What is the Kharbanda scoring system for the diagnosis of pediatric appendicitis?

Updated: Oct 25, 2018
  • Author: Adam C Alder, MD; Chief Editor: Carmen Cuffari, MD  more...
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The system proposed by Kharbanda et al assigns scores based on the following 6 findings [15] :

  • Nausea (2 points)

  • History of focal RLQ pain (2 points)

  • Migration of pain (1 point)

  • Difficulty walking (1 point)

  • Rebound tenderness/pain with percussion (2 points)

  • Absolute neutrophil count of greater than 6.75 X 103/µL (6 points)

A score of 5 or less had a sensitivity of 96.3%, a negative predictive value of 95.6%, and a negative likelihood ratio of 0.102 in the validation set.

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