Scoring systems

Question 1

What is the scoring system to calculate 1 year risk of getting a major bleed ?

Answer 1

HASBLED - used to calculate risk before starting anticoagulation therapy such as for AF

Question 2

What is CHA(2)DS(2)VASc ?

Answer 2

Calculates the yearly percentage chance of suffering a stroke for patients with non-valvular AF (should be used alongside other tools)

Question 3

What is NIHSS?

Answer 3

Assesses patients new disability following from acute stroke and used to track improvement post thrombolysis

Question 4

What is HEART?

Answer 4

Aids risk stratification in acute medicine for angina vs acute coronary syndromes

Question 5

What scoring system is used for assessing severity of pancreatitis?

Answer 5

Modified glasgow criteria --> PANCREAS
Pao2 <8 kpa 
Age >55
Neutrophilia 
Calcium <2 mmol/L 
Renal function - urea >16 mmol/L 
Enzymes - LDH, AST or ALT 
Albumin <32g/L 
Sugar <10 mmol/L

Question 6

What system/value is used to differentiate the cause of ascites?

Answer 6

SAAG value

Question 7

If the SAAG value is above 1.1 mg/dl what is the most likely causes?

Answer 7

Intrahepatic mostly... 
Cirrhosis
Alcoholic hepatitis 
Cardiac ascites 
etc.

Question 8

If SAAG value is below 1.1 mg/dl

Answer 8

Extrahepatic
Pancreatic or biliary ascites
Nephrotic syndrome
Tuberculous peritonitis