Introduction: The most frequently encountered
complaint, for a surgeon, which is an emergency also,
is pain in abdomen. One of the commonest cause,
among the various causes of abdominal pain, is acute
appendicitis, and it is also the commonest cause of
acute surgical abdomen. The Modified Alvarado
Scoring System (MASS) which uses some clinical
signs and symptoms is simple and easy way to
diagnose acute appendicitis.

Methodology: Fifty patients of either gender and
age > 18 years that showed up with pain that was
located in the area of right lower quadrant of the
abdomen and provided written informed consent,
over a period of one year and half year from January
2018 to June 2019 were enrolled. Modified Alvarado
score was calculated for each of the patient and the
score was correlated with histopathological findings.

Results: In the present study 50 patients that
had presented to the general surgery department
of Dhiraj Hospital with right iliac fossa pain were
enrolled. 66% (n=33) were males while 34% (n=17)
were females.

Conclusion: It can be concluded that Modified
Alvarado score aides’ surgeons in diagnosis of acute
appendicitis and this helps in reducing the incidence
of negative appendicectomies. Scores at both the
extremes of scales has high sensitivity, also the
sensitivity of high scores for males is high.

Keywords: Alvarado score; Appendix; Appendicitis;
Abdominal Lump.