Medical Scores – O
OSTEOPOROSIS:
- The WHO guidelines;
-
- T score- less than -1.0 being defined as osteopenic and T score of less than -2.5 being referred as osteoporotic.
| Category | Fracture Risk | Action |
| Normal
BMD < 1 SD below young adult reference range |
Below average | · Be watchful for “clinical triggers” |
| Osteopenia
BMD 1-2.5 SD below young adult reference range | Above average | · Consider prevention in peri/postmenopausal in women.
· Be watchful for clinical triggers. · Possibly repeat investigations in 2-3 years. |
| Osteoporosis
BMD > 2.5 SD below young adult reference mean |
High | · Exclude secondary causes.
· Therapeutic intervention indicated in most patients. |
| Severe Osteoporosis
BMD > 2.5 SD below young adult reference mean, plus 1 or more fragility fractures |
Established osteoporosis | · Exclude secondary causes.
· Therapeutic intervention indicated in most patients |
OS- MRS SCORES: (OBESITY SURGERY-MORTALITY RISK SCORE):
- To add one point for each of the below factors:
- Age > 45
- BMI > 50
- Male Gender
- Hypertension
- Increased risk of DVT or Pulmonary embolism.
The more the points, there is increased risk of mortality
Medical Scores – P
PRIMARY SJOGREN’S SYNDROME (2016):
- The classification of primary Sjogren’s syndrome applies to any individual who meets the inclusion criteria, does not have any of the conditions listed as exclusion criteria, and has a score of >4 when the weights from the 5 criteria items below are summed.
| Item | Weight/score |
| Labial salivary gland with focal lymphocytic sialadenitis and focus score of ≥ 1 foci/4 mm2 | 3 |
| Anti-SSA/Ro positive | 3 |
| Ocular Staining Score ≥5 (or van Bijsterveld score >4) in at least 1 eye | 1 |
| Schirmer’s test ≤ 5 mm/5 minutes in at least 1 eye | 1 |
| Unstimulated whole saliva flow rate ≤ 0.1 ml/minute | 1 |
- Pulmonary Embolism (PE)
- PERC score alone can rule out PE in low risk patients (as determined by Wells’ criteria) unless patient is pregnant
- PERC SCORE:
- Age >50 yr
- HR >100 bpm
- O2 sat on RA <95%
- Prior history DVT/PE
- Recent trauma or surgery
- Hemoptysis
- Exogenous estrogen
- Clinical signs suggesting DVT
Score 1 for each question; a score 0/8 means patient has <1.6% chance having a PE and avoids further investigation. Caution using the PERC score in pregnant women as the original study excluded pregnant women.
PMR CLASSIFICATION CRITERIA SCORING ALGORITHM*:
| Points without U/S (0-6) | Points with Abnormal U/S** (0-8) | |
| Morning stiffness duration >45 min | 2 | 2 |
| Hip pain or limited ROM | 1 | 1 |
| Absence of RF or ACPA | 2 | 2 |
| Absence of other joint involvement | 1 | 1 |
| At least one shoulder with subdeltoid and/or biceps tenosynovitis and/or glenohumeral synovitis (either posterior or axillary) and at least one hip with synovitis and/or trochanteric bursitis on U/S | N/A | 1 |
| Both shoulders with subdeltoid bursitis, biceps tenosynovitis, or gleno-humeral synovitis on U/S | N/A | 1 |
- *Required criteria: age ≥50 yr, bilateral shoulder aching, and abnormal ESR/CRP
- **A score of 4 or more is categorized as PMR in the algorithm without U/S and a score of 5 or more is categorized as PMR in the algorithm with U/S
- **Optional U/S criteria
- Prostate Cancer Mortality Risk
- Low Risk (if any of following) Intermediate Risk (if any of following) High Risk (if any of following)
- PSA <10 10-20 >20
- Gleason Score <7 7 8-10
- Stage pT1-2a pT2b-T2c pT3/4
PROSTATE CANCER MORTALITY RISK :
| Low Risk (if any of following) | Intermediate Risk (if any of following) | High Risk (if any of following) | |
| PSA | <10 | 10-20 | >20 |
| Gleason Score | <7 | 7 | 8-10 |
| Stage | pT1-2a | pT2b-T2c | pT3/4 |
AGES/AMES/MACIS SCORES FOR PAPILLARY CANCER:
| Low risk | High risk | |
| Age | <40 yrs | >40 yrs |
| Sex | Female | Male |
| Mets | Absent | Present |
| Grade | Well differentiated | Poorly differentiated |
| Size | <2cm | >4cm |
| Extent | Confined | Out of capsule + |
| Completion of surgery | completed
|
Not completed
R1- microscopic residual tissue. |
