scoring Flashcards
wells score
PE/DVT
> 4 PE likely
1 DVT likely
previous DVT/PE,
immobilisation,
clinical sings,
HR>100
QRISK 3
likelihood of cardiac event in 10 years
GRACE
risk of ACS
used in NSTEMI to determine if need PCI
CHA2DS2VASc
C - congestive HF
H - HTN
A 2 - AGE > 75
D - T2DM
S 2 - prev stroke
V - vascular disease
A - age over 65
S - sex, female
c
used in patients with AF to determine stroke risk
ORBIT
used in patents with AF who need to start anticoagulation for risk of stroke
to calculate risk of bleeding
older age, low Hb, bleeding Hx
how are AAA scored
small < 3cm
large > 5.5cm
how is heart failure scored?
New York heart association severity
NYHA
Class I: no limitation (asymptomatic)
Class II: slight limitation (mild HF)
Class III: marked limitation (symptomatically moderate HF)
Class IV: inability to carry out any physical activity without discomfort (symptomatically severe HF)
formal set of diagnostic criteria for congestive heart failure (CHF)
The Framingham Criteria
scoring of aortic dissection? (2)
stanford - A (ascending) B (descending)
deBakey
what are the thresholds for HTN?
- 140/90 or 135/85 (home)
- 160/100. or 150/95
- 180/120
what is the scoring for IE?
Dukes
BE FEVER
major
Blood cultures positive
Evidence of endocardial involvement on Echo
minor
Fever >38
Evidence from MB
Vascular phenomena eg.Janeway lesions
Evidence from immunology eg. Roth spots
Risk groups eg. IVDU
Definite IE diagnosis = 2 major, 1 major + 3 minor, 5 minors
what is Fontaine classification used for?
peripheral vascular disease
1 = Asymptomatic
2 = Intermittent claudication
3 = Ischemic rest pain
4 = Ulceration/gangrene (Critical ischemia)
how is lymphoma staged?
ann arbour staging
- Involvement of lymph nodes in 1 region
- 2 or more lymph node regions but same side diaphragm
- Affects lymph nodes both sides of diaphragm
- Widespread disease outside lymph nodes in bone, liver, lung
Prefixed with A or B
A – absence of B symptoms
B - presence of B symptoms
what is the Glasgow Blatchford Score?
The Glasgow Blatchford Score is a system used to risk stratify patients with upper GI bleeds - this means that it considers factors that may indicate a more severe bleed.
involves: Haemoglobin , Urea , Systolic blood pressure , Gender , Heart rate, Melaena, History of syncope, History of hepatic disease, cardiac failure
7 + need endoscopic intervention
how is coeliac classified?
MARSH classification
0 = normal
1 = increased intraepithelial lymphocytes
2 = increased intraepithelial lymphocytes + crypt hyperplasia
3a = partal villous atrophy
3b = subtotal villous atrophy
3c = tota villous atrophy
dukes classification is used in infective endocarditis
there is another dukes. what is this used in?
staging colorectal cancer
A - limited to mucosa
B - into submucosa
C - regional lymph node involvement
D - metastasis
on the Bristol stool chart what levels are constipation? and what levels are diarrhoea?
1 -2 are constipation
6-7 are diarrhoea
how do you calculate alcohol dependency?
CAGE >2 is addiction
Cut down,
Annoyed,
Guilty,
Eye-opener
what are the AKI criteria
Improving Global Outcomes’ (KDIGO) criteria defines AKI based on one of the following parameters:
An increase in serum creatinine by ≥ 26.5 micromol/L within 48 hours
An increase in serum creatinine to ≥ 1.5 times baseline within 7 day
Urine output < 0.5 mL/kg/hr for six hours
define AKI parameter for stage 1,2,3
stage 1
An increase in serum creatinine by ≥ 26.5 micromol/L within 48 hours
or
An increase in serum creatinine to ≥ 1.5 times baseline
or
Urine output < 0.5 mL/kg/hr for 6 hours
stage 2
An increase in serum creatinine to ≥ 2-3 times baseline
or
Urine output < 0.5 mL/kg/hr for 12 hours
stage 3
An increase in serum creatinine to ≥ 3 times baseline
or
An increase in serum creatinine by ≥ 354
or initiated on RRT
or
Urine output < 0.3 mL/kg/hr for 24 hours
CKD classification
stage 1: GFR >90 mild damage
stage 2: 60-89 GFR mild damage
stage 3a: 45-59 GFR moderate damage, dont work as well as should
stage 3b: 30-44 GFR moderate damage, dont work as well as should
stage 4: 15-29 GFR severe damage, close to not working
ate 5: <15 GFR, severe damage, renal failure
what does the royal Marsden hospital RMH stage?
testicular cancer
what is the staging for prostate cancer?
Gleason
wich GU cancers use TNM staging?
renal
bladder
