Alvarado Score Components Explained
The Alvarado score is a clinical decision tool used to help diagnose acute appendicitis. It assigns points based on specific signs and symptoms. A higher score indicates a greater likelihood of appendicitis.
Key Alvarado Score Criteria
- Pain migration (from umbilical to right iliac fossa)
- Anorexia (loss of appetite)
- Nausea or vomiting
- Tenderness in the right iliac fossa (RLQ)
- Rebound tenderness
- Fever (elevated body temperature)
- Leukocytosis (elevated white blood cell count)
- Neutrophilia (left shift in differential white blood cell count)
Analyzing Signs for Alvarado Score
We need to identify which of the given options is NOT a criterion in the Alvarado score:
- Elevated temperature: This corresponds to 'Fever' and is a scoring criterion.
- Right iliac fossa tenderness: This is a direct component of the Alvarado score.
- Rebound tenderness: This is also a recognized sign included in the scoring system.
- Rectal tenderness: While a rectal examination might be part of a broader clinical assessment, specific rectal tenderness is not one of the established signs used for calculating the Alvarado score.
Therefore, rectal tenderness is the exception among the listed signs when considering the Alvarado score for acute appendicitis.
Important Questions from Intestines
- An eight month old male child is brought to the emergency with recurrent episodes of screaming and drawing up of legs. The child appears to be listless in between the attacks. Local examination of abdomen reveals feeling of emptiness in the right iliac fossa and blood stained mucus is found on the finger on per rectal examination. The most probable clinical diagnosis in this child is
Which of the following statements regarding Ogilvie's syndrome are correct?
1. It presents as acute large bowel mechanical obstruction
2. Marked caecal dilatation is a common feature on X-ray abdo- men
3. Caecal perforation is a well recog- nized complication of this condi- tion
4. Intravenous Neostigmine is used for the treatment of this condition
Select the correct answer using the code given below :
In familial adenomatous polyposis, which of the following all are true ?
1. Presence of $>100$ colorectal polyps
2. Positive family history
3. Autosomal Recessive inheritance
4. Genetic mutation on Chromo- some 5
Select the correct answer using the code given below :
- Among the extra intestinal manifesta- tions of Crohn's disease which one of the following is related to the disease activity?
Which of the following statements with regard to Enteric perforation are correct?
1. Salmonella typhi is the causative organism for Enteric fever
2. Enteric perforation characteristi- cally occurs during third week of illness
3. Typhoid ulcers are placed trans- versely to the long axis of the gut
4. Terminal ileum is the most common site for enteric perfora- tion
Select the correct answer using the code given below :
