MANTRELS SCORE- Easily detect and determine the severity of appendicitis

 The MANTRELS score, also known as the Alvarado score or Alvarado appendicitis score, is a clinical scoring system used to assess the likelihood of acute appendicitis in individuals presenting with abdominal pain. It's a helpful tool for healthcare professionals in the initial evaluation of patients with suspected appendicitis.





The MANTRELS score includes various clinical criteria, and points are assigned based on each criterion. The total score can help categorize patients into low, intermediate, or high probability for appendicitis. Here are the criteria and point assignments in the MANTRELS score:

1. Migration of Pain to the Right Lower Quadrant (1 point): If the pain started elsewhere and has migrated to the right lower quadrant, 1 point is assigned.

2. Anorexia (1 point): If the patient reports a decreased appetite or anorexia, 1 point is given.

3. Nausea or Vomiting (1 point): If the patient experiences nausea or vomiting, 1 point is assigned.

4. Tenderness in the Right Lower Quadrant (2 points): If there is tenderness in the right lower quadrant during abdominal examination, 2 points are given.

5. Rebound Tenderness (1 point): If rebound tenderness is present, where pain worsens when pressure is released during palpation, 1 point is assigned.

6. Elevated Temperature (1 point): If the patient has a temperature greater than 37.3°C (99.1°F), 1 point is given.

7. Leukocytosis (2 points): If the white blood cell count is greater than 10,000/mm³, 2 points are assigned.

8. Shift to Left (1 point): If there is a left shift in the white blood cell count (an increase in immature white blood cells), 1 point is given.

The total score can range from 0 to 10 points. Based on the score, patients can be categorized as follows:

- 0-4 points: Low probability of appendicitis

- 5-6 points: Intermediate probability

- 7-10 points: High probability


It's important to note that while the MANTRELS score is a useful tool in the assessment of appendicitis, it is not definitive. A high score indicates a higher likelihood of appendicitis, but further diagnostic evaluation, such as imaging (e.g., ultrasound or CT scan) and clinical judgment, is typically needed to confirm the diagnosis. The score is most valuable when used in conjunction with a comprehensive evaluation by a healthcare professional.

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