Scoring Systems Flashcards
CHA2DS2-VASc
Used to determine the need to anticoagulate a patient in atrial fibrillation
ABCD2
Prognostic score for risk stratifying patients who’ve had a suspected TIA
NYHA
Heart failure severity scale
DAS28
Measure of disease activity in rheumatoid arthritis
Child-Pugh classification
A scoring system used to assess the severity of liver cirrhosis
Wells score
Helps estimate the risk of a patient having a deep vein thrombosis
PHQ-9
Patient Health Questionnaire - assesses severity of depression symptoms
GAD-7
Used as a screening tool and severity measure for generalised anxiety disorder
Edinburgh Postnatal Depression Score
Used to screen for postnatal depression
SCOFF
Questionnaire used to detect eating disorders and aid treatment
AUDIT
Alcohol screening tool
CAGE
Alcohol screening tool
FAST*
Alcohol screening tool
Used in the assessment of suspected obstructive sleep apnoea
Epworth Sleepiness Scale
International prostate symptom score
IPSS
Indicates prognosis in prostate cancer
Gleason
Used to help assess the whether induction of labour will be required
Bishop
Assesses the risk of a patient developing a pressure sore
Waterlow
Risk assessment tool developed by WHO which calculates a patients 10-year risk of developing an osteoporosis related fracture
Frax
Acute pancreatitis
Ranson criteria
Malnutrition
MUST
Upper GI bleeding
use the Blatchford score at first assessment, and
the full Rockall score after endoscopy
Severity of UC flares
Truelove and Witts criteria.
used during acute episodes of alcoholic hepatitis to determine who would benefit from glucocorticoid therapy
Maddrey’s discriminant function (DF)
Alternative to Child-pugh
Model for End-Stage Liver Disease (MELD)
Determines if a stroke is likely?
Rosier
Frailty questionnaire
Prisma-7
measures disability or dependence in activities of daily living in stroke patients
Barthell index
identifies medications where the risk outweighs the therapeutic benefits in certain conditions
STOPP tool
Alert doctors to the Right Treatment. It looks at which medications should be used for certain conditions in patients 65 years or older
Start tool
Pulmonary Embolism Rule-out Criteria, an initial screening tool to assess if the patients could be having a pulmonary embolism.
PERC
score given to assess the risk of major bleeding in patients who are taking anticoagulants
HAS-BLED
Centor criteria (likelihood of strep tonsillitis).
3 or more to give abx
Presence of tonsillar exudate
Tender anterior cervical lymphadenopathy
Fever
No cough
certain factors are more likely to indicate septic arthritis over transient synovitis:
temperature >38.5C,
Kochers criteria
- temperature >38.5C,
- refusal to bear weight on affected limb
- raised inflammatory markers (erythrocyte sedimentation rate >40 mm/hour and CRP > 20.0 mg/litre)
- a peripheral white cell count of > 12.0 x 109 (normal range 3.5 – 10.5 x 109 cells per cubic litre)
Nausea and vomiting in pregnancy
PUQE (Pregnancy-Unique Quantification of Emesis)
9 body areas are assigned a score of 0 - 4, a score > 15 is considered to indicate moderate or severe hirsutism
Ferriman-Gallwey scoring system
Beighton score
Beighton score is a useful tool to assess hypermobility. Beighton score is positive if at least 5/9 in adults, or at least 6/9 in children
Hypertensive retinopathy
The table below shows the Keith-Wagener classification of hypertensive retinopathy
