2 responses to “The Alvarado Score in Acute Appendicitis”

  1. Hi,

    I’m an ER doc and the Alvarado score has come into some question. Meltzer AC et al. Poor sensitivity of a modified Alvarado score in adults with suspected appendicitis. Ann Emerg Med. 2013 Aug;62(2):126-31

    Suggests poor sensitivity and can miss 29% of cases.


  2. The basis of this in education literature is Technical rationality vs Phronesis. Technical rationality involves ticking off the check boxes on the protocol. easy to measure, don’t have to think, just check the boxes. Phronesis is Knowledge or Knowing, difficult to measure or quantify. Based on Knowing, experience. what do you think is diagnosis. have to think about situation and use the skills you’ve been taught. As professionals in the field we should rely on phronesis, also known as clinical judgement

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