Medical Scores – D
DUKE TREADMILL SCORE (DTS):
- Weighted Index Score
-
- Treadmill exercise time using standard Bruce protocol
- Maximum net ST segment deviation (Depression or elevation)
- Exercise-induced angina provides diagnostic and prognostic information (Such as 1 yr mortality)
- DTS = exercise time – (5 x MaxST) – (4 x angina index)
- Angina index: 0 (no angina), 1 (angina but not exercise-limiting), 2 (exercise-limiting angina)
- DTS ≥5: 0.25% 1 yr mortality
- DTS 4 to -10: 1.25% 1 yr mortality
- DTS ≤ -11: 5.25% 1 yr mortality
SCREENING INSTRUMENTS FOR DOMESTIC VIOLENCE:
A) Woman Abuse Screening Tool (WAST)-SHORT
- In general how would you describe your relationship?
- A lot of tension
- Some tension
- No tension
- Do you and your partner work out arguments with . . .?
- Great difficulty
- Some difficulty
- No difficulty
Endorsing either question 1 (“a lot of tension”) or question 2 (“great difficulty”) makes intimate partner violence exposure likely
B) HITS
How often does your partner:
- Physically hurt you?
- Insult you?
- Threaten you with harm?
- Scream or curse at you?
Each question on HITS to be answered on a 5-point scale ranging from 1 (= never) to 5 (= frequently)
A total score of 10 or greater is significant.
DUBOWITZ/BALLARD SCORES:
- GA can be determined after birth using Dubowitz/Ballard scores:
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- Assessment at delivery of physical maturity (e.g., plantar creases, lanugo, ear maturation) and neuromuscular maturity (e.g., posture, arm recoil) translates into a score from -10 to +50
- Higher score means greater maturity (Increased GA)
- -10 = 20 wk; +50 = 44 wk
- Ideal = 35-40, which corresponds to GA 38-40 wk
- Only accurate ± 2 wk
Medical Scores – E
- THE EXPANDED DISABILITY STATUS SCALE (EDSS): is used as a measure of disability progression and is scored from 0 to 10 based on the neurologic exam and ambulation
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