<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202017000100018</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.abril.18-23</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[&#8220;UTILIDAD DE LA ESCALA DE ALVARADO EN CASOS DE APENDICITIS AGUDA EN EL HOSPITAL DE CLÍNICAS-PARAGUAY&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[UTILITY OF ALVARADO´S SCORE IN ACUTE APPENDICITIS AT HOSPITAL DE CLINICAS - PARAGUAY]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval Pérez]]></surname>
<given-names><![CDATA[José Hernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giangreco]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<fpage>18</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202017000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202017000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202017000100018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo.  Evaluar las puntuaciones de la escala de Alvarado en una serie de casos intervenidos quirúrgicamente con diagnóstico de apendicitis aguda.  Materiales y métodos. Estudio descriptivo de corte transversal. Se revisaron historias de 159 pacientes sometidos a cirugía con diagnóstico de apendicitis aguda, de enero a junio de 2015. Se estimó la puntuación alcanzada en la escala de Alvarado y se correlacionó con el resultado histopatológico, tiempo de evolución, sexo y edad.  Resultados. El 56,6 % correspondió a hombres y el promedio de edad de 38,4 años. El tiempo de evolución registró un promedio de 36 horas para las mujeres y 40,75 horas para los hombres. En el 94% de los casos presentaban dolor en fosa ilíaca derecha, 48% fiebre graduada, 77% náuseas o vómitos, 96% signo de Blumberg positivo, 81% anorexia, 77% migración del dolor, 78,8% leucocitosis, 88,4% neutrofilia. La media registrada con la escala de Alvarado fue de 8; 7,89 en mujeres y 7,91 en hombres. Hubo concordancia diagnóstica del 98% entre la escala de Alvarado y resultado histopatológico.  Conclusión. La escala de Alvarado puede ser una herramienta útil para mejorar la eficiencia diagnóstica en la apendicitis aguda, sobre todo en los servicios de atención ambulatoria y urgencias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Objective: Evaluate the scale scores of Alvarado in a series of cases operated on with diagnosis of acute appendicitis.  Materials and methods: A descriptive cross-sectional study. 159 stories were reviewed of patients undergoing surgery with a diagnosis of acute appendicitis, from January to June 2015. It was felt the score attained in the scale of Alvarado and correlated with the histopathological result, time of evolution, sex and age.  Results: The 56.6 % were men and the average age of 38.4 years. The time of evolution, an average of 36 hours for 40.75 hours for women and men. In 94% of cases presented pain in the right iliac fossa, 48% 77% graduate fever, nausea or vomiting, 96% positive sign of Blumberg, 81% anorexia, 77% migration of pain, 78.8% leukocytosis, 88.4% neutrophilia. The average recorded with the scale of Alvarado was of 8; 7.91 7.89 in women and in men. There were 98% of the diagnostic concordance between the scale of Alvarado and histopathological result.  Conclusion: The scale of Alvarado can be a useful tool to improve diagnostic efficiency in acute appendicitis, especially in ambulatory care services and emergency services.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Escala diagnóstica de Alvarado]]></kwd>
<kwd lng="es"><![CDATA[Abdomen agudo quirúrgico.]]></kwd>
<kwd lng="en"><![CDATA[Acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Scale of Alvarado]]></kwd>
<kwd lng="en"><![CDATA[Acute surgical abdomen]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The first appendectomy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Creese]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
</person-group>
<source><![CDATA[Surg Gynecol Obstet]]></source>
<year>1953</year>
<volume>97</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>643</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Perforating inflammation of the vermiform appendix: With special reference to its early diagnosis and treatment]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fitz]]></surname>
<given-names><![CDATA[RH]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Med Sci]]></source>
<year>1886</year>
<volume>92</volume>
<page-range>321-46</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Reappraisal of appendicitis in the elderly]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horattas]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Guyton]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Surg]]></source>
<year>1990</year>
<volume>160</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>291-3</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluation of diag nostic scales for appendicitis in patients with lower abdominal pain]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[Á]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Bermúdez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Biomédica]]></source>
<year>2007</year>
<volume>27</volume>
<page-range>419-28</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Retardo en la hospitalización, el diagnóstico y la intervención quirúrgica de la apendicitis aguda]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
<name>
<surname><![CDATA[Gallardo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Gastroenterol Méx]]></source>
<year>1995</year>
<volume>60</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>17-21</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A practical score for the early diagnosis of acute appendicitis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann Emerg Med]]></source>
<year>1986</year>
<volume>15</volume>
<page-range>557-64</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Score diagnóstico de apen dicitis: estudio prospectivo, doble ciego, no aleatorio]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beltrán]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Villar]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Tapia]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Cir]]></source>
<year>2004</year>
<volume>56</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>550-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Sintomato logía atípica en 140 pacientes con apendicitis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beltrán]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Villar]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Tapia]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
<name>
<surname><![CDATA[Cruces]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Cir]]></source>
<year>2004</year>
<volume>56</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>269-74</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Consideraciones actuales sobre el diag nóstico de la apendicitis aguda: Current criteria]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez-Fernández]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Cubana Cir]]></source>
<year>2009</year>
<volume>48</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Puntuación diag nóstica de apendicitis aguda en niños realizadas por pediatras en las unidades de emergencia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beltrán]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Almonacid]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cruces]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Pediatr]]></source>
