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SETTLE YOUR SCORES with FRCEM SAQ intermediate
Dr. Akshay Bhargav
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