Clinical Case Database / Category: Clinical Care

Alvarado Score For Predicting Acute Appendicitis

Publication details

Aliyah Choudhary, Edward Rawstorne, Ahmed Karim, Sharad S Karandikar
Foundation Years Journal, volume 9, issue 7, p.6 (123Doc Education, London, July 2015)


Acute appendicitis is a common surgical emergency and junior doctors with limited surgical experience are often first to assess patients with possible appendicitis. A diagnostic delay increases the risk of perforation, post-operative complications and longer hospitalization periods. Prompt surgical assessment and diagnosis is therefore crucial to prevent complications and reduce morbidity. The Alvarado scoring system enables risk stratification of suspected appendicitis cases and is a useful diagnostic tool that can be implemented by the foundation year doctor. The aim of this article is to provide junior doctors with knowledge of the Alvarado scoring system including its efficacy and limitations.

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Aliyah Choudhary (Corresponding author)

Foundation Year 1 Doctor
Birmingham Heartlands Hopsital,
Bordesley Green East,
Birmingham, B9 5SS

Edward Rawstorne

Surgical Registrar
Birmingham Heartlands Hopsital,
Bordesley Green East,
Birmingham, B9 5SS

Ahmed Karim

Surgical Registrar
Birmingham Heartlands Hopsital,
Bordesley Green East,
Birmingham, B9 5SS

Sharad S Karandikar

Consultant Surgeon
Birmingham Heartlands Hopsital,
Bordesley Green East,
Birmingham, B9 5SS


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