Clinical Scales

Functional status in heart disease NYHA I II III IV

angina or dyspnea

during unusually intense activity ordinary activity less than ordinary rest

TNM system Local Extension Lymph nodes Metastases PPD + > 5 mm close contacts, CXR +, HIV + > 10 mm underlying disease increasing risk of TB > 15 mm all others Dehydration (see p 21 in British Clinical Examination) Mild Moderate Severe Very Severe

(< 5%) (5 - 8%) (9-12%) > 12%

~ 2.5 L 4L 6L > 6L

Mild thirst, dry MM, Conc urine +Mod thirst, decr turgor, tachycardia +Great thirst, Postural hypotension, oliguria +Comatose, moribund, shock

Edema Functional status in dyspnea NYHA I II III IV

dyspnea

during unusually intense activity ordinary activity less than ordinary rest

Hepatic encephalopathy Grade 0 Grade 1 Grade 2 Grade 3 Grade 4

nl mental changes lethargy, disorientation (to time) stupor coma

Lymphoma Ann Arbor classification I II III IV

Single LN region Two or more LN regions on the same side of the diaphragm LN on both sides of the diaphragm Diffuse disease

Functional assessment in RA 1 2

nl nl activities despite discomfort

3 4

limited activities Complete or near-complete incapacity -> WC or BR

0 1+ 2+ 3+ 4+

absent reduced normal exaggerated exaggerated with clonus

Reflexes

GCS Eye Opening

Spont To loud verbal To pain NR

4 3 2 1

Best motor response

To verbal obeys To pain localizes flexion withdrawal flexion abnormal (decorticate) extension (decerebrate) NR

6 5 4 3

Oriented and converses Disoriented & converses Inappropriate words Incomprehensible sounds NR

5 4 3 2 1

Best verbal response

2 1

Cardiac murmurs 1+ 2+ 3+ 4+ 5+ 6+

faintly audible clearly audible loud murmur + palpable thrill murmur heard throughout precordium audible with stethoscope held off the chest wall

Musle strength 0+ 1+ 2+ 3+ 4+ 5+

absent muscle tone without movement no movement against gravity some movement against gravity diminished strength normal

Child-Pugh classification of liver disease A

B

C

ascites encephalopathy serum albumin serum bilirubin PT (seconds > nl)

absent none > 3,5 < 2.0 < 4.0

slight to moderate I - II 3.0 - 3.5 2.0 - 3.0 4.0 - 6.0

Obesity (BMI) Grade I Grade II Grade III

25 - 30 30-40 > 40

Acute azotemia in liver disease (see table 8, p. 36 in Toronto Gastroenterology) Prerenal azotemia Hepatorenal syndrome Acute renal failure

severe III - IV < 3.0 > 3.0 > 6.0