Cns 3 avpu 3 Glasgow Coma Scale 3 Simplified Motor Score 3 Subarachnoid Hemorrhage 4 Intracerebral Hemorrhage Score 4 Stroke Scores 6 nih stroke Scale 6 Modified Rankin Scale 7 tia score 7 Abbreviated mental test score 8 Airway 8



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TIA Score


ABCD2 Score for TIA

Age ≥ 60

1

Initial BP ≥ 140/90 mmHg

1

TIA symptoms

Unilateral Weakness

2

Speech Deficit Only

1

Duration of symptoms

10-59 minutes

1

≥ 60 minutes

2

History of Diabetes

1

Higher ABCD2 score predicts patients most likely to have true transient ischemic attack. Josephson SA, Sidney S, Pham TN, Bernstein AL, Johnston SC. Stroke. 2008 Nov;39(11):3096-8. Epub 2008 Aug 7.


A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemic attack. Rothwell PM, Giles MF, Flossmann E, Lovelock CE, Redgrave JN, Warlow CP, Mehta Z. Lancet. 2005 Jul 2-8;366(9479):29-36.
Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Johnston SC, Rothwell PM, Nguyen-Huynh MN, Giles MF, Elkins JS, Bernstein AL, Sidney S. Lancet. 2007 Jan 27;369(9558):283-92.

Abbreviated mental test score


What is your age?

 1

What is the time to the nearest hour?

 1

Give the patient an address, and ask him or her to repeat it at the end of the test.

 1

What is the year?

 1

What is the name of the hospital?

1

Can the patient recognize two persons (the doctor, nurse, home help, etc.)?

 1

What is your date of birth? (day and month sufficient)

 1

In what year did World War 1 begin? (other dates can be used, with a preference for dates some time in the past.)

 1

Name the present president.

 1

Count backwards from 20 down to 1.

 1

The abbreviated mental test score (AMTS) was introduced by Hodkinson in 1972[1] to rapidly assess elderly patients for the possibility of dementia. Its uses in medicine have become somewhat wider, e.g. to assess for confusion and other cognitive impairment, although it has mainly been validated in the elderly.

The following questions are put to the patient. Each question correctly answered scores one point. A score of 6 or less suggests delirium or dementia, although further and more formal tests are necessary to confirm the diagnosis.



Hodkinson, HM (1972). "Evaluation of a mental test score for assessment of mental impairment in the elderly.". Age and Ageing 1 (4): 233-8.

Airway




LEMON, MOANS, RODS & SHORT


Difficult Intubation?

Difficult Bag-Mask?

Difficult Combitube or LMA?

Difficult Surgical Airway?

L

Look for potential difficulty: obesity, micrognathia, previous head and neck surgery or irradiation, traumatic deformity, facial hair, poor dentition, dentures, large teeth, narrow face, high and arched palate, short, thick neck.

M

Mask Seal assessment: facial hair or traumatic deformity

R

Restricted Mouth Opening

S

Surgery

E

Evaluate: 3-3-2 rule (Expect difficulty if incisor distance not 3 fingerbreadths, hyoid/mental distance 3 fingerbreadths, or thyroid-to-mouth distance 2 fingers)

O

Obesity or Obstruction

(history of snoring)



O

Obstruction

H

Hematoma

M

Mallampati: expect difficulty if score 3 (see below)

A

Aged > 55 years

D

Distorted Anatomy

O

Obesity

O

Obstruction: Evaluation for stridor, foreign bodies, and other forms of sub- and supraglottic obstruction.

N

No teeth

S

Stiff

R

Radiation

N

Neck mobility: Patients with degenerative or rheumatoid arthritis, cervical spine immobilized by a cervical collar have limited neck mobility by definition.

S

Stiff lungs: Asthma, COPD, Pulmonary Edema





T

Tumor

The Mallampati score for prediction of difficulty




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