<year>2007</year>
<volume>78</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>584-91</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[In fluencia de la edad y el sexo en el diagnóstico de la apendicitis aguda]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Castro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Quer]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Sala]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Estol]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Arrabal]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Guixá]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Cir Esp]]></source>
<year>1998</year>
<volume>63</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1237</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Apendicitis aguda: clasificación, diagnóstico y tratamiento]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quevedo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Cubana Cir]]></source>
<year>2007</year>
<volume>46</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Efectos adversos en la cirugía de la apendicitis aguda]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aguiló]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Peiró]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Garay]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Viciano]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<source><![CDATA[Cir Esp]]></source>
<year>2005</year>
<volume>78</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>312-7</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Diagnóstico clínico en apendicitis aguda: una evaluación prospectiva]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Astroza]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cortés]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pizarro]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Umaña]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bravo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Casas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Cir]]></source>
<year>2005</year>
<volume>57</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>337-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A clinical evaluation of ultrasonography in the diagnosis of acute appendicitis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Chou]]></surname>
<given-names><![CDATA[YH]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lo]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
</person-group>
<source><![CDATA[Surgery]]></source>
<year>1989</year>
<volume>105</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>154-9</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Appendicitis: Usefulness of US in diagnosis in a pediatric population]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sivit]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Newman]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
<name>
<surname><![CDATA[Boenning]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Nussbaum-Blask]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Bulas]]></surname>
<given-names><![CDATA[DI]]></given-names>
</name>
<name>
<surname><![CDATA[Bond]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Radiology]]></source>
<year>1992</year>
<volume>185</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>549-52</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluación de la diferencia de temperatura axilo-rectal en el diagnóstico de apendicitis aguda]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jáuregui]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mena]]></surname>
<given-names><![CDATA[EUA]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Hospital Clínico Univ. Chile]]></source>
<year>2005</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>124-7</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluation of the Alvarado score in the diagnosis of acute appendicitis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shrivastava]]></surname>
<given-names><![CDATA[UK]]></given-names>
</name>
<name>
<surname><![CDATA[Gupta]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Tropical Gastroen terology]]></source>
<year>2004</year>
<volume>25</volume>
<page-range>184-6</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluation of the Alvarado score in the diagnosis of acute appendicitis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Suboti]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[&#352;ija ki]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Dugali]]></surname>
<given-names><![CDATA[VD]]></given-names>
</name>
<name>
<surname><![CDATA[Anti]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Vukovi]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Vukojevi]]></surname>
<given-names><![CDATA[VS]]></given-names>
</name>
</person-group>
<source><![CDATA[Acta Chir Iugosl]]></source>
<year>2008</year>
<volume>55</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>55-61</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Modified Alvarado score for acute appendicitis in overweight patients]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Al-Mulhim]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Al-Sultan]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
</person-group>
<source><![CDATA[Saudi Med J]]></source>
<year>2008</year>
<volume>29</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1184-7</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The usefulness of scores in the diagnosis of appendicitis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brigand]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Steinmetz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rohr]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[J Chir]]></source>
<year>2009</year>
<volume>146</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>2-7</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Dolor en fosa ilíaca derecha y score de Alvarado]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Canavosso]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Carena]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Manuel Carbonell]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Monjo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Palas Zúñiga]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Cir Esp]]></source>
<year>2008</year>
<volume>83</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>247-51</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Alvarado scoring in acute appendicitis -a cliniopathological correlation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dey]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mohanta]]></surname>
<given-names><![CDATA[PK]]></given-names>
</name>
<name>
<surname><![CDATA[Baruah]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Kharga]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bhutia]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[VK]]></given-names>
</name>
</person-group>
<source><![CDATA[Indian J Surg]]></source>
<year>2010</year>
<volume>72</volume>
<page-range>290-3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
