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Table 1 Clinical Practice Guideline Scoring System (CPGS) [1]:

From: Role of clinical judgment and tissue harmonic imaging ultrasonography in diagnosis of paediatric acute appendicitis

    1 0 Score
Clinical data General - Fever Yes No  
   - HR > 120/min. < 120/min.  
   - Vomiting Yes No  
   - Dehydration Yes No  
  Abdominal Abd. pain    
   - Localized Yes No  
   - History of similar - attacks No Yes  
   - Character Constant Intermittent  
   - Severity Intolerable Tolerable  
   - Course Progressive Regressive  
   - Relief by antispasmodic No Yes  
   - Bowel Habit alteration Yes No  
   - Rebound tenderness Yes (3) No  
   - Guarding or rigidity Yes No  
   - +ve P.R. examination Yes No  
Investigations Laboratory - WBCs leukocytosis Yes No  
   - Urine analysis (Findings of UTI) Yes No  
  Focused abdominal U.S. - Appendicitis or mass Yes No  
   - +ve findings in female Adnxae No Yes  
   - +ve findings in liver, Gall bladder, billiary passages No Yes  
   - +ve findings kidneys No Yes  
   - Free fluid Yes No  
Total score  
  1. Interpretation of results:
  2. 21 - 15 = highly suggestive of appendicitis.
  3. 14 - 8 = Patient needs repeated evaluation for conclusive result.
  4. 7 - 0 = the diagnosis of acute appendicitis in not likely.