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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ENT

CENTOR


Modified Centor Score for Strep Pharyngitis

Age

3-14 years

1

>44 years

-1

Exudate or swollen tonsils

1

Tender/swollen anterior cervical lymph nodes

1

Fever > 38 celsius

1

Absence of cough

1

score

The original Centor score8 provides an estimate for the probability of a positive culture and applies to adults only. The probability of a streptococcal infection for a Centor score of 0 is 1-2.5%; for a score of 1, 5-10%; for a score of 2, ~15%; for a score of 3, ~30%; and for a score of ≥4, ~50%.9

Croup


Westley Croup Score

Clinical Parameter



Points

Level of consciousness

normal (including sleep)

0

 

disoriented

5

Cyanosis

none

0

 

cyanosis on agitation

4

 

cyanosis at rest

5

Stridor

none

0

 

stridor when agitated

1

 

stridor at rest

2

Air entry

normal

0

 

decreased

1

 

markedly decreased

2

Retractions

none

0

 

mild

1

 

moderate

2

 

severe

3

 Using the Westley scale, a score of less than 3 represents mild disease; a score of 3-6 represents moderate disease; and a score greater than 6 represents severe disease.10


CARDIAC


TIMI Risk Score for STEMI & UA/NSTEMI



30 day mortality in patients with STEMI

14 day event rate in patients with UA/NSTEMI

Age ≥ 65 years

65-74

+2

Age ≥ 65 years

+1

>74

+3

Positive Cardiac Enzymes

+1

DM or HTN or Angina

+1

Known stenosis >50%

+1

Systolic BP <100

+3

ASA use in past 7 days

+1

Heart Rate >100

+2

>1 episodes of angina w/in 24 hours

+1

Killip Class II-IV

+2

ST changes > 0.5mm

+1

Weight < 67kg (148 lbs)

+1

>2 CAD risk factors

(Fam Hx, HTN, Chol, DM, Tob)



+1

Anterior ST elevation or LBBB

+1

Time to treatment >4hr

+1

Approximate 30-day mortality in patients with an STEMI was less than 5 % if TIMI score 1-3; 10-15% if TIMI score 4-6; 20-30% if TIMI score >7. 11 Event rate (death, infarct or need for urgent revascularization) in patients with UA/NSTEMI was <5% if TIMI score 0-1, 8-13% if TIMI score 2-3, 20-25% if TIMI score 4-5, and >40% if TIMI score 6/7.12




GRACE RISK SCORE


Age

40 -49

18

50-59

36

60-69

55

70-79

73

80-89

91

>89

100

History of CHF

24

History of MI

12

Resting Heart Rate

50-69

3

70-89

9

90-109

14

110-149

23

150-199

35

>199

43

Systolic BP

<80

24

80-99

22

100-119

18

120-139

14

140-159

10

160-199

4

ST-Segment Depression

11

Initial Creatinine

mg/dl

<0.4

1

0.4-0.79

3

0.8-1.19

5

1.2-1.59

7

1.6-1.99

9

2-3.99

15

4

20

Elevated Cardiac Enzymes

15

PTCA not performed

14

total




Eagle KA, Lim MJ, Dabbous OH, et al. A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month post-discharge death in an international registry. JAMA 2004; 291:2727-33.




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