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Triads And Criteria > Criteria > Flashcards

Criteria Flashcards

1
Q

What risk score is used to see the RISK of CVD in next 10 years

A

QRISK2
(Done in unstable angina)

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2
Q

What estimates the risk of death or death/myocardial infarction (MI) in patients following an initial acute coronary syndrome (ACS)

A

The Global Registry of Acute Coronary Events (GRACE) score
The scores can be stratified between: In-hospital mortality and mortality/MI

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3
Q

HF severity criteria

A

NY heart association: Class 1-4 of HF severity
1. no limit on physical activity
2. slight limit on moderate activity
3. marked limit on moderate activity + gentle activity
4. Symptoms even at rest!!!

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4
Q

Fontaine Classification (stages 1-4)

A

Peripheral Arterial Disease
1. Asymptomatic
2. Intermittent claudication
a. Claudication after walking >200m
b. Claudication after walking <200m
3. Chronic limb ischemia = rest pain
4. Ischaemic ulceration or tissue loss (gangrene)

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5
Q

Wells score

A

Predicts risk of a patient presenting with symptoms having a DVT or PE. Includes risk factors + clinical findings (calf swelling)

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6
Q

TRUE LOVE + WITTS

A

Severity of flares in ulcerative colitis

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7
Q

MARSH histological classification

A

Coeliacs

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8
Q

CHA2DS2-VASc score

A

C = congestive heart failure/LV function
H = hypertension
A2 = Age > 75
D = diabetes mellitus
S2 = Stroke/TIA/thromboembolism
V = vascular disease
A = age = 65-74
S = sex (female)
Max score is 9
Verify risk of stroke in patients with A.fib

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9
Q

ORBIT scores

A

Older age = 1
Reduced haemoglobin/ Hct/ anaemia = 2
Bleeding history = 2
Insufficient kidney function = 1
Treatment with anti platelets = 1

Estimates the risk of a major bleeding for patients on anticoagulants for A.fib

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10
Q

Severity score of Mallory Weiss Tear

A

ROCKALL SCORE
- age, blood pressure, comorbidities, and endoscopic findings
- identify patients at risk of adverse outcomes following endoscopic treatment of an upper GI bleed

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11
Q

Alvarado score

A

Predict the likelihood of appendicitis. A score of >7 is predictive of acute appendicitis
5-6 warrants an USS or CT

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12
Q

TNM Classification

A

Oesophageal cancer
Gastric cancer
Colorectal polyps and cancer

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13
Q

Criteria for a cute liver failure

A

West Haven Criteria Grade 1-4
Grade 1: Altered mood, sleep issues, sleep disturbances, dyspraxia
Grade 2: Lethargy, mild confusion, ASTERIXIS (liver flap)
Grade 3: Marked confusion, incoherent, restlessness, somnolent (v. quiet)
Grade 4: Comatose

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14
Q

Treatment for ALD steroid consideration

A

Maddrey’s discriminant value = INR + serum bilirubin = 32+) + N-acetylcysteine (severe)

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15
Q

Alcohol dependency questionnaire

A

ALD

CAGE:
should you CUT down
are people Annoyed by your drinking
feel Guilty about drinking
you drink in morning (Eye opening)
2 < dependant
AUDIT: 1st line = 10 questions = alcohol use disorder ID test

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16
Q

NAFLD scoring system

A

Non invasive tool to assess the level of fibrosis, such as Fibrosis-4 (FIB-4) or NAFLD Fibrosis score. Patients with low score can be managed in primary care
> 2.67 = advanced

17
Q

Acute pancreatitis defined by 2+/3 out of the 3 criteria

A

Clinical features: consistent with pancreatitis
Elevation of serum amylase or serum lipase (3x)
Radiological features: inflammation on CT

18
Q

Acute pancreatitis scoring systems

A

MODIFIED GLASGOW SCORE: 3 points or more within the first 48 hours should be considered for referral to high-dependency care
P - pO2 <8kPa
A - Age > 55 years
N - Neutrophils - WCC > 15x109/L
C - Calcium <2mmol/L
R - Renal function = urea >16mmol/L
E - enzymes = AST >200U/L or LDH>600U/L
A - Albumin <32g/L
S - Sugar (Blood sugar >10mmol/L

19
Q

Rheumatoid Arthritis scoring systems

A

American College of Rheumatoid Arthritis (ACR) and European League Against Rheumatism (EULAR)

