Sign/symptomAdult7 Child8

Positive likelihood ratioNegative likelihood ratioPositive likelihood ratioNegative likelihood ratio
Right lower quadrant pain7.3 to 8.5*0 to 0.281.4NA
Rigidity3.80.82NANA
Migration/periumbilical pain3.20.501.80.70
Pain before vomiting2.8NANANA
Psoas sign2.40.903.20.70
Fever1.90.581.20.90
Guarding1.7 to 1.80 to 0.542.10.47
No similar previous pain1.50.32NANA
Rebound tenderness1.1 to 6.30 to 0.862.2NA
Anorexia1.30.641.30.58
Vomiting0.921.11.30.65
Rectal tenderness/obstipation0.83 to 5.30.36 to 1.22.00.91
Nausea0.69 to 1.20.70 to 0.84NANA
Obturator signNANA3.50.73
Rovsing signNANA3.50.72
Absent/decreased bowel soundsNANA3.10.69
Pain with hopping/coughing/percussionNANA1.60.52