Note accronym
MANTRELS
1. Abdominal pain which
M
igrates to RIF
Yes (+1)
No (0)
2.
A
norexia (Loss of appetite)
Yes (+1)
No (0)
3.
N
ausea and vomiting
Yes (+1)
No (0)
4.
T
enderness in right lower quadrant/RIF
Yes (+2)
No (0)
5.
R
ebound tenderness
Yes (+1)
No (0)
6.
E
levated temperature (>=37.3C/99.1F)
Yes (+1)
No (0)
7.
L
eukocytosis (WCC > 10)
Yes (+2)
No (0)
8.
S
hift of white cells to the left (i.e. neutrophillia)
Yes (+1)
No (0)
Score < 4 - 96% propability diagnosis is not appendcitis
4 <= Score < 7 - Consider imaging (CT/USS)
Score >= 7 - Consider surgery (58-88% chance of positive appedncitis)