Orris

Make me case record form for my thesis of topic accuracy of alvorado score in diagnosis of acute appendicitis which include routine patient detail , history , examination and at the end alvorado score counting

Reading File
Running Command

mkdir -p /tmp/workspace/alvarado-crf && ls /tmp/workspace/alvarado-crf/

Writing File

~/alvarado-crf/build_crf.py

from docx import Document
from docx.shared import Pt, Inches, RGBColor, Cm
from docx.enum.text import WD_ALIGN_PARAGRAPH
from docx.enum.table import WD_TABLE_ALIGNMENT, WD_ALIGN_VERTICAL
from docx.oxml.ns import qn
from docx.oxml import OxmlElement
import copy

doc = Document()

# ── Page margins ──────────────────────────────────────────────────────────────
for section in doc.sections:
    section.top_margin    = Cm(2)
    section.bottom_margin = Cm(2)
    section.left_margin   = Cm(2.5)
    section.right_margin  = Cm(2.5)

# ── Styles ────────────────────────────────────────────────────────────────────
normal = doc.styles["Normal"]
normal.font.name = "Arial"
normal.font.size = Pt(11)

# ── Helper functions ──────────────────────────────────────────────────────────

def set_col_width(cell, width_cm):
    tc = cell._tc
    tcPr = tc.get_or_add_tcPr()
    tcW = OxmlElement("w:tcW")
    tcW.set(qn("w:w"), str(int(width_cm * 567)))  # 1 cm ≈ 567 twips
    tcW.set(qn("w:type"), "dxa")
    tcPr.append(tcW)

def shade_cell(cell, fill_hex="D9E1F2"):
    tc = cell._tc
    tcPr = tc.get_or_add_tcPr()
    shd = OxmlElement("w:shd")
    shd.set(qn("w:val"), "clear")
    shd.set(qn("w:color"), "auto")
    shd.set(qn("w:fill"), fill_hex)
    tcPr.append(shd)

def heading_para(doc, text, level=1, color_hex="1F3864"):
    p = doc.add_paragraph()
    p.style = doc.styles[f"Heading {level}"] if f"Heading {level}" in [s.name for s in doc.styles] else doc.styles["Normal"]
    run = p.add_run(text)
    run.bold = True
    run.font.size = Pt(13 if level == 1 else 11)
    run.font.color.rgb = RGBColor.from_string(color_hex)
    p.paragraph_format.space_before = Pt(10)
    p.paragraph_format.space_after  = Pt(4)
    return p

def section_bar(doc, text):
    """Shaded full-width section bar"""
    table = doc.add_table(rows=1, cols=1)
    table.style = "Table Grid"
    cell = table.cell(0, 0)
    shade_cell(cell, "1F3864")
    p = cell.paragraphs[0]
    run = p.add_run(f"  {text}")
    run.bold = True
    run.font.color.rgb = RGBColor(0xFF, 0xFF, 0xFF)
    run.font.size = Pt(11)
    p.paragraph_format.space_before = Pt(2)
    p.paragraph_format.space_after  = Pt(2)
    doc.add_paragraph("")  # spacer

def field_row(table, label, blank_cols=1, hint=""):
    """Add a label + blank cell row to a table"""
    row = table.add_row()
    lbl_cell = row.cells[0]
    shade_cell(lbl_cell, "EBF0FA")
    run = lbl_cell.paragraphs[0].add_run(label)
    run.bold = True
    run.font.size = Pt(10)
    for i in range(1, len(row.cells)):
        if hint:
            row.cells[i].paragraphs[0].add_run(hint).font.color.rgb = RGBColor(0x99,0x99,0x99)

def two_col_field_table(doc, fields, widths=(6, 10)):
    """Create a 2-column label | blank table"""
    table = doc.add_table(rows=0, cols=2)
    table.style = "Table Grid"
    table.alignment = WD_TABLE_ALIGNMENT.CENTER
    for label, hint in fields:
        row = table.add_row()
        shade_cell(row.cells[0], "EBF0FA")
        set_col_width(row.cells[0], widths[0])
        set_col_width(row.cells[1], widths[1])
        r = row.cells[0].paragraphs[0].add_run(label)
        r.bold = True
        r.font.size = Pt(10)
        if hint:
            row.cells[1].paragraphs[0].add_run(hint).font.color.rgb = RGBColor(0xAA,0xAA,0xAA)
    doc.add_paragraph("")

