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Medical Scores – F

Dr.NM Tamilmani by Dr.NM Tamilmani
August 11, 2024
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Medical Scores – F

Medical Scores – F


SEVERE (COMPLICATED) FALCIPARUM MALARIA:

Manifestations Definitions
Impaired consciousness Glasgow coma score <11 in adults

 


2010 ACR PRELIMINARY DIAGNOSTIC CRITERIA FOR FIBROMYALGIA:

Criteria Comments
Widespread Pain Index = number of areas in which the patient had pain over the last week (max score = 19):

L and R: shoulder girdle, upper arm, lower arm, hip, upper leg,

lower leg, jaw

One Area: chest, abdomen, upper back, lower back, neck

 

Symptom Severity Score = sum of:

a) severity of fatigue

b) waking unrefreshed

c) cognitive symptoms over the past week

d) extent of somatic symptoms (IBS, H/A, abdominal pain/ cramps, dry mouth, fever, hives, ringing in ears, vomiting, heartburn, dry eyes, SOB, loss of appetite, rash, hair loss, easy bruising, etc.)

All (a-d) rated on 0-3 scale: 0 = no problem, 1 = mild, 2 = moderate, 3 = severe

A patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met:

1. Widespread Pain Index (WPI) ≥7 and Symptom Severity (SS) scale score ≥5 or WPI 3–6 and SS scale score ≥9

2. Symptoms have been present at a similar level for at least 3 mo

3. 3. The patient does not have a disorder that would otherwise explain the pain

 


FONG SCORE OF OUTCOME FOR COLORECTAL CANCER METASTASIS IN LIVER: (NEET SS):

  • 5 Predictive factors for outcome of CRC mets liver: all the below are bad points*
    • Size > 5cm
    • Disease free interval < 1 year
    • More than 1 tumour
    • Lymph node positive primary
    • CEA > 200 ng/ml

EACH GIVEN 1 POINT AND SCORING MADE AS SHOWN BELOW:

  • Based on these points Survival rate is mentioned.
    • If score is 1- Median survival is 51 months
    • If score is 5- Median survival is 22 months**

 

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