Scoring Systems Flashcards
Modified Duke
Infective endocarditis
Major and minor criteria for Modified Duke
Major criteriaare:
- Persistently positiveblood cultures(typical bacteria on multiple cultures)
- Specificimaging findings(e.g., a vegetation seen on the echocardiogram)
Minor criteria are:
- Predisposition (e.g., IV drug use or heart valve pathology)
- Feverabove 38°C
- Vascular phenomena(e.g., splenic infarction, intracranial haemorrhage and Janeway lesions)
- Immunological phenomena(e.g., Osler’s nodes, Roth spots and glomerulonephritis)
- Microbiological phenomena (e.g., positive cultures not qualifying as a major criterion)
Child-Pugh
Mortality in patients with liver cirrhosis
Alvadaro score
Predict the likelihood to appendicitis
Modified Glasgow Imrie Score
(PANCREAS mnemonic) - predicts severity of acute pancreatitis
Beighton score
assess hypermobility to support diagnosis of Ehlers-Danlos
Alcohol dependency score?
CAGE, followed by AUDIT
Details of CAGE score?
2/4 + is likely a problem
- Have you ever felt you needed to Cut down on your drinking?
- Have people Annoyed you by criticising your drinking?
- Have you ever felt Guilty about drinking?
- (Eye-opener) Have you ever felt you needed a drink first thing in the morning ) to steady your nerves or to get rid of a hangover?
Bristol stool chart - number for loosest?
7
Stage 1 hypertension
Clinic: above 140/90
Ambulatory: above 135/85
Stage 2 hypertension
Clinic: above 160/100
Ambulatory: above 150/95
Comatose? - Glasgow Coma Score
<8
Wells score?
Risk of DVT and PE
>2 means likely
Parameters scored in Wells score?
active cancer, leg swelling, pitting oedema, combined pill, immobility, recent surgery
QRisk score?
Probability of cardiac event in next 10 years
MRC Dyspnoea score
Assesses severity of dyspnoea
Used in HF, COPD and asthma
(1) - normal - only on strenuous exercise
(2) - incline walk
(3) - walk on flat
(4) - stops every 100m
(5) - severe - can’t leave house
CHA2DS2VASc score?
- Congestive heart failure
- Hypertension
- Age above 75(scores2)
- Diabetes
- Stroke or TIA previously(scores2)
- Vascular disease
- Age 65 – 74
- Sex (female)
CHA2DS2VASc score? - 64-year-old woman with T1DM and peripheral vascular disease
Age - 0 points (+1 when she is 65)
Diabetes +1
Vasc disease +1
Sex female +1
=> anticoagulate with DOAC (apixaban)
ORBIT score?
Risk of bleeding with anticoagulation for AF
- Older age (age 75+)
- Renal impairment (GFR less than 60)
- Bleeding previously (Hx of GI or intracranial bleeding)
- Iron (low Hb or haematocrit)
- Taking antiplatelet medication (i.e. clopidogrel)
NYHA score?
Severity of heart failure
Class I: asymptomatic
Class II: mild
Class III: marked limitation
Class IV: symptoms at rest
Fenton score?
Classification of peripheral vascular disease
- Asymptomatic
- Intermittent claudication
- Chronic ischaemia
- Acute gangrenous limb ischaemia
Lugano (Ann Arbour)
Lymphoma staging classification
Stages 1-4; either A or B
- Stage 1 - one node
- Stage 2 - 2+ nodes on one side of diaphragm
- Stage 3 - nodes above and below diaphragm
- Stage 4 - widespread involvement; including non-lymphatic organs
Gleason score?
Prostate cancer grading
HISTOLOGY GRADE:
Grade 1 - closest to normal
Grade 5 - most differentiated
GLEASON SCORE:
6/10 - low risk
7/10 - intermed risk
8+/10 - high risk
= based on histology from biopsy
True-Love & Witts
Severity of ulceritive colitis
- Mild: little blood in stool - <4 BO/day
- Moderate: moderate blood, 4-6 BO
- Severe/flare - fever, anaemia, visible blood, increased HR, raised ESR, >6 BO
Glasgow-Blatchford score
Upper GI bleed at presentation
Any score above 0 indicates upper GI bleed
Indicates need for intervention
- Haemoglobin (low)
- Urea (high)
- Systolic blood pressure
- Heart rate
- Presence of melaena(black, tarry stools)
- Syncope(loss of consciousness)
- Liver disease
- Heart failure
Rockall score
Risk of re-bleeding from upper GI bleed
Used after endoscopy
Takes consideration from endoscopic findings & known cause of the bleed & any features of shock (tachycardia or hypotension)
West Haven
Hepatic encephalopathy
1 - lack of awareness
4 - coma
KDIGO (kidney disease improving global outcomes)
Criteria for AKI
Stages 1-3
Look on notion (levels of serum creatinine and urine output)
MELD score?
Model for End-Stage Liver Disease
Use every 6 months in patients with compensated cirrhosis.
Considers bilirubin, creatinine, INR and sodium & whether they require dialysis
=> gives an estimated percentage 3-month mortality
