What is the Samuel score (pediatric appendicitis score)?

Updated: Oct 25, 2018
  • Author: Adam C Alder, MD; Chief Editor: Carmen Cuffari, MD  more...
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This scoring system is based on 8 variables, as follows [16] :

  • RLQ tenderness elicited by cough, hopping, or percussion

  • Anorexia

  • Elevated temperature

  • Nausea/vomiting

  • Tenderness over the right iliac fossa

  • Leukocytosis

  • Increased polymorphonuclear neutrophil percentage (ie, left shift on white blood cell differential)

  • Migration of pain

Samuel recommended that patients with a score of 5 or lower should be observed, while those with a score of 6 or higher should undergo surgical consultation.

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