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Table 2: RIPASA scale. |
|
|
Data |
Score |
|
Male |
1 |
|
Female |
0.5 |
|
< 39.9 years |
1 |
|
> 40 Years |
0.5 |
|
Foreign National Registration Identity Card |
1 |
|
Symptoms |
|
|
Pain in RIF |
0.5 |
|
Nausea/vomiting |
1 |
|
Migratory pain |
0.5 |
|
Anorexia |
1 |
|
Symptoms < 48 hours |
1 |
|
Symptoms > 48 hours |
0.5 |
|
Signs |
|
|
Hypersensitivity in RIF |
1 |
|
Voluntary muscular resistance |
2 |
|
Rebound |
1 |
|
Rovsing |
2 |
|
Fever > 37 oC < 39 oC |
1 |
|
Laboratory |
|
|
Leucocytosis |
1 |
|
Negative urinalysis |
1 |
|
Interpretation of RIPASA. According to the score, management is suggested: • <5 points (unlikely): observation of the patient and applying a scale again in one to two hours, if the score decreases, the pathology is ruled out, if it increases, it is revalued with the score obtained . • 5-7 points (low probability): observation in the emergency department and repeat the scale in one to two hours, or perform an abdominal ultrasound. Stay under observation. • 7.5-11.5 points (high probability of acute appendicitis): evaluation by the surgeon and preparing the patient for an appendectomy, if he decides to continue the observation, it is repeated in one hour. In case of being a woman, assess ultrasound to rule out gynecological pathology. • > 12 points (diagnosis of appendicitis): assessment by the surgeon for treatment or refer if necessary. Source: Reyes, 2012.12 |
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