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The commonest abdominal emergency in high and lowincome countries is acute appendicitis. The lifetime risk is about 7%. The young age group is more susceptible, but none of the age groups is immune. As symptoms of acute appendicitis overlap with a few other conditions, accurate diagnosis is difficult. The objectives were to evaluate the sensitivity and specificity of the Alvarado score in the diagnosis of acute appendicitis among patients presenting with abdominal pain suggestive of acute appendicitis among Sri Lankan patients.

Alvarado score in predicting acute appendicitis among patients presenting to a secondary care unit in Sri Lanka: a new cut-off value