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The Rational Clinical Examination EDUCATION GUIDES
Opiates and Abdominal Pain
The Alvarado model is a clinical decision rule for diagnosing appendicitis. This model uses the MANTRELS mnemonic to examine 8 findings from the...
The Alvarado model is a clinical decision rule for diagnosing appendicitis. This model uses the MANTRELS mnemonic to examine 8 findings from the medical history or the examination, and the resulting score provides guidance on whether to operate in the setting of suspected appendicitis. Of 10 potential points, patients with a score of 7 or higher are considered “positive” and are more likely to have appendicitis. The various components are
igration (1 point),
enderness in RLQ (2),
ebound pain (1),
levation of temperature (1),
eukocytosis (2), and
hift to the left of normal WBC count (1). See
The Rational Clinical Examination
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