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CCFP > Scoring Criteria > Flashcards

Scoring Criteria Flashcards

1
Q

ABCD2 (TIA)

A

Age >60
BP >140/90
Clinical features (weakness and speech)
Duration
Diabetes

> 3 admit

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2
Q

CANRISK

A

Age
Sex
BMI
Waist circumference (102cm M and 88cm F)
Exercise
Diet
BP
GDM/macrosomia
Fhx
Ethnicity
Education (others)

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3
Q

AIMS65 UGIB

A

Albumin
INR
aLOC
SBP<90
Age>65

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4
Q

Wells PE

A

Hemoptysis
Sx of DVT
Active malignancy <6 months
Immobile 3 days or OR 4 wks
HR >100
Previous PE or DVT
No other alternative as likely

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5
Q

Wells score DVT

A

Active cancer
Bedridden or surgery 12 wks
Calf swelling >3cm compared to other leg
Entire leg swollen
Collateral superficial veins present
Tenderness
Lower limb immobilization
Previous DVT
DVT most likely

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6
Q

Bishop

A

Position
Station
Effacement
Consistency
Dilation

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7
Q

BMI

A

> 25 overweight
30 class 1
35 class 2
40 class 3

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8
Q

Rotterdam criteria

A

PCOS:
A/oligomenorrhea
Physical symptoms of hyperandrogenism
Polycystic ovaries on US

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9
Q

NYHA for CHF

A

Class one: no limitation to physical activity

Class two: slight, limitation, comfortable at rest, but ordinary activity results in palpitation or dyspnoea

Class three: marked limitation, comfortable arrest, but less than ordinary activity results in symptoms

Class four: unable to carry off physical activity without discomfort, symptoms at rest

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10
Q

Ottawa SAH rule

A

Age >40
Limited neck flexion
Thunderclap
Neck pain/stiffness
LOC
Onset during exertion

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11
Q

Centor score for GAS

A

Anterior cervical LN
No cough
Fever >38C
Exudate or swollen tonsils
Age <15 (age >45 is -1)

2 rapid streptolysin test

4 start empirical therapy

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12
Q

SCOFF (eating disorder)

A

Sick on purpose because uncomfortably full
Control is lost
One stone (14lb) weight loss in 3 months
Fat (thinks of self as such when others think they are skinny)
Food dominates life

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13
Q

Hospitalization in eating disorder

A

SI, food refusal
Vitals unstable
ECG arrhythmia
Electrolyte abnormalities
Acute medical complications
Pregnancy
Failure of outpatient treatment

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14
Q

HEART pathway for early discharge in acute chest pain

A

History suspicious for CV etiology
ECG
Age
Risk factors for IHD
initial troponin

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15
Q

TIMI score for UA/NSTEMI mortality

A

Age >65
>3 CAD risk factors
Known CAD stenosis >50%
ASA use <7d
Severe angina >2/24h
ECG ST >0.5mm
Positive cardiac marker

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16
Q

COPD severity

A

FEV

mild >80%

Moderate 50-80%

Severe 30-50%

Very severe <30%

17
Q

qSOFA

A

For sepsis

GCS<15
RR>22
SBP<100

18
Q

CURB65 pneumonia admission

A

Confusion
Urea >7mmol/l
RR>30
BP<90/60
65yo

<1 home, >5 admit, everything else manage as appropriate

19
Q

CHADS2VASC

A

A fib stroke risk

CHF
HTN
Age>65 (>75 2 points)
DM
Stroke/TIA/DVT/PE
Vascular history (MI/PAD)

> 1 would benefit from AC

20
Q

Canadian CT head

A

GCS<15 2 hours post
Suspect open or depressed skull fracture
Signs of basal skull fracture (raccoon eyes, hematympanum, battle’s sign, CSF)
>2 episodes vomiting
>65yo

Retrograde amnesia
Dangerous mechanism

21
Q

CT spine rule

A

> 65yo
Extremity paresthesia
Dangerous mechanism

If no then no CT if:
Simple rear end MVC
Sitting in ED
Ambulatory
Delayed onset neck pain
Absence of midline cspine tenderness

22
Q

Knee XR rule

A

> 55yo
Isolated patellar tenderness
Tenderness of head of fibula
Inability to flex to 90 degrees
Inability to weight bear immediately for 4 steps

23
Q

Biophysical profile

A

AFI 2x2cm
N NST
One flexion extension or opening and closing of hand
3 movements in 30min
30s of breathing in 30 min

24
Q

Bishop score

A

Dilation
Effacement
Station
Position
Consistency

25
Q

Eligibility for endovascular neurointerventional care (VAN)

A

Vision
Aphasia
Neglect

26
Q

COPD mMRC class

A

Grade 0 - symptoms on strenuous exercise
Grade 1 - symptoms on hurrying on level or slight hill
Grade 2 - walk slower than average person because of breathlessness
Grade 3 - stop after 100m
Grade 4 - unable to leave house or symptoms with ADLs

27
Q

Risk factor for AECOPD exacerbation

A

FEV1<50% expected
>4 exacerbations a year
Home oxygen
Chronic PO steroids
Abx in last 3 months
IHD

28
Q

Positive GDM on 75g PO test

A

Fasting 5.3

1hr 10.6

2hr 9

29
Q

SIRS

A

> 2 of:

  • temp <36 or >38
  • HR>90
  • RR>20
  • WBC >12
30
Q

Features of a good screening test

A
  • detect disease before clinically apparent
  • detect treatable disease at curable stage
  • for disease with high risk negative outcomes
  • acceptable for most patients
  • detect common disease
  • safe test
  • cost effective
  • sensitive
  • specific
  • high NPV

CCFP (25 decks)

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