JONES Criteria Rheumatic Fever

Major Criteria
Joints Arthritis
Myocarditis, CHF, Pericarditis
Painless Subcutaneous nodules
Erythema Marginatum (spares face & Increases with heat)
Sydenhams chorea (late onset, 3months from onset)

Minor criteria
Fever
Arthralgia
Increased ESR, CRP
Increased WBC
Increased PR interval

MELD Score
-To Assess severity of Chronic Liver disease
- To predict death within 3months of TIPS
- To prioritize patients for Liver transplant
Parameters
Serum Bilirubin
Serum Creatinine
INR

CURB-65
To assess mortality in Community acquired pnemonia
C Confusion
U Urea >7
R RR>30
B BP <90/60
65 65yrs age

Modified DUKES
For Infective Endocarditis

Rockall Score
Identify patients at risk of adverse outcome after Upper GI bleeding
Parameters:
Age
Shock
Comorbidities
Diagnosis of Mallory weiss/Malignancy others
Evidence of bleeding

<3 shows good prognosis, >8 high risk of mortality

NEXUS criteria
Used to determine need for imaging of cervical spine for injury

CENTOR criteria
To Identify likelyhood of bacterial infection in adult patient with sore throat
Parameters:
Fever
Exudates
Adenopathy
Cough

CIWA-Ar
Clinical Inst Withdrawl Assessment of Alcohol
To determine need for treatment of alcohol withdraw patients

SIRS Criteria
Temp <36deg or >38deg
HR >90
RR >20 or PaCO2<32
WBC <4 or >12 or 10% bands

SIRS Sepsis Severe Sepsis Shock

ARDS Criteria
Acute lung injury < 1week of insult
Bilateral opacities on Chest X ray, not explained by other pathologies
Respiratory failure not caused by HF/Volume overload
Decreased PaO2/FiO2
<300 Acute lung Injury
<200 ARDS

WELLS Criteria (For predicting Pulmonary Embolism)

Criteria
Clinical Suspicion of DVT
HR >100
Immobilization 4weeks
History of DVT
Hemoptysis
Malignancy within 6months

Score
3
1.5
1.5
1.5
1
1

Score >6 High possibility

Score 2-6 Moderate possibility
Score <2 Low possibility
Score >4
Pulmonary Embolism Likely
Score <4
Pulmonary embolism Unlikely

Ransons criteria For Acute pancreatitis

At admission
Age
>55
WBC
>16,000
Glucose >200
AST
>250
LDH
>350

At 48hrs
Ca+2
PCV fall
Oxygen PO2
BUN
Base defect
Sequestration for fluids

<8
>10%
<60
Increase by 5mg/dl
>4mEq
>6lit

Chads 2 Score
For estimating risk of Stroke in patients with Non Rheumatic AF
CHF
1
HTN
1
Age >75 1
DM
1
Stroke
2
Score 6 = 18% Risk

TIMI Score
Thrombolysis in MI in Unstable Angina/NSTEMI
Age >65
Aspirin in last 7days
2 Angina episodes in last 24hrs
ST changes of atleast 0.5mm
Increased Cardiac murmers
Known CAD
Atleast 3 risk factors for CAD

Littles Criteria
To differentiate exudative Vs Transudative Pleural Effusion
Pleural fluid protein/ Serum protein
Pleural fluid LDH/ Serum LDH
Pleural fluid LDH

>0.5
>0.6
>0.6

ICU Scoring
APACHE 3
Scores 0-299
To describe Morbidity of patient when comparing outcome with other patients

Child Pugh Score

To assess prognosis of Chronic liver disease
To Assess necessity of Liver transplant
Total bilirubin
Serum Albumin
PT INR
Ascitis
Hepatic Encephalopathy