Functional status in heart disease NYHA

I angina or dyspnea during unusually intense activity

II ordinary activity
III less than ordinary
IV rest

TNM system

Local Extension
Lymph nodes
Metastases

PPD +

> 5 mm close contacts, CXR +, HIV +

> 10 mm underlying disease increasing risk of TB
> 15 mm all others

Dehydration (see p 21 in British Clinical Examination)

Mild (< 5%) ~ 2.5 L Mild thirst, dry MM, Conc urine
Moderate (5 - 8%) 4L +Mod thirst, decr turgor, tachycardia
Severe (9-12%) 6L +Great thirst, Postural hypotension, oliguria
Very Severe > 12% > 6L +Comatose, moribund, shock

Edema

Functional status in dyspnea NYHA

I dyspnea during unusually intense activity

II ordinary activity
III less than ordinary
IV rest

Hepatic encephalopathy

Grade 0 nl
Grade 1 mental changes
Grade 2 lethargy, disorientation (to time)
Grade 3 stupor
Grade 4 coma

Lymphoma Ann Arbor classification

I Single LN region
II Two or more LN regions on the same side of the diaphragm
III LN on both sides of the diaphragm
IV Diffuse disease

Functional assessment in RA

1 nl
2 nl activities despite discomfort
 3 limited activities
4 Complete or near-complete incapacity -> WC or BR

Reflexes

0 absent
1+ reduced
2+ normal
3+ exaggerated
4+ exaggerated with clonus

GCS

Eye Opening Spont 4

To loud verbal 3
To pain 2
NR 1

Best motor response To verbal obeys 6

To pain localizes 5
flexion withdrawal 4
flexion abnormal 3
(decorticate)
extension 2
(decerebrate)
NR 1

Best verbal response Oriented and converses 5

Disoriented & converses 4
Inappropriate words 3
Incomprehensible sounds 2
NR 1

Cardiac murmurs

1+ faintly audible
2+ clearly audible
3+ loud
4+ murmur + palpable thrill
5+ murmur heard throughout precordium
6+ audible with stethoscope held off the chest wall

Musle strength

0+ absent
1+ muscle tone without movement
2+ no movement against gravity
3+ some movement against gravity
4+ diminished strength
5+ normal

Child-Pugh classification of liver disease

A B C
ascites absent slight to moderate severe
encephalopathy none I - II III - IV
serum albumin > 3,5 3.0 - 3.5 < 3.0
serum bilirubin < 2.0 2.0 - 3.0 > 3.0
PT < 4.0 4.0 - 6.0 > 6.0
(seconds > nl)

Obesity (BMI)

Grade I 25 - 30
Grade II 30-40
Grade III > 40

Acute azotemia in liver disease (see table 8, p. 36 in Toronto Gastroenterology)

Prerenal azotemia
Hepatorenal syndrome
Acute renal failure