How is the MANTRELS score used in the diagnosis of appendicitis?

Updated: Jul 23, 2018
  • Author: Sandy Craig, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Several investigators have created diagnostic scoring systems to predict the likelihood of acute appendicitis. In these systems, a finite number of clinical variables is elicited from the patient and each is given a numeric value; then, the sum of these values is used.

The best known of these scoring systems is the MANTRELS score, which tabulates migration of pain, anorexia, nausea and/or vomiting, tenderness in the RLQ, rebound tenderness, elevated temperature, leukocytosis, and shift to the left (see Table 1). [18]

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