Use the mnemonic MANTRELS
Migration to the right iliac fossa (1),
Anorexia (1),
Nausea/Vomiting (1),
Tenderness in the right iliac fossa(2),
Rebound pain (1),
Elevated temperature (fever) (1),
Leukocytosis (2),
Shift of leukocytes to the left (1)
Interpretation
5-6 (Acute Appendicitis)
7-8 (Probable appendicitis)
9-10 (Very probable)
Notes: Modified Alvarado is used in center who unable to perform a differential white blood cell count where the total score is 9
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Salam Dr.
ReplyDeleteWhat does "shift of leucocytes to the left" mean?
In establish center, they have special lab with that data.. In our.setting, we only use leucocytosis
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