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Phase 2a > Scoring Systems > Flashcards

Scoring Systems Flashcards

1
Q

Modified Duke

A

Infective endocarditis

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2
Q

Major and minor criteria for Modified Duke

A

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)

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3
Q

Child-Pugh

A

Mortality in patients with liver cirrhosis

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4
Q

Alvadaro score

A

Predict the likelihood to appendicitis

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5
Q

Modified Glasgow Imrie Score

A

(PANCREAS mnemonic) - predicts severity of acute pancreatitis

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6
Q

Beighton score

A

assess hypermobility to support diagnosis of Ehlers-Danlos

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7
Q

Alcohol dependency score?

A

CAGE, followed by AUDIT

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8
Q

Details of CAGE score?

A

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?

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9
Q

Bristol stool chart - number for loosest?

A

7

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10
Q

Stage 1 hypertension

A

Clinic: above 140/90
Ambulatory: above 135/85

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11
Q

Stage 2 hypertension

A

Clinic: above 160/100
Ambulatory: above 150/95

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12
Q

Comatose? - Glasgow Coma Score

A

<8

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13
Q

Wells score?

A

Risk of DVT and PE
>2 means likely

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14
Q

Parameters scored in Wells score?

A

active cancer, leg swelling, pitting oedema, combined pill, immobility, recent surgery

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15
Q

QRisk score?

A

Probability of cardiac event in next 10 years

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16
Q

MRC Dyspnoea score

A

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

17
Q

CHA2DS2VASc score?

A
  • Congestive heart failure
  • Hypertension
  • Age above 75(scores2)
  • Diabetes
  • Stroke or TIA previously(scores2)
  • Vascular disease
  • Age 65 – 74
  • Sex (female)
18
Q

CHA2DS2VASc score? - 64-year-old woman with T1DM and peripheral vascular disease

A

Age - 0 points (+1 when she is 65)
Diabetes +1
Vasc disease +1
Sex female +1
=> anticoagulate with DOAC (apixaban)

19
Q

ORBIT score?

A

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)

20
Q

NYHA score?

A

Severity of heart failure
Class I: asymptomatic
Class II: mild
Class III: marked limitation
Class IV: symptoms at rest

21
Q

Fenton score?

A

Classification of peripheral vascular disease
- Asymptomatic
- Intermittent claudication
- Chronic ischaemia
- Acute gangrenous limb ischaemia

22
Q

Lugano (Ann Arbour)

A

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

23
Q

Gleason score?

A

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

24
Q

True-Love & Witts

A

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
25
Q

Glasgow-Blatchford score

A

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
26
Q

Rockall score

A

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)

27
Q

West Haven

A

Hepatic encephalopathy
1 - lack of awareness
4 - coma

28
Q

KDIGO (kidney disease improving global outcomes)

A

Criteria for AKI
Stages 1-3

Look on notion (levels of serum creatinine and urine output)

29
Q

MELD score?

A

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

Phase 2a (7 decks)

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