also known as the MANTRELS score
used to assess acute appendicitis
Here is a table summarizing the components and scoring system-
Component | Score |
Symptoms | |
- Migration of pain to RLQ | 1 |
- Anorexia | 1 |
- Nausea/Vomiting | 1 |
Signs | |
- Tenderness in RLQ | 2 |
- Rebound tenderness | 1 |
- Elevated temperature (>37.3°C/99.1°F) | 1 |
Laboratory Findings | |
- Leukocytosis (WBC >10,000/mm³) | 2 |
- Left shift (increased neutrophils) | 1 |
Total Score | 0-10 |
Interpretation:
- 0-4: Low probability of appendicitis
- 5-6: Moderate probability of appendicitis (consider observation or further imaging)
- 7-8: High probability of appendicitis (consider surgery)
- 9-10: Very high probability of appendicitis (strongly consider surgery)