Thursday, October 9, 2014

Wells Score for pulmonary embolism (PE).

Wells Score for pulmonary embolism (PE).
The mnemonic is: Don’t die, tell the team to calculate criteria! The first letters in the saying correspond to a criteria for diagnosis. If the first letters are the same, they also have the same numerical point value for calculating the total sore.
Don’t (DVT symptoms) 3 points   
Die (Diagnosis most likely PE) 3 points 
 Tell (Tachycardia) 1.5 points  The Team (Three days [at least] of immobilization, or surgery in the past Thirty days) 1.5 points 
 To (Thromboembolism in the past [DVT or PE]) 1.5 points 
 Calculate (Coughing up blood [hemoptysis]) 1 point   Criteria (Cancer) 1 point

This is what the scores mean:
> 6 High probability of PE
2-6 Moderate probability of PE
< 2 Low probability of PE

The modified Wells Criteria is a bit simpler:
> 4 PE is likely
≤ 4 PE is unlikely






Picture from: http://doctorstock.photoshelter.com/image/I0000FUaFtGQCIg0

From: “Well’s Criteria for Pulmonary Embolism / PE.” MDCalc. Web. 11 Nov. 2011

SIRS-systemic inflammatory response syndrome

 SIRS: At least 2 conditions:
  1. T>38'C @ <36'C
  2. Heart rate >90
  3. Respiratory Rate >20 @ PaCO2<32mmhg
  4. White cell counts >12k/mm3  @ <4k/mm3, @ >10% immature band form
Pic & further info from: http://nrsged.wikispaces.com/6.+SIRS+vs+Sepsis