def four_col_table(doc, pairs):
    """pairs = [(label1, label2), ...] → 4-col table"""
    table = doc.add_table(rows=0, cols=4)
    table.style = "Table Grid"
    for l1, l2 in pairs:
        row = table.add_row()
        for idx, lbl in enumerate([l1, "", l2, ""]):
            c = row.cells[idx]
            if idx in (0, 2):
                shade_cell(c, "EBF0FA")
                r = c.paragraphs[0].add_run(lbl)
                r.bold = True
                r.font.size = Pt(10)
                set_col_width(c, 5)
            else:
                set_col_width(c, 7)
    doc.add_paragraph("")

# ══════════════════════════════════════════════════════════════════════════════
# TITLE BLOCK
# ══════════════════════════════════════════════════════════════════════════════
title_table = doc.add_table(rows=1, cols=1)
title_table.style = "Table Grid"
shade_cell(title_table.cell(0,0), "1F3864")
tp = title_table.cell(0,0).paragraphs[0]
tp.alignment = WD_ALIGN_PARAGRAPH.CENTER
tr = tp.add_run("CASE RECORD FORM")
tr.bold = True
tr.font.size = Pt(16)
tr.font.color.rgb = RGBColor(0xFF, 0xFF, 0xFF)
doc.add_paragraph("")

sub_table = doc.add_table(rows=1, cols=1)
sub_table.style = "Table Grid"
shade_cell(sub_table.cell(0,0), "2E75B6")
sp = sub_table.cell(0,0).paragraphs[0]
sp.alignment = WD_ALIGN_PARAGRAPH.CENTER
sr = sp.add_run("A Study on the Accuracy of Alvarado Score in Diagnosis of Acute Appendicitis")
sr.bold = True
sr.font.size = Pt(12)
sr.font.color.rgb = RGBColor(0xFF, 0xFF, 0xFF)
doc.add_paragraph("")

# ══════════════════════════════════════════════════════════════════════════════
# SECTION A: PATIENT IDENTIFICATION
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION A: PATIENT IDENTIFICATION")

two_col_field_table(doc, [
    ("Case/Serial No.:", ""),
    ("Date of Admission:", "DD / MM / YYYY"),
    ("Date of Examination:", "DD / MM / YYYY"),
    ("Patient's Full Name:", ""),
    ("Age:", "Years"),
    ("Sex:", "Male  /  Female  /  Other"),
    ("Date of Birth:", "DD / MM / YYYY"),
    ("Contact Number:", ""),
    ("Address:", ""),
    ("IP / OP No.:", ""),
    ("Ward / Bed No.:", ""),
    ("Referred By:", ""),
    ("Occupation:", ""),
    ("Marital Status:", "Single  /  Married  /  Divorced  /  Widowed"),
    ("Socioeconomic Status:", "Lower  /  Middle  /  Upper"),
    ("Informant:", "Self  /  Relative  /  Other"),
    ("Reliability of History:", "Reliable  /  Not Reliable"),
], widths=(6, 10))

# ══════════════════════════════════════════════════════════════════════════════
# SECTION B: CHIEF COMPLAINT & HISTORY OF PRESENTING ILLNESS
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION B: CHIEF COMPLAINT & HISTORY OF PRESENTING ILLNESS")

two_col_field_table(doc, [
    ("Chief Complaint:", ""),
    ("Duration of Symptoms:", "Hours  /  Days"),
], widths=(6, 10))

