|
Table 3: Diagnostic scale of acute appendicitis (Hernández-Orduña). |
|
|
Criteria |
Score |
|
Symptoms |
|
|
Initial periumbilical or RIF pain |
1 |
|
Migration and / or persistent pain in RIF |
2 |
|
Nausea, vomiting, and/or anorexia |
1 |
|
Signs |
|
|
Positive appendicular signs (McBurney) |
2 |
|
Muscular resistance in RIF |
1 |
|
Positive rebound (Von Blumberg) |
1 |
|
Laboratory |
|
|
Leukocytosis greater than 10,000 and/or neutrophilia greater than 70% |
1 |
|
Image |
|
|
Radiographic data suggestive of peritoneal irritation in RIF, US and/or CT scan positive |
1 |
|
Interpretation of scale. According to the score, management is suggested: low or negative risk of 0-4 points, medium or observation risk of 5-6 points and complement studies (TAC, USG). High positive risk, more than 6 points to perform early surgery. Source: Elaboration by the author Hernández-Orduña, 2018. |
|