From: WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis
 | Alvarado scorea | AIR scoreb | PAS scorec | RIPASA scored | AAS scoree |
---|---|---|---|---|---|
Vomiting | Â | 1 | Â | Â | Â |
Nausea or vomiting | 1 | Â | 1 | 1 | Â |
Anorexia | 1 | Â | 1 | 1 | Â |
Pain in RIFf | 2 | 1 | Â | 0.5 | 2 |
Migration of pain to the RIFf | 1 | Â | 1 | 0.5 | 2 |
Rovsing’s sign |  |  |  | 2 |  |
RIFg tenderness | Â | Â | 2 | 1 | Â |
 Women >50 years or men (any age) |  |  |  |  | 3 |
 Women <50 years |  |  |  |  | 1 |
Rebound tenderness or muscular defense/guarding | 1 |  |  | 1 + 2 |  |
 Light |  | 1 |  |  | 2 |
 Medium |  | 2 |  |  | 4 |
 Strong |  | 3 |  |  | 4 |
Body temperature | Â | Â | Â | Â | Â |
  > 37.5 °C | 1 |  | 1 |  |  |
  > 38.5 °C |  | 1 |  |  |  |
  > 37– <39 °C |  |  |  | 1 |  |
WBC (white blood cell) count | Â | Â | Â | ||
  > 10.0 × 109/l | 2 |  | 1 | 1 |  |
 10.0–14.9 × 109/l |  | 1 |  |  |  |
  ≥ 15.0 × 109/l |  | 2 |  |  |  |
  ≥ .2 and <10.9 × 109/l |  |  |  |  | 1 |
  ≥ 10.9 and <14.0 × 109/l |  |  |  |  | 2 |
  ≥ 14.0 × 109/l |  |  |  |  | 3 |
Leukocytosis shift | 1 | Â | Â | Â | Â |
Polymorphonuclear leukocytes | Â | Â | Â | ||
 70–84 % |  | 1 |  |  |  |
  ≥ 75 % |  |  | 1 |  |  |
  ≥ 85 % |  | 2 |  |  |  |
  ≥ 62 % and < 75 % |  |  |  |  | 2 |
  ≥ 75 % and < 83 % |  |  |  |  | 3 |
  ≥ 83 % |  |  |  |  | 4 |
CRP (C-reactive protein) concentration | Â | Â | Â | ||
 10–49 mg/l |  | 1 |  |  |  |
  ≥ 50 mg/l |  | 2 |  |  |  |
Symptoms <24Â h and CRP (C-reactive protein) concentration | Â | Â | Â | ||
  ≥ 4 and <11 mg/l |  |  |  |  | 2 |
  ≥ 11 and <25 mg/l |  |  |  |  | 3 |
  ≥ 25 and <83 mg/l |  |  |  |  | 5 |
  ≥ 83 mg/l |  |  |  |  | 1 |
Symptoms >24Â h and CRP (C-reactive protein) concentration | Â | Â | Â | ||
  ≥ 12 and <53 mg/l |  |  |  |  | 2 |
  ≥ 53 and <152 mg/l |  |  |  |  | 2 |
  ≥ 152 mg/l |  |  |  |  | 1 |
Coughing/hopping/percussion pain | Â | Â | 2 | Â | Â |
Gender | Â | Â | Â | Â | Â |
 Male |  |  |  | 1 |  |
 Female |  |  |  | 0.5 |  |
Age | Â | Â | Â | Â | Â |
  < 40 years |  |  |  | 1 |  |
  ≥ 40 years |  |  |  | 0.5 |  |
Duration of symptoms | Â | Â | Â | Â | Â |
  < 48 h |  |  |  | 1 |  |
  > 48 h |  |  |  | 0.5 |  |
Negative urinalysis | Â | Â | Â | 1 | Â |
Total score | 10 | 12 | 10 | 16.5 | 23 |