Score's/Scales/Criteria

Question 1

CHA2DS2-VASc for PO anticoag indication in the setting of Afib

Answer 1

CHF
HTN
Age >75 (2pts)
DM
Hx stroke (2pts)
Vascular Disease (PAD/MI)
Age >65 (1pt)
Sex Category (+1 for female)

0= no therapy
1= none, aspirin, or PO anticoag
2+ = PO anticoag

Question 2

Well’s Criterion (>4 = Likely)

Answer 2

DVT clx or alternate dx 100), recent surg (4wks), immobile (1.5 pts)
Hemoptysis, cancer (1pt)

Question 3

CKD Staging (GFR)

Answer 3

Stage I: GFR >90 (no tx)
Stage II: GFR 60-89 : tx comorbidities, ACEi/ARBs
Stage III: 30-59 : tx comorbidities, ACEi/ARBs
Stage IV: 15-29: consideration for transplant
Stage V:

Question 4

CHF NYHAA Staging (Clx)

Answer 4

Class I: No symptoms
Class II: Symptoms with being active, none at rest
Class III: Symptoms daily activities (walk to mailbox)
Class IV: symptoms at rest

Question 5

Light’s Criteria (pleural fluid, transudate vs exudate)

Answer 5

LDH: (fluid: serum): >.6
LDH: fluid >2/3 ULN serum
protein (fluid: serum): >.5

Remember: Exudate: PNA, malig, PE
Transudate: CHF, nephrotic syndrome, cirrhosis

Question 6

JONES Criteria for Rheumatic Fever

*requires 2 major or 1 major 2 minor + hx of strep pyogenes

Answer 6

Migratory Joint Arthritis
Carditis
Subcutaneous nodules
Erythema Marginatum
Sydenhams Chorea

Minor: ESR, CRP, ASO, arthralgias, prolonged PR, Leukocytosis

Question 7

Dukes criteria (infective endocarditis)

Answer 7

Bacteremia
New regurg
Vegetation on echo

IVDU, hx of endocarditis, multifocal PNA, splinter hemorrhages, janeway lesions, fever, roth spots, Osler nodes, RF+, glomerulonephritis