# Pain sub-table
p_head = doc.add_paragraph()
r = p_head.add_run("Pain Details")
r.bold = True
r.font.size = Pt(10)
r.font.color.rgb = RGBColor.from_string("2E75B6")

pain_table = doc.add_table(rows=0, cols=4)
pain_table.style = "Table Grid"
pain_fields = [
    ("Site of Pain:", "Periumbilical / RIF / Diffuse", "Radiation:", "Yes / No — If yes, to: ________"),
    ("Onset:", "Sudden / Gradual", "Duration:", ""),
    ("Character:", "Colicky / Constant / Dull", "Severity (NRS 0–10):", "  /10"),
    ("Progression:", "Migrating / Localised / Diffuse", "Aggravating Factors:", ""),
    ("Relieving Factors:", "", "Associated Factors:", ""),
]
for l1, h1, l2, h2 in pain_fields:
    row = pain_table.add_row()
    shade_cell(row.cells[0], "EBF0FA")
    set_col_width(row.cells[0], 5); set_col_width(row.cells[1], 7)
    set_col_width(row.cells[2], 5); set_col_width(row.cells[3], 7)
    r1 = row.cells[0].paragraphs[0].add_run(l1); r1.bold=True; r1.font.size=Pt(10)
    shade_cell(row.cells[2], "EBF0FA")
    r2 = row.cells[2].paragraphs[0].add_run(l2); r2.bold=True; r2.font.size=Pt(10)
    if h1: row.cells[1].paragraphs[0].add_run(h1).font.color.rgb = RGBColor(0xAA,0xAA,0xAA)
    if h2: row.cells[3].paragraphs[0].add_run(h2).font.color.rgb = RGBColor(0xAA,0xAA,0xAA)
doc.add_paragraph("")

# Associated symptoms
sym_head = doc.add_paragraph()
rs = sym_head.add_run("Associated Symptoms")
rs.bold = True; rs.font.size = Pt(10); rs.font.color.rgb = RGBColor.from_string("2E75B6")

sym_table = doc.add_table(rows=0, cols=4)
sym_table.style = "Table Grid"
symptoms = [
    ("Nausea:", "Yes  /  No", "Vomiting:", "Yes  /  No — No. of episodes: ____"),
    ("Fever:", "Yes  /  No", "Anorexia / Loss of Appetite:", "Yes  /  No"),
    ("Diarrhoea:", "Yes  /  No", "Constipation:", "Yes  /  No"),
    ("Dysuria:", "Yes  /  No", "Frequency of Urine:", "Yes  /  No"),
    ("Menstrual History (F):", "LMP: ______ Regular/Irregular", "Vaginal Discharge:", "Yes  /  No"),
]
for l1, h1, l2, h2 in symptoms:
    row = sym_table.add_row()
    shade_cell(row.cells[0], "EBF0FA"); shade_cell(row.cells[2], "EBF0FA")
    set_col_width(row.cells[0], 5); set_col_width(row.cells[1], 7)
    set_col_width(row.cells[2], 5); set_col_width(row.cells[3], 7)
    r1 = row.cells[0].paragraphs[0].add_run(l1); r1.bold=True; r1.font.size=Pt(10)
    r2 = row.cells[2].paragraphs[0].add_run(l2); r2.bold=True; r2.font.size=Pt(10)
    if h1: row.cells[1].paragraphs[0].add_run(h1).font.color.rgb = RGBColor(0xAA,0xAA,0xAA)
    if h2: row.cells[3].paragraphs[0].add_run(h2).font.color.rgb = RGBColor(0xAA,0xAA,0xAA)
doc.add_paragraph("")

# ══════════════════════════════════════════════════════════════════════════════
# SECTION C: PAST HISTORY
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION C: PAST HISTORY")

two_col_field_table(doc, [
    ("Similar Complaints in Past:", "Yes  /  No — If yes, details: _________________"),
    ("H/O Diabetes Mellitus:", "Yes  /  No"),
    ("H/O Hypertension:", "Yes  /  No"),
    ("H/O Cardiac Disease:", "Yes  /  No"),
    ("H/O Pulmonary Disease:", "Yes  /  No"),
    ("H/O Tuberculosis:", "Yes  /  No"),
    ("H/O Previous Abdominal Surgery:", "Yes  /  No — If yes: _____________________"),
    ("H/O Previous Hospitalisation:", "Yes  /  No — Reason: ____________________"),
    ("H/O Drug Allergy:", "Yes  /  No — If yes: ___________________________"),
    ("Current Medications:", ""),
    ("H/O Malignancy:", "Yes  /  No"),
    ("Other Significant Past History:", ""),
], widths=(6.5, 9.5))

