have strong rule-out value (sensitivity ~99%) but limited specificity — do not decide surgery on the score alone.
For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.