Research Article

Validation of the Diagnostic Score for Acute Lower Abdominal Pain in Women of Reproductive Age

Table 1

The scoring scheme for appendicitis and obstetrics-gynecological conditions (OB-GYNc) and the criteria used to guide diagnosis of abdominal pain caused by appendicitis, obstetrics, and gynecological conditions (OB-GYNc) or nonspecific abdominal pain (NSAP).

Predictors
Assigned scoreSuggested diagnosesCriteria
Appendicitis scoreOB-GYN score

Guarding or rebound tenderness1.90AppendicitisAppendicitis score > OB-GYN score
and appendicitis score >0
Pregnancy−1.72.4
Leukocytosis (WBC ≥10,000/μL)1.50OB-GYNcOB-GYN score ≥ appendicitis score
and OB-GYN score >0
Neutrophil ≥75%1.31.6
RLQ tenderness1.50NSAPAppendicitis score ≤0
and OB-GYN score ≤0
LLQ tenderness01.9
Diarrhea−1.4−2.3
Constant−1.50

RLQ: right lower quadrant; LLQ: left lower quadrant.