# ══════════════════════════════════════════════════════════════════════════════
# SECTION D: PERSONAL, FAMILY & OBSTETRIC HISTORY
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION D: PERSONAL, FAMILY & OBSTETRIC HISTORY")

two_col_field_table(doc, [
    ("Smoking:", "Non-smoker  /  Ex-smoker  /  Current smoker — Pack years: ____"),
    ("Alcohol:", "Non-drinker  /  Occasional  /  Regular"),
    ("Tobacco / Other Substance Use:", "Yes  /  No — Details: __________________"),
    ("Diet:", "Vegetarian  /  Mixed"),
    ("Family H/O Appendicitis:", "Yes  /  No"),
    ("Family H/O Malignancy:", "Yes  /  No — Details: ______________________"),
    ("Obstetric History (if female):", "G:___ P:___ L:___ A:___ — Pregnancy status: ___"),
], widths=(6.5, 9.5))

# ══════════════════════════════════════════════════════════════════════════════
# SECTION E: GENERAL PHYSICAL EXAMINATION
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION E: GENERAL PHYSICAL EXAMINATION")

two_col_field_table(doc, [
    ("General Condition:", "Well / Ill-looking / Toxic / Distressed"),
    ("Consciousness:", "Alert  /  Drowsy  /  Confused"),
    ("Built & Nutrition:", "Good / Average / Poor"),
], widths=(6, 10))

four_col_table(doc, [
    ("Pulse Rate:", "Temperature (°F / °C):"),
    ("Blood Pressure:", "Respiratory Rate:"),
    ("SpO₂:", "Weight (kg):"),
    ("Height (cm):", "BMI (kg/m²):"),
])

two_col_field_table(doc, [
    ("Pallor:", "Present  /  Absent"),
    ("Icterus / Jaundice:", "Present  /  Absent"),
    ("Cyanosis:", "Present  /  Absent"),
    ("Clubbing:", "Present  /  Absent"),
    ("Lymphadenopathy:", "Present  /  Absent — Site: __________________"),
    ("Oedema:", "Present  /  Absent — Site: __________________"),
    ("Dehydration:", "None  /  Mild  /  Moderate  /  Severe"),
], widths=(6, 10))

# ══════════════════════════════════════════════════════════════════════════════
# SECTION F: SYSTEMIC EXAMINATION
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION F: SYSTEMIC EXAMINATION")

# Abdominal
ab_head = doc.add_paragraph()
rab = ab_head.add_run("Abdominal Examination")
rab.bold=True; rab.font.size=Pt(10); rab.font.color.rgb=RGBColor.from_string("2E75B6")

two_col_field_table(doc, [
    ("Inspection:", ""),
    ("  Shape of Abdomen:", "Flat / Scaphoid / Distended / Protuberant"),
    ("  Abdominal Movement with Respiration:", "Normal  /  Restricted"),
    ("  Visible Peristalsis:", "Present  /  Absent"),
    ("  Visible Pulsations:", "Present  /  Absent"),
    ("  Scars / Sinuses / Striae:", "Present  /  Absent — Details: ___________"),
    ("Palpation:", ""),
    ("  Tenderness:", "Present  /  Absent"),
    ("  Site of Max. Tenderness:", "RIF / Periumbilical / Diffuse / Other: ______"),
    ("  Guarding:", "Present  /  Absent"),
    ("  Rigidity:", "Present  /  Absent — Localised / Generalised"),
    ("  Rebound Tenderness (Blumberg's):", "Present  /  Absent"),
    ("  McBurney's Point Tenderness:", "Present  /  Absent"),
    ("  Rovsing's Sign:", "Positive  /  Negative"),
    ("  Psoas Sign:", "Positive  /  Negative"),
    ("  Obturator Sign:", "Positive  /  Negative"),
    ("  Mass Palpable:", "Present  /  Absent — Size: ____  Consistency: ____"),
    ("  Liver:", "Not palpable  /  Palpable — _____ cm below RCM"),
    ("  Spleen:", "Not palpable  /  Palpable"),
    ("Percussion:", ""),
    ("  Liver Dullness:", "Present  /  Absent"),
    ("  Shifting Dullness:", "Present  /  Absent"),
    ("  Tympanicity:", "Normal  /  Increased"),
    ("Auscultation:", ""),
    ("  Bowel Sounds:", "Normal  /  Increased  /  Decreased  /  Absent"),
], widths=(7, 9))

