Scores

Question 0

DVT Probability: Wells Score System

Answer 0

Paralysis, paresis or recent orthopedic casting of lower extremity (1 point)
Recently bedridden (more than 3 days) or major surgery within past 4 weeks (1 point)
Localized tenderness in deep vein system (1 point)
Swelling of entire leg (1 point)
Calf swelling 3 cm greater than other leg (measured 10 cm below the tibial tuberosity) (1 point)
Pitting edema greater in the symptomatic leg (1 point)
Collateral non varicose superficial veins (1 point)
Active cancer or cancer treated within 6 months (1 point)
Alternative diagnosis more likely than DVT (Baker's cyst, cellulitis, muscle damage, superficial venous thrombosis, post phlebitic syndrome, inguinal lymphadenopathy, external venous compression) (-2 points)

DVT Risk Score Interpretation
3-8 Points: High probability of DVT
1-2 Points: Moderate probability
-2-0 Points: Low Probability

Question 1

Child-Pugh score

Answer 1

The Child-Pugh score is a scoring system to measure the severity of chronic liver disease inclusive of cirrhosis

total bilirubin, μmol/l (mg/dl)
< 34 : 1 point
34 - 50 : 2 points
> 50 : 3 points

serum albumin, g/l
> 35 : 1 point
28 - 35 : 2 points
< 28 : 3 points

INR
< 1.7 : 1 point
1.7 - 2.3 : 2 points
> 2.3 : 3 points

presence of ascites
none : 1 point
mild : 2 points
moderate to severe : 3 points

presence of hepatic encephalopathy
none : 1 points
grades I - II (or suppressed with medication) : 2 points
grades III-IV (or refractory) : 3 points

class A : 5 - 6 points
class B : 7 - 9 points
class C : 10 - 15 points