kinderarzt.org
Log in Create professional account

This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.

Alvarado score (MANTRELS)

Eight items (0–10 points) for the likelihood of acute appendicitis – 5–6 compatible, 7–8 probable, 9–10 very probable

Migration of pain to the right lower abdomen (migration)
Anorexia or acetone in urine (Anorexia)
Nausea or vomiting
Tenderness in the right lower abdomen (tenderness)
Rebound tenderness
Temperature elevation ≥ 37.3 °C orally (Elevated temperature)
Leukocytosis > 10 G/l (Leukocytosis)
Left shift, neutrophils > 75 % (Shift to the left)

Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.