Clinical Scoring Systems Flashcards
(25 cards)
What is the Glasgow Coma Scale and how is it calculated?
It is used to objectively describe the extent of impaired consciousness in patients
Three parts:
Best Eye Response -
1- No eye opening
2- Eyes open in response to pain
3- Eyes open in response to verbal stimuli
4- Eyes open spontaneously
Best Verbal Response -
1- No verbal response
2- Incomprehensible sounds
3- Inappropriate words
4- Confused
5- Orientated
Best Motor Response
1- No motor response
2- Abnormal extension to pain
3- Abnormal flexion to pain
4- Withdrawal from pain
5- Localising pain
6- Obeys commands (lift your arm up)
What is the CURB-65 Score and how do you calculate it?
Used to determine the management of pneumonia based on severity
Confused
Urea >7 mmol/L
Resp Rate >30
Blood Pressure - SBP <90 mmHg or DBP<60 mmHg
Over 65
0-1 = manage as outpatient
2 = short hospitalization or ambulatory management and strict follow up
3-5 = hospital admission, 4/5 could be ICU
What is the Centor score used for and how is it calculated?
Likelihood of a sore throat being caused by streptococcal bacteria and need for antibiotics, maximum 4 points
1- Tonsillar exudate
1- Tender anterior cervical lymphadenopathy or lymphadenitis
1-History of fever (over 38 degrees Celsius)
1-Absence of cough
What is the CHA2DS2-VASc score and how is it calculated?
Likelihood of having a stroke with Atrial Fibrillation
Congestive Heart Disease +1
Hypertension +1
Age 75 or older +2
Diabetes Mellitus
Stroke, TIA or VTE +2
Vascular disease +1
Age 65-75 +1
Sex ( female ) +1
What is the BTS classification used for and what is it?
Used for working out asthma exacerbation severity
Mild = PEFR >75%
Moderate =
PEFR 50-75%
No features of severe exacerbation
Severe =
PEFR 33-50%
RR>25
HR>110bpm
Inability to complete sentences in one breath
Life-threatening = any of these
PEFR <33%
SpO2 <92%
PaO2 <8kPa
Normal PaCO2
Altered consciousness level
Silent chest
Poor respiratory effort
Exhaustion
Arrhythmia
Hypotension
Cyanosis
Near-fatal =
Raised PaCO2
What is the MRC dyspnea scale?
1- breathless with strenuous exercise
2- breathless walking uphill
3- slower waling than people their age on level surface due to breathlessness, stops after 15 mins
4- stops for breath after 100m
5-too breathless to get dressed or leave the house
What is the CKD Classification?
Stage 1 - eGFR 90 or higher
Stage 2 - eGFR 60-89
Stage 3a - eGFR 45-59
Stage 3b - eGFR 30-44
Stage 4 - eGFR 15-29
Stage 5 - eGFR less than 15
What is the MRC muscle power grading?
0 - no contraction
1- flicker of contraction
2 - active movement with gravity eliminated
3 - active movement against gravity
4 - active movement against gravity and resistance
5 - normal power
What is the ASA Grading system?
A assessment to determine a patient’s fitness to be given anaesthesia before surgery?
ASA 1 - normal patient
ASA 2 - mild systemic disease
ASA 3 - severe systemic disease that is not a constant threat to life
ASA 4 - severe systemic disease that is a constant threat to life
ASA 5 - moribund patient not expected to survive with or without surgery
What is a Well’s Score?
Risk of developing a DVT
What is a HAS-BLED score?
Determines the 1 year risk of bleeding in a patient with Atrial FIbrillation on anticoagulation
What is the Rockall Score?
It’s a mortality risk assessment of patients with an upper GI bleed
What is a POSSUM score?
Estimates morbidity and mortality of patients undergoing a general surgery
What is a NELA Score?
An estimate of the risk of death within 30 days of emergency abdominal surgery
What is a Ranson score?
Estimates mortality of patients with pancreatitis
What is a ROME score?
Used for diagnosis of IBS
What is a PHQ-9 score?
Used for diagnosis of depression
What is a Q-RISK score?
Likelihood of having a coronary event within 10 years, high chance requires a Statin
What is a GAD-7 score?
Measures severity of anxiety
What is a FAST Score?
Assesses risk of hazardous drinking
What is a GPCOG score?
Screening tool for cognitive impairment
What is a STaRTback score?
A risk stratification tool for future disabling low back pain in primary care patients
What is an Epworth score?
Measures sleepiness, used to diagnose Sleep Apnoea
What is a Berlin score?
Used to identify the risk of sleep problems and sleep disorders such as Obstructive Sleep Apnoea (OSA)
