急診臨床計算機 — 腸胃／其他

Rockall Score for Upper GI Bleeding (Complete)
Rockall 評分（完整版）

領域：腸胃｜來源數：1

Age

<60 years060-79 years1≥80 years2

Shock

No shock (SBP ≥100 AND HR <100)0Tachycardia (SBP ≥100 AND HR ≥100)1Hypotension (SBP <100)2

Comorbidities

No major comorbidity0Any comorbidity EXCEPT renal failure, liver failure, and/or disseminated malignancy2Renal failure, liver failure, and/or disseminated malignancy3

Diagnosis

Mallory-Weiss tear0No lesion identified and no stigmata of recent hemorrhage0All other diagnoses1Malignancy of upper GI tract2

來源：MDCalc；需人工判斷
MDCalc：https://www.mdcalc.com/calc/3642/rockall-score-upper-gi-bleeding-complete

Rockall Score for Upper GI Bleeding (Pre-Endoscopy)
Rockall 評分（內視鏡前）

領域：腸胃｜來源數：1

Age

<60 years060-79 years1≥80 years2

Shock

No shock (SBP ≥100 AND HR <100)0Tachycardia (SBP ≥100 AND HR ≥100)1Hypotension (SBP <100)2

Comorbidities

No major comorbidity0Cardiac failure, ischaemic heart disease, any major comorbidity (Rockall 1996 definition; MDCalc wording: any comorbidity except renal failure, liver failure, disseminated malignancy)2Renal failure, liver failure, and/or disseminated malignancy3

來源：MDCalc；Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996 Mar;38(3):316-21. PMID: 8675081.
MDCalc：https://www.mdcalc.com/calc/3643/rockall-score-upper-gi-bleeding-pre-endoscopy

West Haven Criteria
West Haven 肝性腦病分級

領域：腸胃｜來源數：1

Classification

Abnormal psychometric/neuropsychological tests without clinical manifestations0Impaired attention/computation/sleep; euphoria/anxiety; oriented to time/space1Disoriented to time/space; inappropriate behavior; personality changes; dyspraxia; asterixis; apathy2Somnolence/semistupor; gross disorientation; confusion; bizarre behavior; responsive to stimuli3Coma｜昏迷4

來源：MDCalc；需人工判斷
MDCalc：https://www.mdcalc.com/calc/674/west-haven-criteria

Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis
Burch-Wartofsky 甲狀腺風暴評分

領域：其他｜來源數：2

Central nervous system effects

Absent｜無0Mild (agitation)10Moderate (delirium, psychosis, extreme lethargy)20Severe (seizures, coma)30

Gastrointestinal-hepatic dysfunction

Absent｜無0Moderate (diarrhea, nausea/vomiting, abdominal pain)10Severe (unexplained jaundice)20

Congestive Heart Failure

Absent｜無0Mild (pedal edema)5Moderate (bibasilar rales)10Severe (pulmonary edema)15

Atrial fibrillation present

No｜否0Yes｜是10

Precipitating event

No｜否0Yes｜是10

來源：MDCalc；Burch HB, Wartofsky L. Life-Threatening Thyrotoxicosis. Thyrotoxic storm. Endocrinology and Metabolism Clinics of North America . 1993; 22(2): 263-77.
MDCalc：https://www.mdcalc.com/calc/3816/burch-wartofsky-point-scale-bwps-thyrotoxicosis

Testicular Workup for Ischemia and Suspected Torsion (TWIST)
TWIST 睪丸扭轉評分

領域：其他｜來源數：2

Testicular swelling

No｜否0Yes｜是2

Hard testicle

No｜否0Yes｜是2

Absent cremasteric reflex

No｜否0Yes｜是1

Nausea/vomiting

No｜否0Yes｜是1

High riding testis

No｜否0Yes｜是1

來源：MDCalc；Barbosa JA, Tiseo BC, Barayan GA, et al. Development and initial validation of a scoring system to diagnose testicular torsion in children. J Urol. 2013;189(5):1859-1864.
MDCalc：https://www.mdcalc.com/calc/10440/testicular-workup-ischemia-suspected-torsion-twist

Rockall Score for Upper GI Bleeding (Complete)Rockall 評分（完整版）

Rockall Score for Upper GI Bleeding (Pre-Endoscopy)Rockall 評分（內視鏡前）

West Haven CriteriaWest Haven 肝性腦病分級

Burch-Wartofsky Point Scale (BWPS) for ThyrotoxicosisBurch-Wartofsky 甲狀腺風暴評分

Testicular Workup for Ischemia and Suspected Torsion (TWIST)TWIST 睪丸扭轉評分

Rockall Score for Upper GI Bleeding (Complete)
Rockall 評分（完整版）

Rockall Score for Upper GI Bleeding (Pre-Endoscopy)
Rockall 評分（內視鏡前）

West Haven Criteria
West Haven 肝性腦病分級

Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis
Burch-Wartofsky 甲狀腺風暴評分

Testicular Workup for Ischemia and Suspected Torsion (TWIST)
TWIST 睪丸扭轉評分