ED Pathway for Evaluation/Treatment of Child with Suspected Appendicitis

Clinical Appendicitis Score

Pediatric Appendicitis Score
Low Risk < 4; High Risk ≥ 7
Alvarado/Mantrels Score
Low Risk < 4; High Risk ≥ 7)
Nausea/vomiting 1   1
Anorexia 1   1
Migration of pain to RLQ 1   1
Fever 1 Temperature ≥ 37.3°C 1
Cough/percussion/hopping tenderness 2 Rebound tenderness 1
RLQ tenderness 2   2
Leucocytosis (WBC > 10,000) 1   2
Neutrophilia (ANC > 7,500) 1   1

Experienced physician's clinical impression is comparable to these scores.