Scoring systems

Question 1

Glasgow pancreatitis score

Answer 1

1 point each, >2=severe
PaO2 <7.9
Age >55
WCC > 15
Glucose>10
Calcium <2
Urea>16 mmol/L
Alb<32

Question 2

Wells DVT

Answer 2

1 point each, 2 or more means DVT likely.
Oedema confined to effected leg
Tenderness along deep venous system
>3cm bigger circ on effected leg
whole leg swollen
Prev DVT
Collateral superficial veins (non varicose)
Active cancer on treatment within 6/12, or palliative
Lower limb immobilisation/paralysis
Bedridden for >3days or major surgery within last 2/52

-2points for alternative diagnosis at least as likely

Question 3

Wells PE

Answer 3

likely w/ 4 or more points
Most likely diagnosis 3points
Clinical S&S of DVT 3 points
Prev DVT/VTE 1.5 points
HR >100 1.5 points
Immobilisation in last 4/12 1.5 points
haemoptysis 1 point
Active malgignancy within last 6/12 including palliative 1 point

Question 4

CHA2DS2 VASc

Answer 4

CCF
HTN
Age 65-74 1point, >75 2 points
Diabetes
Stroke/TIA previously 2 points
Vascular disease previously
Female

Question 5

CURB 65

Answer 5

confusion (Abbreviated Mental Test Score < 8 or new disorientation in person place or time)
urea >7mmol/L
respiratory rate >30
blood pressure (SBP <90 or DBP <60)
age >65 years

Question 6

Glasgow blatchford bleeding score

Answer 6

Any points mean admit
Low Hb
High Urea
Low initial systolic BP
HR>100
syncope
maleena present
Hx of hepatic disease
Hx of heart failure

Question 7

CENTOR score

Answer 7

Use for <3/7 symptoms in >3yo
Tonsillar exudate
Fever
ant. cervical lymphadenopathy
Absence of cough

score of 4 give ABX
Score 3-swab
Score 2 NSAIDs

Question 8

PESI score

Answer 8

<65 = <1-2% 90 day mortality & can be managed as an OP.

Age in points
Male: 10 points
HF: 10 points
Chronic lung disease: 10 points
Hx of cancer: 30 points
HR>110: 20 points
RR>30: 20 points
sats<90: 20 points
Systolic BP <100: 30 points
Altered mental status: 60 points

Question 9

LINREC (nec fasc)

Answer 9

Use when concern is low, if worried Mx as nec fasc
A score >6 indicates higher risk of NF
-CRP >150: 4 points

-WCC 15-25:1 point
WCC >25: 2 points

Hb 11-13.5: 1 point
Hb <11 2 points

Na <135: 2 points

Cr >141: 2 points

Question 10

hepatic encephalopthy grades

Answer 10

I- behavioural changes, mild change to conscious level

II-Drowsy, marked behavioural change, confused

III-asleep most of the time, but rousable to voice, incoherent speech

IV-unrousable, decorticate/decerebral posturing