Pediatric Appendicitis Score (Samuel)
Appendicitis likelihood in children 4 to 15 years.
Inputs
Cough, percussion, or hopping tenderness in the right lower quadrant
Anorexia
Fever 38 °C or higher
Nausea or vomiting
Right lower quadrant tenderness
WBC above 10,000/µL
Neutrophils plus bands above 75%
Migration of pain
Worked calculation
Your values are highlighted.
- Points
When to use
- Children with suspected appendicitis.
Pearls and pitfalls
- Combine with ultrasound for intermediate scores.
Why use
Pediatric-specific structured assessment.
| Criterion | Points |
|---|---|
| Cough, percussion, or hopping tenderness in the right lower quadrant | +2 |
| Anorexia | +1 |
| Fever 38 °C or higher | +1 |
| Nausea or vomiting | +1 |
| Right lower quadrant tenderness | +2 |
| WBC above 10,000/µL | +1 |
| Neutrophils plus bands above 75% | +1 |
| Migration of pain | +1 |