Alvarado score

Okay, let's hear it.

If you have an Alvarado score of six, you have a patient with confirmed right-sided pain, maybe some nausea, maybe an elevated white count.

The pressure inside that lumen is actively rising.

Why delay? Why not just perform a diagnostic laparoscopy right then and there to be definitively certain?

Exactly.

And post-operative complications.

An Alvarado score of five or six sits squarely in the diagnostic gray zone.

At this score, the presentation overlaps heavily with self-limiting conditions.