What Classification is used for heart failure?
New York Heart Association
What is Class IV on the NYHA?
Symptoms of HF present even at rest
What is the QRisk2 score? What indicates treatment and what treatment?
- Risk of cardiovascular disease
- > 10%
- Start on Atorvastatin 10mg and build up
What do you use when recognising a stroke in the emergency room?
ROSIER score >0
What do you use in suspected TIA?
ABCD2 scale 5+ = high risk
What is CHADSVAS used for?
Assess stroke risk in AF
What is HASBLED used for?
Assessing bleeding risk in AF
What forms the APGAR score and what is each section worth?
Appearance - 2 = pink all over Pulse - 2 = >100 Grimace - 2 = sneeze, cough, pull away Activity - 2 = Normal activity/muscle tone Resiration - 2 = strong
What is the Bishops score for?
The ripeness of the cervix
What are the 5 factors for the Bishops score?
Position Consistency Effacement Dilation Foetal station in relation to ischial spines
What Bishops score would indicate ARM and syntocinon
> 6
What scoring system is used for cervical cancer staging?
FIGO
List the ABCDE2
- Age >60 = 1
- Blood pressure >140/90 = 1
- Clinical symptoms of focal weakness with spell = 2 or speech impairment without weakness = 1
- Duration >60mins = 2
- Diabetes = 1
What are the SIRS criteria?
- Temperature over 38 or <36
- Respiration >20
- HR > 90
- White cell count <4 or >12
- BGL >7.7
- New altered mental state
Infection = SIRS + source of infection
What scoring system is used for myelosuppression? And what score indicates high risk?
Multinational Association of Supportive Care in Cancer
Less than 21 = High Risk
Outline the CURB >65
Confusion - AMTS <8 Urea >7mmol Respiration >30 Blood pressure < 90/60 >65 years old
What is the management for a CURB score of 0-1
Home treatment
Amoxicillin 500mg TDS/Clarithro/Doxy
What is the management for a CURB of 2?
Hospital management
Amoxicillin + clarithromycin
What is the management for a CURB score of >2?
ABCDE
BUFALO within 1 hour
Co-amoxiclav + clarithromycin
For strep pneumonia - Benzyl Penicillin
Staph A = Fluclox/vancomycin
What is used for Prostate Cancer Staging?
Gleason Grading
Name 7 criteria for the PE Well’s score
- Clinical signs/symptoms of DVT
- PE is number 1 diagnosis/likely
- Heart rate >100
- Immobilisation for at least 3 days or surgery in last 4 weeks
- Previous, pbjectively diagnosed PE or DVT
- Haemoptysis
- Malignancy with treatment within 6 months
What scoring can be used for NSTEMI?
Grace Score >3 = glycoprotein IIa/IIIb inhibitors and coronary angiography within 96hours of admission
What is used to classify aortic dissection?
DeBlakey Type I –> III
Stanford A and Stanford B
Which score is used to asses the severity of hyperemesis?
The Pregnancy-Unique Quantification of Emesis (PUQE)
Which scoring is used to assess adverse risks from syncope?
San Fransisco Syncope Rule:
- CHF
- Haematocrit <30%
- ECG abnormal
- SoB
- Systolic blood pressure <90
What score is used to assess mortality risk in upper GI bleed?
Rockall score
- <3 = good prognosis
- > 8 = very poor
What is used to assess the likelihood of medical intervention?
Glasgow-Blatchford score
- 0-2 = low risk
Which scoring system is used for uterine prolapse?
Shaw grading
What is the Centor score?
- Indication of antibiotic use in tonsillitis
- If >3 then penicillin V
What is used for Croup?
Wesley Croup score:
- >3 = severe and requires hospital admission
What is used for the diagnosis of Rheumatic Fever?
Jones criteria
Assessing severity of Ulcerative Colitis?
True-love Witts: • Stool frequency >6/day • Temperature >38 degrees • Pulse > 90 beats/min • Haemoglobin <10.5 g.dl • ESR > 40mm/ h