Acute abdomen is an emergency condition that warrants urgent attention and stabilisation. The varied a etiology 
causes acute abdomen viz., an infection, inflammation as well as other a etiology. The patient will usually present 
with sudden severe onset of abdominal pain with associated nausea or vomiting. The approach to a patient with 
an acute abdomen should include a through history physical examination limited investigation as per the centre 
permits. But in case of if you are sitting at the periphery and need the urgent investigation and not available then 
you need something to help you out a score which is desirable and acceptable. 
In case of acute abdomen, location of pain is critical as it may signal a localized process. The similar score has 
been discussed here, which has the high significant ratio to diagnose the disease. Thomash Alvarado score of 5 or 
6 is compatible with the diagnosis of AA, a score of 7 or 8 indicates amight have appendicitis, a score of 9 or 10 
indicates a more confirmed appendicitis. These kind of score such as Thomash Alvarado Score, which help you 
out to reach the diagnosis approximate accuracy when the advanced investigations not available and out of reach. 
The combination of laboratory, examination and history all together help to reach the diagnosis.