Medical Scoring Part 2
Medgeeks with Andrew Reid
Medgeeks
4.8 • 996 Ratings
🗓️ 15 May 2019
⏱️ 12 minutes
🧾️ Download transcript
Summary
Last week we discussed some scoring systems regarding neuro, cardiac, and respiratory.
This week, I want to go over GI, renal, endocrinology, infectious disease, and hematology.
Let's get started!
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Transcript
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| 0:00.0 | Team what's happening |
| 0:02.3 | Zach here back for another week of med geeks podcast so last week we talked |
| 0:07.1 | about scoring systems we went over neuro respiratory cardiac this week I want to |
| 0:12.2 | take it home with GI renal endo hemon can ID so let's just jump |
| 0:17.1 | right into it. So GI. A very common GI will actually hepatology scoring |
| 0:22.4 | system that's used frequently in the hospital is the Meld score which stands for model for end stage liver disease and this is used to stratify the mortality risk in patients with end-stage liver disease, |
| 0:34.7 | a most likely awaiting transplant. |
| 0:36.4 | So it looks at dialysis status, karateenin, |
| 0:39.8 | I and R, Billy Rubin, and sodium. |
| 0:42.4 | So all kind of markers that you want to look at with |
| 0:46.5 | someone with liver disease so I'm not going to go over the exact scoring system |
| 0:51.0 | and the calculations but I want you to know meld score liver |
| 0:55.0 | patient dialysis status cratine i n r Billy rubin and sodium so check these |
| 0:59.8 | labs daily in patients with liver disease. |
| 1:03.1 | So renal. |
| 1:04.4 | This is where the biggest scoring systems come from, |
| 1:06.7 | at least ones that I use. |
| 1:08.4 | So first, you got to remember that anti-incap equation, |
| 1:11.4 | okay? |
| 1:12.2 | This is huge. Someone has a metabolic acidosis you want to see if they |
| 1:16.2 | have an increased gap member everybody's body has an anion gap but you want to see if that's increased. How you calculate it? |
| 1:23.0 | sodium minus chloride plus bicarb. I don't even include |
... |
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