SETTLE YOUR SCORES with FRCEM SAQ intermediate

Dr. Akshay Bhargav

drakshaybhargav@gmail.com

Twitter handle: @emblitzkrieg

The following slides have been prepared using content from various sources on the internet and compiled for the sole purpose of exam revision relevant to emergency medicine. The author recommends their verification

from standard textbooks if the reader has any doubt whatsoever. Also note that the list is not exhaustive.

Wells for DVT

Modified wells for PE

Rosier score for stroke

ABCD2 score for TIA

Risk of stroke in AF patients

In patients with a CHADS2 score of 0 to 1 aspirin is

acceptable therapy. With a CHADS2 score of 2 or more,

oral anticoagulation with warfarin or dabigatran is

recommended.

Risk Category CHADS2- Low-0 Intermediate-1 High-2,3,4,5,6 CHA2DS2VASc- Low-0 Intermediate-1 High-2-9

HASBLED score for risk stratification of bleeding in Afib patients

Bleeding risk with HASBLED

Sore throat: Assessing risk of Centor’s criteria for GAbHS Pharyngitis

Westley Croup Score

0-2 mild 3-7 moderate >=8 Severe

CURB 65 for pneumonia

Score >= 3 severe disease

Le Fort type 1 horizontal maxillary fracture, separating the teeth from the upper face fracture line passes through the alveolar ridge, lateral nose and inferior wall of maxillary sinus

Le Fort type 2 pyramidal fracture, with the teeth at the pyramid base, and nasofrontal suture at its apex fracture arch passes through posterior alveolar ridge, lateral walls of maxillary sinuses, inferior orbital rim and nasal bones

Le Fort type 3 craniofacial dysjunction fracture line passes through nasofrontal suture, maxillo-frontal suture, orbital wall, and zygomatic arch / zygomaticofrontal suture

•Le Fort 1 is a floating palate •Le Fort 2 is a floating maxilla •Le Fort 3 is a floating face

Feature Mild Severe Fulminant

Stools/day <4 +/- bloody >6 + bloody >10 + bloody

Pulse Normal >90bpm >90bpm

Temperature Normal >37.5 >37.5

Hemoglobin Normal Anemia (<75% of normal)

Transfusion required

ESR <30 >30 >30

X-Ray Normal Colonic air, bowel edema, thumbprinting sign

Colonic dilatation

Clinical signs and rectal bleed

No signs of toxicity Abdominal pain, Increasing signs of toxicity. Severe rectal bleed

Abdominal distension, severely toxic. Continuous rectal bleed

Albumin Normal <3 <3

Truelove and witts classification for Ulcerative colitis

Based on Mechanism of Injury

Anterioposterior compression (APC)

APC I diastasis of symphysis <2.5cm

APC II diastasis of symphysis >2.5cm, diastasis in the anterior part of the SI joint, while posterior SI ligaments are intact

APC III diastasis of symphysis >2.5cm, disruption of both anterior and posterior SI ligaments with dislocation in SI joint

Lateral compression (LC)

LC I oblique fracture of pubic rami and anterior compression fracture of sacral ala on ipsilateral side

LC II fracture of pubic rami and posterior fracture of ipsilateral iliac bone with dislocation

LC III ipsilateral lateral compression (LC) and contralateral anterioposterior compression (APC)

Vertical shear (VS)

VS fracture by superior and posterior force

NATO – phonetic alphabets

5% 75% 10% 10% rare

RED Flags of Back pain