Question special
Chief Resident

Is the Alvarado score something used clinically, or typically just in research studies, for assessing likelihood of appendicitis? It seems all of the patients had imaging done to confirm appendicitis, so what is the utility of reporting the Alvarado score in the patient characteristics, if the score tells you likelihood of appendicitis. Are higher Alvarado scores validated to reflect severity of appendicitis, not just the likelihood of it being present? Can it parse out severe appendicitis versus indicating possibly something else, such as acute PID, tubo-ovarian abscess, diverticulitis, etc?