20
Q

FRAX SCORE

A

predicts the risk of a fragility fracture over the next 10 years

21
Q

PSORIATIC ARTHRITIS

A

CASPAR criteria state: scores > 2 points
- Psoriatic nail changes (2 points)
- Rheumatoid factor negative (1 point)
- History of dactylitis (1 point)
- Radiological evidence = juxta-articular periostitis (1 point)

22
Q

Risky stratifying tool to determine risk of future stroke

A

ABCD2
Age > 60 (1)
BP > 140/90 (1)
Clinical symptoms:
- unilateral weakness (2)
- slurred speech, no weakness (1)
DMT2 (1)
* Score > 6 refer to neurology asap, risk of stroke in a week -= 35.5% *

23
Q

Scoring system for SAH

A

Glasgow score scale
- out of 15
- Eyes =4
- Vertebral = 5
- Motor = 6

24
Q

Assessment tools for dementia

A

Mini-mental state (MMSE)
- 11 questions testing orientation, attention, memory, language and visual-spatial skills
Low risk > 25
Mild cognitive impairment: 20-24
Moderate: 13-20
Severe < 12

DSM-V
ICD-10

25
Q

Diagnostic criteria include two of front-temporal dementia

A
  • Visual hallucinations
  • Parkinsonism
  • Fluctuating mental state
26
Q

Diagnostic criteria for epilepsy

A

At least 2 unprovoked seizures occurring more than 24 hours apart
One unprovoked seizure and probability of future seizures (considered >60% risk in 10 years
Diagnosis of an epileptic syndrome
- eyes open
- synchronised movements
- can occur in sleep

27
Q

Scoring system for BPH

A

Intermittent prostate symptom score: tool for assessing severity of LUTS
- 0-7 = mildly symptomatic
- 8-19 = moderate symptomatic
- 20-35 = severely symptomatic

28
Q

Prostate cancer scoring system

A

GLEASON SCORE
Identifies two most common cell patterns + gives them both a score between 1-5 and add them together
1 = well differentiated
5 = poorly differentiated
Low grade < 6
Intermediate grade 7
High grade 8-10

29
Q

Which scoring system is used to decided whether to offer possible prostate cancer patient a multi-parametric MRI influenced prostate biopsy

A
  • Likert score > 3 = offer multi parametric MRI-influenced prostate biopsy
  • Likert score < 3 = discuss pros and cons of biopsy
30
Q

RCC STAGING

A

ROBSON STAGING 1-4

31
Q

VARICOCELE GRADING

A

Sub-clinical = no clinical abnormality only detected by Doppler USS
Grade I (small) = only palpable with Valsalva
Grade II (moderate) = palpable without Valsalva
Grade III (large) = Varicocele is visible through scrotal skin

32
Q

Post natal depression

A

POST NATAL DEPRESSION ASSESSMENT TOOL: Patient health questionnaire (PHQ-9)

33
Q

HARK questions for abuse

A

humiliated, afraid, rape, kick

34
Q

GOLD CLASSIFICATION FOR COPD

A

Severity of airflow obstruction
1) Post-bronchodilator FEV1/FVC
2) FEV1 (% of predicted)

Stage 1: Mild*
1) <0.70
2) ≥80%
Stage 2: Moderate
1) <0.70
2) 50-79%
Stage 3: Severe
1) <0.70
2) 30-49%
Stage 4: Very severe
1) <0.70
2) <30%

35
Q

MRC dyspnoea scale for COPD

A

Grade 1 = Breathless on strenuous exercise
Grade 2 = Breathless on walking up a hill
Grade 3 = Breathless that shows on walking on flat
Grade 4 = Stop to catch their breathe after walking 100 metres on flat
Grade 5 = Unable to leave the house due to breathlessness

36
Q

CURB 65

A

MORTALITY PREDICTION
CURB-65
Confusion
Urea > 7
Resp Rate > 30/min
Blood pressure < 90 systolic or < 60 diastolic (mmHg)
65 +

0-1 = Treat in primary care
> 2 = hospital admissions
> 3 = ICU

37
Q

Pleural effusions criteria

A

LIGHTS CRITERIA
If the protein level is 25-35 g/L, Light’s criteria should be applied.
Validated set of pleural fluid lab test findings used to distinguish between transudate and exudate effusions for borderline presentations.

Light’s criteria state that an exudate is likely if one or more of the following criteria are met:
- Pleural fluid protein divided by serum protein is > 0.5
- Pleural fluid LDH divided by serum LDH is > 0.6
- Pleural fluid LDH > 2/3 the upper limit of normal serum LDH

38
Q

Risk calculator for GI bleeds

A

Glasgow Blatchford bleeding score- GBS

Triads And Criteria (2 decks)

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