Abstract Introduction: Appendicitis is notorius in its ability to simulate other conditions and also it can be mimicked by other possibilities. Although considered one of the most elemental of general surgical disease processes , it is difficult to obtain an accurate preoperative diagnosis in many cases,regularly confounding the diagnostic acumen of many surgeons. Therefore delay in diagnosis and surgery result in perforation, the rate of which rises by 5% per 12 hour period, 36 hours after the onset of symptoms Methodology: Patients admitted in Victoria hospital, Bengaluru with features suggestive of Acute Appendicitis and undergoing surgery for the same were included in this study. For each patient Alvarado Score was calculated and the result of Ultrasonography was noted Results: Maximum number of positive cases was associated with Alvarado Score of 5 to 7 Conclusion: Right Tenderness was more common clinical sign
Keywords: Appendicitis; Clinical Signs; Alvardo Score.