UMEM Educational Pearls

Category: Pediatrics

Title: Pediatric Appendicitis Score

Posted: 7/12/2013 by Rose Chasm, MD (Updated: 12/8/2022)
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Risk stratisfication score introducted by Maden Samuel in 2002.

The Pediatric Appendicitis Score had a sensitivity of 1, speciificity of 0.92, positive predictive value of 0.96, and negative predictive value of 0.99

Signs:

  • Right lower quadrant tenderness = 2 points
  • Cough/Percussion/Hop RLQ tenderness = 1 point
  • Pyrexia = 1 point

Symptoms:

  • RLQ migration of pain = 1 point
  • Anorexia = 1 point
  • Nausea/Vomiting = 1 point

Laboratory Values:

  • Leukocytosis = 2 points
  • Polymorphonuclear neutrophiia = 1 point

Scores of 4 or less are least likely to have acute appendicitis, while scores of 8 or more are most likely.

References

Pediatric Appendicits Score. Samuel, M. J Pedia Surg.37:877-888. 2002.