# Other systems
ot_head = doc.add_paragraph()
rot = ot_head.add_run("Other Systemic Examination")
rot.bold=True; rot.font.size=Pt(10); rot.font.color.rgb=RGBColor.from_string("2E75B6")

two_col_field_table(doc, [
    ("Respiratory System:", "NAD  /  Abnormal — Details: ___________________"),
    ("Cardiovascular System:", "NAD  /  Abnormal — Details: ___________________"),
    ("Central Nervous System:", "NAD  /  Abnormal — Details: ___________________"),
    ("Per Rectal Examination:", "Not done  /  Done — Tenderness: Yes/No — Side: ___"),
    ("Per Vaginal Examination (F):", "Not done  /  Done — Findings: ________________"),
], widths=(6.5, 9.5))

# ══════════════════════════════════════════════════════════════════════════════
# SECTION G: INVESTIGATIONS
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION G: INVESTIGATIONS")

inv_head = doc.add_paragraph()
ri = inv_head.add_run("Haematological Investigations")
ri.bold=True; ri.font.size=Pt(10); ri.font.color.rgb=RGBColor.from_string("2E75B6")

four_col_table(doc, [
    ("Haemoglobin (g/dL):", "Total WBC Count (/cumm):"),
    ("Differential Count (N/L/M/E/B):", "Platelet Count (/cumm):"),
    ("ESR (mm/hr):", "CRP (mg/L):"),
    ("PCV / Haematocrit (%):", "Blood Group:"),
])

rbs_head = doc.add_paragraph()
rb = rbs_head.add_run("Biochemical Investigations")
rb.bold=True; rb.font.size=Pt(10); rb.font.color.rgb=RGBColor.from_string("2E75B6")

four_col_table(doc, [
    ("Blood Urea (mg/dL):", "Serum Creatinine (mg/dL):"),
    ("Serum Sodium (mEq/L):", "Serum Potassium (mEq/L):"),
    ("Fasting Blood Sugar (mg/dL):", "Serum Bilirubin (mg/dL):"),
    ("SGOT (U/L):", "SGPT (U/L):"),
    ("Serum Amylase / Lipase:", "Urine Pregnancy Test (βhCG):",),
])

uf_head = doc.add_paragraph()
ru = uf_head.add_run("Urine Examination")
ru.bold=True; ru.font.size=Pt(10); ru.font.color.rgb=RGBColor.from_string("2E75B6")

four_col_table(doc, [
    ("Colour / Turbidity:", "Albumin / Sugar:"),
    ("Pus Cells (HPF):", "RBCs (HPF):"),
    ("Casts / Crystals:", "Culture & Sensitivity:"),
])

rad_head = doc.add_paragraph()
rr = rad_head.add_run("Radiological Investigations")
rr.bold=True; rr.font.size=Pt(10); rr.font.color.rgb=RGBColor.from_string("2E75B6")

two_col_field_table(doc, [
    ("X-Ray Abdomen (Erect):", "Normal  /  Abnormal — Findings: ________________"),
    ("USG Abdomen & Pelvis:", ""),
    ("  Appendix Visualised:", "Yes  /  No"),
    ("  Appendix Diameter (mm):", ""),
    ("  Periappendiceal Collection:", "Present  /  Absent"),
    ("  Free Fluid in Pelvis:", "Present  /  Absent"),
    ("  Other Findings:", ""),
    ("CT Abdomen (if done):", "Not done  /  Done — Findings: ________________"),
], widths=(7, 9))

# ══════════════════════════════════════════════════════════════════════════════
# PAGE BREAK before Alvarado Score
# ══════════════════════════════════════════════════════════════════════════════
doc.add_page_break()

# ══════════════════════════════════════════════════════════════════════════════
# SECTION H: ALVARADO SCORE (MANTRELS)
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION H: ALVARADO SCORE (MANTRELS Scoring System)")

