WikiMSK:Sandbox/box9: Difference between revisions

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!Criteria
!Criteria
!Points
!Points
!Points<br>(simplified)
!Present
!Present
|-
|-
|Age > 65
|Age > 65
|1
|1
|1
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|<html><input class="wells-item" type="checkbox" value="30" onclick="window.wellsScore(this);" /></html>
|-
|-
|Pain relieved by recumbency
|Pain relieved by recumbency
|1
|1
|1
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|<html><input class="wells-item" type="checkbox" value="30" onclick="window.wellsScore(this);" /></html>
|-
|-
|Absence of aggravation by coughing
|Absence of aggravation by coughing
|1
|1
|1
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|<html><input class="wells-item" type="checkbox" value="15" onclick="window.wellsScore(this);" /></html>
|-
|-
|Absence of aggravation by forward flexion
|Absence of aggravation by forward flexion
|1
|1
|1
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|<html><input class="wells-item" type="checkbox" value="15" onclick="window.wellsScore(this);" /></html>
|-
|-
|Absence of aggravation by rising from flexion
|Absence of aggravation by rising from flexion
|1
|1
|1
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|<html><input class="wells-item" type="checkbox" value="15" onclick="window.wellsScore(this);" /></html>
|-
|-
|Absence of aggravation by hyperextension
|Absence of aggravation by hyperextension
|1
|1
|1
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|-
|-
|Absence of aggravation by extension-rotation
|Absence of aggravation by extension-rotation
|1
|1
|1
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|<html><input class="wells-item" type="checkbox" value="10" onclick="window.wellsScore(this);" /></html>
|-
|-
!Probability
!Probability
! colspan="3" |<span class="wells-score-result" style="color: green;">Weak</span>
! colspan="3" |<span class="wells-score-result" style="color: green;">Negative</span>
|-
!Probabilité (version simplifiée)
! colspan="3" |<span class="simplified-wells-score-result" style="color: green;">Peu probable</span>
|}
|}
<small>
<small>
* Version originale: faible (0-1), intermédiaire (2-6), Élevée (>6)<ref group="note">Pour le risque faible, on estime la probabilité à moins de 19%, pour le risque intermédiaire, il est entre 10% et 79% et pour le risque élevé, il est supérieur à 80%.</ref>
5 or more criteria has a positive likelihood ratio of 3.1 for positive medial branch blocks
* Version simplifiée: peu probable (0-1), plus probable (>1)<ref group="note">12% des cas d'EP seront décrits comme peu probables.</ref>
</small>
<div style="display:none"><html><script type="text/javascript">
<div style="display:none"><html><script type="text/javascript">
if(typeof window.wellsScore === 'undefined')
if(typeof window.wellsScore === 'undefined')
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   // Original version
   // Original version
   var element = $(element).closest("table").find(".wells-score-result");
   var element = $(element).closest("table").find(".wells-score-result");
   if(score < 2){ $(element).css("color", "green").html("Faible"); }
   if(score < 5){ $(element).css("color", "green").html("Negative"); }
  else if(score < 7){ $(element).css("color", "orange").html("Intermédiaire"); }
   else if(score >4){ $(element).css("color", "red").html("Positive"); }
   else if(score > 6){ $(element).css("color", "red").html("Élevé"); }
   else { $(element).css("color", "red").html("Error"); }
   else { $(element).css("color", "red").html("Erreur"); }


   // Simplified version
   // Simplified version
  element = $(element).closest("table").find(".simplified-wells-score-result");
  if(score < 2){ $(element).css("color", "green").html("Peu probable"); }
 
  else { $(element).css("color", "red").html("Plus probable"); }
  }
  }
}
}
</script></html></div>
</script></html></div>
{{Flowchart
| Start -> A| group G = Stabilité hémodynamique ?
| A.group = G
| B.group = G
| B -> C
| B -> D
| C -> E
| A -> B.ending = plain
| D -> D1
| E -> E1
| E -> E2
| E1 -> E3
| E3 -> E4
| E3 -> E5
| E5 -> E6
| E4 -> E7
| E7 -> E8
| E7 -> E9
| E8 -> E6
| E2 -> F
| E9 -> F
| F -> G
| G -> G1
| G1 -> G2
| G2 -> G5
| G5 -> G4
| G -> G3
| G3 -> G4
| Start = Suspicion d'EP stable
| A = 1) TAS > 90 mm Hg
| B = 2) ø besoin vasopresseurs
| C = Oui
| D = Non
| D1 = Voir algorithme d'EP instable
| E = Score de Wells dichotomique
| E1 = Improbable < 4.5 (original)
| E2 = Probable ≥ 4.5 (original)
| E3 = PERC
| E4 = +
| E5 = -
| E6 = EP exclue
| E7 = D-dimère (pour âge)
| E8 = -
| E9 = +
| F = Imagerie
| G = C-I à l'angio-TDM ?
| G1 = Oui
| G2 = Scintigraphie V/Q
| G3 = Non
| G4 = Angio-TDM
| G5 = Si pas concluant
}}

Latest revision as of 06:44, 5 April 2022

Revel Criteria
Criteria Points Present
Age > 65 1
Pain relieved by recumbency 1
Absence of aggravation by coughing 1
Absence of aggravation by forward flexion 1
Absence of aggravation by rising from flexion 1
Absence of aggravation by hyperextension 1
Absence of aggravation by extension-rotation 1
Probability Negative

5 or more criteria has a positive likelihood ratio of 3.1 for positive medial branch blocks

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