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Organ_Scoring_Systems_with_Components

The document outlines major scoring systems used to assess the severity of conditions related to various organs, including the intestines, pancreas, kidneys, liver, heart, and lungs. Each organ has specific scoring criteria, such as the Hinchey Classification for diverticulitis and the Ranson Criteria for acute pancreatitis. These scoring systems help in evaluating the severity and likelihood of various medical conditions, aiding in clinical decision-making.

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6 views

Organ_Scoring_Systems_with_Components

The document outlines major scoring systems used to assess the severity of conditions related to various organs, including the intestines, pancreas, kidneys, liver, heart, and lungs. Each organ has specific scoring criteria, such as the Hinchey Classification for diverticulitis and the Ranson Criteria for acute pancreatitis. These scoring systems help in evaluating the severity and likelihood of various medical conditions, aiding in clinical decision-making.

Uploaded by

yayo.crayo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Major Scoring Systems by Organ (Organ Summary)

Intestines

- Hinchey Classification - Diverticulitis severity

- I: Pericolic inflammation or abscess

- II: Pelvic/distant abscess

- III: Purulent peritonitis

- IV: Feculent peritonitis (perforation)

- Alvarado Score - Appendicitis likelihood

Mnemonic: MANTRELS

- Migration of pain

- Anorexia

- Nausea/Vomiting

- Tenderness in RLQ

- Rebound pain

- Elevated temp

- Leukocytosis

- Shift to left (neutrophilia)

Pancreas

- Ranson Criteria - Acute pancreatitis severity

At Admission (GA LAW):

- Glucose >200

- Age >55

- LDH >350

- AST >250

- WBC >16,000

At 48 Hours (CHOBBS):

- Calcium <8

- Hct drop >10%

- PaO2 <60

- BUN increase >5

- Base deficit >4


- Sequestration >6 L

- BISAP Score - Bedside Index for Severity

- BUN >25

- Impaired mental status (GCS <15)

- SIRS

- Age >60

- Pleural effusion

- Glasgow-Imrie - UK pancreatitis score

- Age >55

- WBC >15k

- Glucose >10 mmol/L

- Urea >16 mmol/L

- PaO2 <60

- Albumin <32 g/L

- Calcium <2 mmol/L

- LDH >600 IU/L

- AST >100 IU/L

Kidneys

- RIFLE / AKIN / KDIGO - AKI severity

- Based on up creatinine and down urine output

- Stages: Risk, Injury, Failure, Loss, ESRD

- FENa / FEUrea - AKI type

- FENa <1% = pre-renal

- FENa >2% = intrinsic

- FEUrea <35% = pre-renal (esp. if on diuretics)

Liver

- MELD / MELD-Na - Liver failure mortality

- Bilirubin

- INR
- Creatinine

- (± Sodium in MELD-Na)

- Child-Pugh - Cirrhosis staging

- Bilirubin

- Albumin

- INR

- Ascites

- Hepatic encephalopathy

Heart

- TIMI Score - ACS risk

- Age >=65

- >=3 CAD risk factors

- Known CAD

- Aspirin use

- Severe angina

- ST deviation

- Elevated cardiac markers

- GRACE Score - ACS mortality

- Age

- HR, SBP

- Creatinine

- Killip class

- ST changes

- Enzymes

- Cardiac arrest at admission

- CHADS2 / CHA2DS2-VASc - Stroke risk in AFib

- CHF

- HTN

- Age >=75 (2 pts)

- Diabetes
- Stroke/TIA (2 pts)

- Vascular disease

- Age 65-74

- Sex category (female)

- NYHA Class - Heart failure symptoms

- I: No limitation

- II: Mild limitation

- III: Marked limitation

- IV: Symptoms at rest

Lungs

- CURB-65 - Pneumonia severity

- Confusion

- Urea >7 mmol/L

- RR >=30

- BP <90/60

- Age >=65

- Wells Score - DVT/PE risk

- Clinical signs of DVT

- PE most likely dx

- Tachycardia

- Immobilization/surgery

- Prior DVT/PE

- Hemoptysis

- Malignancy

- BODE Index - COPD mortality

- BMI

- Obstruction (FEV1)

- Dyspnea scale

- Exercise (6-min walk)

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