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RIPASA Score for Acute Appendicitis

Sex
Female 0.5
Male 1
Age
≤40 1
>40 0.5
Foreign national
See Pearls/Pitfalls for clarification
No 0
Yes 1
Right iliac fossa (RIF) pain
No 0
Yes 0.5
Pain migration to RIF
No 0
Yes 0.5
Anorexia
No 0
Yes 1
Nausea & vomiting
No 0
Yes 1
Duration of symptoms
≤48 hrs 1
>48 hrs 0.5
RIF tenderness
No 0
Yes 1
Guarding
No 0
Yes 2
Rebound tenderness
No 0
Yes 1
Rovsing sign
No 0
Yes 2
Temperature between 37°C and 39°C
No 0
Yes 2
Elevated white blood cell count
No 0
Yes 1
Negative urine analysis (abscence of blood, WBCs, bacteria)
No 0
Yes 1
Result:

Background

Result Interpretation

Ranges Ranges