# Introduction note
intro = doc.add_paragraph()
intro.paragraph_format.space_after = Pt(8)
ir = intro.add_run(
    "The Alvarado score (also called MANTRELS: Migration of pain, Anorexia, Nausea/Vomiting, "
    "Tenderness in RIF, Rebound tenderness, Elevated temperature, Leucocytosis, Shift of WBC to left) "
    "is a clinical scoring system used to aid in the diagnosis of acute appendicitis. "
    "Maximum score = 10."
)
ir.font.size = Pt(10)
ir.font.italic = True

# Main Alvarado table
alv_table = doc.add_table(rows=1, cols=5)
alv_table.style = "Table Grid"
alv_table.alignment = WD_TABLE_ALIGNMENT.CENTER

# Header row
hdr = alv_table.rows[0].cells
headers = ["#", "CRITERION", "Parameter", "Score Possible", "Score Obtained"]
col_widths = [1, 5, 6, 2.5, 2.5]
for i, (h, w) in enumerate(zip(headers, col_widths)):
    shade_cell(hdr[i], "1F3864")
    set_col_width(hdr[i], w)
    p = hdr[i].paragraphs[0]
    p.alignment = WD_ALIGN_PARAGRAPH.CENTER
    r = p.add_run(h)
    r.bold = True; r.font.size = Pt(10)
    r.font.color.rgb = RGBColor(0xFF, 0xFF, 0xFF)

# Data rows: (number, letter, criterion, parameter_hint, max_score)
criteria = [
    ("1", "M", "Migration of Pain to RIF",
     "Pain started periumbilical / diffuse\nand shifted to Right Iliac Fossa:\nYes  /  No", "1"),
    ("2", "A", "Anorexia",
     "Loss of appetite present:\nYes  /  No", "1"),
    ("3", "N", "Nausea / Vomiting",
     "Nausea or vomiting present:\nYes  /  No", "1"),
    ("4", "T", "Tenderness in RIF",
     "Tenderness at McBurney's point\nor RIF on palpation:\nPresent  /  Absent", "2"),
    ("5", "R", "Rebound Tenderness",
     "Rebound tenderness at RIF:\nPresent  /  Absent", "1"),
    ("6", "E", "Elevated Temperature",
     "Temperature > 37.3 °C (99.1 °F):\nPresent  /  Absent\nRecorded Temp: ________", "1"),
    ("7", "L", "Leucocytosis",
     "Total WBC Count > 10,000/cumm:\nPresent  /  Absent\nActual Count: ________", "2"),
    ("8", "S", "Shift of WBC Count to Left",
     "Neutrophilia > 75% or band forms present:\nPresent  /  Absent\nNeutrophil %: ________", "1"),
]

for num, letter, criterion, param, max_sc in criteria:
    row = alv_table.add_row()
    cells = row.cells
    set_col_width(cells[0], 1); set_col_width(cells[1], 5)
    set_col_width(cells[2], 6); set_col_width(cells[3], 2.5); set_col_width(cells[4], 2.5)

    shade_cell(cells[0], "2E75B6")
    p0 = cells[0].paragraphs[0]; p0.alignment = WD_ALIGN_PARAGRAPH.CENTER
    r0 = p0.add_run(num); r0.bold=True; r0.font.size=Pt(10); r0.font.color.rgb=RGBColor(0xFF,0xFF,0xFF)

    shade_cell(cells[1], "D9E8FB")
    p1 = cells[1].paragraphs[0]
    r1a = p1.add_run(f"({letter})  "); r1a.bold=True; r1a.font.size=Pt(10); r1a.font.color.rgb=RGBColor.from_string("1F3864")
    r1b = p1.add_run(criterion); r1b.bold=True; r1b.font.size=Pt(10)

    cells[2].paragraphs[0].add_run(param).font.size = Pt(9)

    p3 = cells[3].paragraphs[0]; p3.alignment = WD_ALIGN_PARAGRAPH.CENTER
    r3 = p3.add_run(max_sc); r3.bold=True; r3.font.size=Pt(11)

    # Score obtained cell - blank for clinician
    p4 = cells[4].paragraphs[0]; p4.alignment = WD_ALIGN_PARAGRAPH.CENTER
    cells[4].paragraphs[0].add_run("").font.size = Pt(11)

