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Paediatrics · Emergency Medicine · Surgery

Pediatric Appendicitis Score calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

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0

Appendicitis unlikely (PAS 0–2)

Band: Appendicitis unlikely (PAS 0–2)

Interpretation. Appendicitis unlikely (PAS 0–2)

Suggested management. Pediatric Appendicitis Score 0–2: appendicitis is unlikely in the Goldman validation of the Samuel score.

Pediatric Appendicitis Score: 0 — Appendicitis unlikely (PAS 0–2). Interpretation: Appendicitis unlikely (PAS 0–2) What to do: Pediatric Appendicitis Score 0–2: appendicitis is unlikely in the Goldman validation of the Samuel score. Inputs: Migration of pain to the right lower quadrant: false; Anorexia: false; Nausea or vomiting: false; Fever: false; Right-lower-quadrant tenderness: false; Cough, percussion, or hopping tenderness: false; Leukocytosis: false; Neutrophilia: false Source: Samuel M. Pediatric appendicitis score. J Pediatr Surg. DOI: 10.1053/jpsu.2002.32893. PMID: 12037754. Weights: cough/percussion/hopping tenderness 2, right-lower-quadrant tenderness 2, and 1 each for migration, anorexia, nausea or vomiting, fever, leukocytosis, and neutrophilia. Operating points used here are from the prospective validation (Goldman RD et al. J Pediatr. PMID: 18534219): ≤2 appendicitis unlikely, ≥7 likely, 3–6 further evaluation. (2002)

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Clinical inputs

  • Migration of pain to the right lower quadrant
  • Anorexia
  • Nausea or vomiting
  • Fever
  • Right-lower-quadrant tenderness
  • Cough, percussion, or hopping tenderness
  • Leukocytosis
  • Neutrophilia

Primary source

Samuel M. Pediatric appendicitis score. J Pediatr Surg. DOI: 10.1053/jpsu.2002.32893. PMID: 12037754. Weights: cough/percussion/hopping tenderness 2, right-lower-quadrant tenderness 2, and 1 each for migration, anorexia, nausea or vomiting, fever, leukocytosis, and neutrophilia. Operating points used here are from the prospective validation (Goldman RD et al. J Pediatr. PMID: 18534219): ≤2 appendicitis unlikely, ≥7 likely, 3–6 further evaluation. (2002)

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