This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Vermiform Appendix, Subject name: Surgery
Alvarado scoring in appendicitis includes all expect: 
Select and explain. 
A. Migratory right iliac fossa pain, B. Nausea, C. Elevated temperature, D. Leucopenia
D: Leucopenia
Answer: D: Leucopenia 
Explanation: Alvarado (MANTRELS) scores Manifestation Score Symptoms Migratory RIF pain Anorexia Nausea and vomiting 1 1 1 Signs Tenderness (RIF) Rebound tenderness Elevated temperature 2 1 1 Laboratory Leuocytosis Shift to left 2 1 Total 10 Scores Prediction 9-10 Appendicitis is ceain 7-8 High likelihood of appendicitis 5-6 Equivocal 1-4 Appendicitis can be ruled out