Alvarado Score For Likelihood of Acute Appendicitis. Symptoms Migratory RIF pain Anorexia Nausea or Vomiting Signs Tenderness in RIF (+2) Rebound tenderness Fever (> 37.3°C) Laboratory Findings Leukocytosis (> 10x10⁹/L) (+2) Neutrophil shift to the left (> 75%) Calculate Score Alvarado Score