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Emergency Medicine · Surgery

RIPASA Score (Appendicitis) calculator

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

Clinical inputs

Age
Sex
Duration of symptoms

Result

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Clinical inputs

  • Age
  • Sex
  • Right iliac fossa pain (0.5)
  • Pain migration
  • Nausea vomiting
  • Anorexia (present)
  • Duration of symptoms
  • RIF tenderness (1)
  • Guarding (2)
  • Rebound tenderness (+1)
  • Rovsing’s sign (2)
  • Fever
  • Raised white cell count (1)
  • Negative urinalysis (1)
  • Foreign national registration identity card (1)

Primary source

Chong CF et al. Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis. Singapore Med J. 2010;51(3):220-5. PMID: 20428744. Scope: 15 parameters with published weights (age <40 =1 / ≥40 =0.5; male=1 / female=0.5; RIF pain 0.5; migration 0.5; nausea/vomiting 1; anorexia 1; duration <48h=1 / ≥48h=0.5; RIF tenderness 1; guarding 2; rebound 1; Rovsing 2; fever 1; raised WCC 1; negative urinalysis 1; foreign NRIC 1); cutoff 7.5. (2010)

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