Advanced Nursing Directives: Integrating Validated Clinical Scoring Systems into Nursing Care in the Pediatric Emergency Department

Table 1

The Alvarado Score. Note the MANTRELS acronym in bold. RLQ: Right Lower Quadrant.

Category	Diagnostic criteria	Value
Symptoms	Migration of pain to RLQ	1
	Anorexia	1
	Nausea and/or vomiting	1
Signs	Tenderness in RLQ	2
	Rebound pain in RLQ	1
	Elevation in Temperature (>37.3)	1
Investigations	Leukocytosis (>10 000)	2
	Shift to the left (neutrophils >75%)	1
Maximum score		10