*part Ii Stuff To Remember

Front 1

World Federation Neurosurgeons (WFNS) SAH grading

Back 1

Score correlates with mortality

Front 2

Child-Pugh Classification

Back 2

Operative mortality:

Score:
5-6 = Class A = low risk < 5%
7-9 = Class B = moderate risk 25%
10-15 = Class C = high risk > 50%

Front 3

Apgar Score

Back 3

- Apgar’s are taken at 1 and 5min
- Memory aid:
 Activity (muscle tone)
 Pulse
 Grimace (reflex irritability)
 Appearance (colour)
 Respiration

Front 4

CHADS2

Back 4

CHADS2=0, no therapy or Aspirin only is recommended
­CHADS2=1, either Aspirin or Warfarin is recommended (depending on patient preferences)
­CHADS2 ≥ 2 should be managed with lifelong Warfarin (target INR 2.0-3.0)

­Overall risk of stroke in non-valvular AF is around 5% per year
­Warfarin reduces risk of CVA from 5% to 1% per annum
Risk of major bleed 0.5% per annum

Front 5

Aortic Stenosis Severity (Echo)

Back 5

AHA Guidelines

Front 6

Mitral Stenosis Severity (Echo)

Back 6

AHA Guidelines

Front 7

Pulmonary Hypertension Severity (Echo)

Back 7

­Based on mean PAP:
 Mild: 25-35
 Moderate: 35-45
 Severe: >45mmhg
­
Based on RVSP:
 >40 has likely PHTN
 50-60 moderate
 >60mmhg as severe

Front 8

RIFLE Criteria

Back 8

Front 9

LeFort Fractures

Back 9