# Total row
tot_row = alv_table.add_row()
for i, cell in enumerate(tot_row.cells):
    shade_cell(cell, "1F3864")
    set_col_width(cell, col_widths[i])
tot_row.cells[0].merge(tot_row.cells[3])
p_tot = tot_row.cells[0].paragraphs[0]
p_tot.alignment = WD_ALIGN_PARAGRAPH.RIGHT
r_tot = p_tot.add_run("TOTAL ALVARADO SCORE  →  ")
r_tot.bold=True; r_tot.font.size=Pt(11); r_tot.font.color.rgb=RGBColor(0xFF,0xFF,0xFF)
p4t = tot_row.cells[1].paragraphs[0]; p4t.alignment = WD_ALIGN_PARAGRAPH.CENTER
r4t = p4t.add_run("   / 10"); r4t.bold=True; r4t.font.size=Pt(12); r4t.font.color.rgb=RGBColor(0xFF,0xFF,0xFF)

doc.add_paragraph("")

# ── Score Interpretation ──────────────────────────────────────────────────────
interp_head = doc.add_paragraph()
ri2 = interp_head.add_run("Score Interpretation")
ri2.bold=True; ri2.font.size=Pt(11); ri2.font.color.rgb=RGBColor.from_string("1F3864")

interp_table = doc.add_table(rows=1, cols=3)
interp_table.style = "Table Grid"
interp_table.alignment = WD_TABLE_ALIGNMENT.CENTER

ih = interp_table.rows[0].cells
for hdr_text, cell in zip(["Score Range", "Probability of Appendicitis", "Suggested Action"], ih):
    shade_cell(cell, "1F3864")
    hp = cell.paragraphs[0]; hp.alignment = WD_ALIGN_PARAGRAPH.CENTER
    hr = hp.add_run(hdr_text); hr.bold=True; hr.font.size=Pt(10); hr.font.color.rgb=RGBColor(0xFF,0xFF,0xFF)

interp_data = [
    ("1 – 4", "Low probability", "Observation; consider other diagnoses"),
    ("5 – 6", "Moderate probability", "Active observation, repeat examination"),
    ("7 – 8", "High probability", "Surgical consultation; probable appendicitis"),
    ("9 – 10", "Very high probability", "Immediate surgical intervention likely required"),
]
fills = ["EBF0FA", "FFF2CC", "FCE4D6", "FFCCCC"]
for (sc, prob, action), fill in zip(interp_data, fills):
    row = interp_table.add_row()
    shade_cell(row.cells[0], fill); shade_cell(row.cells[1], fill); shade_cell(row.cells[2], fill)
    for cell, text in zip(row.cells, [sc, prob, action]):
        p = cell.paragraphs[0]; p.alignment = WD_ALIGN_PARAGRAPH.CENTER
        r = p.add_run(text); r.font.size=Pt(10)
doc.add_paragraph("")

# ══════════════════════════════════════════════════════════════════════════════
# SECTION I: FINAL DIAGNOSIS & OUTCOME
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION I: CLINICAL DECISION, FINAL DIAGNOSIS & OUTCOME")

two_col_field_table(doc, [
    ("Clinical Decision (Based on Score):", "Conservative Management  /  Surgical Intervention"),
    ("Operative Findings (if operated):", ""),
    ("  Appendix Status:", "Normal  /  Inflamed  /  Perforated  /  Gangrenous  /  Abscess"),
    ("  Other Intraoperative Findings:", ""),
    ("  Type of Surgery:", "Open Appendicectomy  /  Laparoscopic  /  Other"),
    ("Histopathology Report:", ""),
    ("  HPE Diagnosis:", "Acute Appendicitis (Confirmed)  /  Normal Appendix  /  Other: ____"),
    ("Final Diagnosis:", "Acute Appendicitis  /  Other: _________________________"),
    ("Outcome:", "Discharged  /  LAMA  /  Referred  /  Expired"),
    ("Date of Discharge:", "DD / MM / YYYY"),
    ("Duration of Hospital Stay:", "Days"),
    ("Complications (if any):", "None  /  Wound Infection  /  Abscess  /  Other: ___"),
], widths=(6.5, 9.5))

