Medical Scores – C

Medical Scores – C

CHILD-PUGH CLASSIFICATION OF SEVERITY OF LIVER DISEASE:

• A total score of 5-6 is considered grade A (well-compensated disease); 7-9 is grade B (significant functional compromise); and 10-15 is grade C (decompensated disease).
• These grades correlate with one- and two-year patient survival.

SEVERITY SCORE FOR COMMUNITY-ACQUIRED PNEUMONIA (CAP):

CURB-65 = Confusion, Urea nitrogen, Respiratory rate, Blood pressure, 65 years of age and older.

CHADS2 RISK PREDICTION FOR NON-VALVULAR AFIB

CANADIAN CT HEAD RULE:

• CT Head is only required for patients with minor HI with any one of the following High Risk (for neurological intervention).
• • GCS score <15 at 2 h after injury
  • Suspected open or depressed skull fracture
  • Any sign of basal skull fracture (hemotympanum, “raccoon” eyes, CSF otorrhea/rhinorrhoea, Battle’s sign)
  • Vomiting ≥2 episodes
  • Age ≥65 yr
• Medium Risk (for brain injury on CT)
• • Amnesia before impact >30 min (i.e., cannot recall events just before impact)
  • Dangerous mechanism (pedestrian struck by MVC, occupant ejected from motor vehicle, fall from height >3 ft or five stairs)
• Minor HI is defined as witnessed loss of consciousness, definite amnesia, or witnessed disorientation in a patient with a GCS score of 13-15.
• NB: Canadian CT Head Rule does not apply for non-trauma cases, for GCS<13, age <16, for

patients on Coumadin® and/or having a bleeding disorder, or having an obvious open skull fracture.

THE CANADIAN C-SPINE RULE:

For Alert (GCS Score = 15) and Stable Trauma Patients where C-Spine Injury is a Concern

CIWA WITHDRAWAL SYMPTOMS:

• N/V
• Tremor
• Paroxysmal sweats
• Anxiety
• Agitation
• Visual disturbances
• Tactile disturbances
• Auditory disturbances
• Headache
• Disorientation

10 symptoms each scored out of 7 except orientation, which is scored out of 4.

CVD RISK ASSESSMENT:

• Framingham Risk Score (FRS): 10 yr risk of major CVD event. Calculated based on gender, age, total cholesterol, HDL, sBP, and smoking (>20%: high risk; 10-19%: moderate risk; <10% low risk)
• Reynolds Risk Score: 10 yr risk of major CVD event. Calculated based on age, SBP, total cholesterol, HDL, high sensitivity CRP, family history of MI

Score: 5-6 (Child’s A), 7-9 (Child’s B), 10-15 (Child’s C)

*Note: Child’s classification is rarely used for shunting (TIPS or other surgical shunts), but is still useful to quantitate the severity of cirrhosis

CHILD-TURCOTTE-PUGH SCORE (PROGNOSIS OF CHRONIC LIVER DISEASE/CIRRHOSIS, INCLUDING POST-OPERATIVELY):

CURB 65 SCORE – PNEUMONIA CLINICAL PREDICTION TOOL:

* A CRB-65 score may be applied in the community as its criteria depend on clinical assessment alone

CLINICAL GRADING SCORES TO ASSESS CSM:

• mJOA
• Nurick Grade
• Neck Disability Index

VALIDATED SCREENING QUESTIONNAIRE FOR ALCOHOL USE DISORDERS:

• C ever felt the need to Cut down on your drinking?
• A ever felt Annoyed at criticism of your drinking?
• G ever feel Guilty about your drinking?
• E ever need a drink first thing in morning (Eye opener)?
• • For men, a score of ≥2 is a positive screen; for women, a score of ≥1 is a positive screen

CT SEVERITY INDEX (OLD NAME BALTHAZAR):

• Total score= 10
• Severe AP= 7-10 (Mortality – 17%)

MODIFIED CHILD PUGH SCORE (MNEMONIC- BAAPE):

• Grade A: 5-6
• Grade B: 7-9
• Grade C: 10-15 points