Classifications Flashcards
Describe the classification of gastric ulcers
Johnson’s classification
Combination of anatomical and acid-secretion status
Type 1
- junction of fundic and antral mucosa on lesser curve
- normal to low acid
- most common type of gastric ulcer
- due to inadequate mucosal defence as opposed to
Type 2
- Gastric and duodenal ulcer
- Acid hypersecretion
Type 3
- Pre-pyloric
- Acid hypersecretion
Type 4
- GOJ/high lesser curve
- Reduced mucosal barrier
Type 5
- anywhere
- NSAID related
Describe the child-Pugh classification
Used to assess liver disease provide a risk assessment for morbidity and mortality
A-E
A - albumin
B - bilirubin
C - coags
D - distension
E - encephalopathy
5-15 points
Operative mortality
A - 0-5% mortality
B - 10-15% mortality
C - >25% mortality
1-year survival
A - 100%
B - 80%
C - 45%
Lap chole risk
A <1%
B 10-20%
C >25%
Who is at high risk of breast cancer, and what screening is recommended?
- deemed high risk of ovarian cancer
- 3 x 1st/2nd degree relatives on same side with breast/ovarian cancer
- 2 x 1st/2nd degree relatives same side PLUS one of following:
- BC <40years
- bilateral BC
- Ashkenazi Jewish ancestry
- male breast cancer - 1 x 1st/2nd degree with BC <45yrs PLUS relative same side with bone or soft tissue sarcoma <45yrs
- Member of family with high risk breast mutation e.g. BRCA1/2
Recommend -
- Annual screening with Mammo, MRI or USS
- Referral for genetic testing
- Consider risk reduction strategies (surgery, tamoxifen/raloxifene/RF modification)
- referral to Gynae for consideration of BSO
- advise regular self-examination
Describe the BI-RADS classification
BI-RADS
0 - need additional imaging
1 - Negative - routine screening
2 - Benign - routine screening
3 - Probably benign - short interval F/U (6/12) a 0-2% risk cancer
4 - Suspicious - need tissue
4a low suspicion - 2-10%
4b moderate suspicion - 10-50%
4c high suspicion - 50-95%
5 - highly suggestive of malignancy - need tissue - >95%
6 - known Bx-proven
