Good. I have several relevant sources. Let me read the most comprehensive ones — Sabiston (gold standard surgical text) for scoring systems, Sleisenger & Fordtran for the Alvarado table, and Rosen's EM for clinical decision instruments.

Excellent content. Let me now read the Alvarado score table from Sleisenger & Fordtran, the full scoring table from Rosen's, and the Sabiston section on scoring systems.

Now let me get the actual scoring table from Rosen's that lists all three scoring systems side by side, and also the physical exam signs.

Now let me get the Rosen's scoring table (Table 79.4) which lists all three scoring systems, and also look for physical exam signs like Rovsing's, psoas, obturator:

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