# ══════════════════════════════════════════════════════════════════════════════
# SECTION J: CLINICIAN'S REMARKS & SIGNATURE
# ══════════════════════════════════════════════════════════════════════════════
section_bar(doc, "SECTION J: RESEARCHER / CLINICIAN DETAILS & SIGNATURE")

two_col_field_table(doc, [
    ("Name of Examiner:", ""),
    ("Designation:", ""),
    ("Department:", ""),
    ("Institution:", ""),
    ("Date:", "DD / MM / YYYY"),
    ("Signature:", ""),
    ("Supervisor / Guide Name:", ""),
    ("Supervisor Signature:", ""),
], widths=(6, 10))

# Footer note
foot = doc.add_paragraph()
foot.alignment = WD_ALIGN_PARAGRAPH.CENTER
fr = foot.add_run(
    "This CRF is designed for academic / research purposes. All patient data is confidential. "
    "Please maintain patient anonymity as per Institutional Ethics Committee guidelines."
)
fr.font.size = Pt(9); fr.font.italic=True; fr.font.color.rgb=RGBColor(0x66,0x66,0x66)

# ── Save ──────────────────────────────────────────────────────────────────────
output_path = "/tmp/workspace/alvarado-crf/Alvarado_Score_CRF.docx"
doc.save(output_path)
print(f"Saved: {output_path}")
Running Command

cd /tmp/workspace/alvarado-crf && python3 build_crf.py 2>&1

Running Command

python3 -c " from docx import Document doc = Document('/tmp/workspace/alvarado-crf/Alvarado_Score_CRF.docx') for p in doc.paragraphs: if p.text.strip(): print(f'[{p.style.name}] {p.text[:80]}') " 2>&1 | head -60

Running Command

ls -lh /tmp/workspace/alvarado-crf/Alvarado_Score_CRF.docx

Your CRF is ready. Download it here:

Alvarado Score CRF

Word Document · DOCX

Here is everything included in the form, section by section:
Section A - Patient Identification Serial/Case No., admission & examination dates, name, age, sex, DOB, contact, address, IP/OP number, ward/bed, referral, occupation, marital status, socioeconomic status, informant reliability.
Section B - Chief Complaint & History of Presenting Illness
  • Pain details table: site, onset, character, radiation, severity (NRS 0-10), progression, aggravating/relieving factors
  • Associated symptoms: nausea, vomiting, fever, anorexia, diarrhoea, constipation, dysuria, urinary frequency, menstrual history (LMP), vaginal discharge
Section C - Past History Similar episodes, DM, HTN, cardiac, pulmonary, TB, prior abdominal surgeries, hospitalisations, drug allergies, current medications, malignancy.
Section D - Personal, Family & Obstetric History Smoking, alcohol, tobacco use, diet, family history of appendicitis/malignancy, obstetric history (GPLA + pregnancy status).
Section E - General Physical Examination Pulse, BP, temperature, RR, SpO2, weight, height, BMI, pallor, icterus, cyanosis, clubbing, lymphadenopathy, oedema, dehydration.
Section F - Systemic Examination Full abdominal exam (inspection, palpation, percussion, auscultation) including McBurney's tenderness, Rovsing's sign, Psoas sign, Obturator sign, rebound tenderness. Plus cardiovascular, respiratory, CNS, per rectal, and per vaginal examination fields.
Section G - Investigations Haematological (Hb, WBC, DC, platelets, ESR, CRP), biochemical (renal, liver, glucose), urine analysis, USG abdomen (with appendix diameter), and CT findings.
Section H - Alvarado Score (MANTRELS) A colour-coded scoring table for all 8 criteria with parameter hints and blank "Score Obtained" column. Weighted correctly (Tenderness in RIF = 2, Leucocytosis = 2, all others = 1, total = 10). Full interpretation table at the bottom (scores 1-4, 5-6, 7-8, 9-10 with suggested actions).
Section I - Clinical Decision, Final Diagnosis & Outcome Operative findings, appendix status (normal/inflamed/perforated/gangrenous), type of surgery, histopathology report, final diagnosis, discharge date, duration of stay, complications.
Section J - Researcher/Clinician Details & Signature Examiner name, designation, department, institution, date, signature, supervisor name and signature.
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