Important Clinical Prediction Rules

[Thruster]

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What are some clinical prediction rules(ie chads2, apache, wells etc.) that are important for physicians, residents and students to know. Anyone know if there is a list out there?

 

[jdh71]

The "junk sign".

If you can see a patient's "junk" from the doorway this is a very important clinical predictor of alcohol withdrawal with a sensitivity and specificity approaching 99%

 

[gutonc]

The Q sign. An elderly patient laying in their bed with their eyes closed, mouth open and tongue hanging out has a 95% PPV for 30 day mortality.

 

[buzzword]

haha i found this today

is it appropriate to document "positive junk sign" in the progress note? i like to be thorough

 

[jdh71]

haha i found this today

is it appropriate to document "positive junk sign" in the progress note? i like to be thorough

most definitely!

 

[CaipirinhaQuinho]

more than 4 allergies is 95% sensitive for psychiatric diagnosis

 

[LoudBark]

more than 4 allergies is 95% sensitive for psychiatric diagnosis

More like a 99.9% sensitivity and specificity for a drug seeker if those allergies are to morphine, codeine, hydrocodone, tramadol, and toradol.

 

[nateshizzle]

The Fenves Sign: if your penis falls off, it's a poor prognostic indicator.

 

[jmcappleby]

The "junk sign".

If you can see a patient's "junk" from the doorway this is a very important clinical predictor of alcohol withdrawal with a sensitivity and specificity approaching 99%

Haha... this just reminds me of something I learned in my radiology rotation.
http://en.wikipedia.org/wiki/John_Thomas_sign

 

[mrpankration]

I think the one I've probably used the most is the Wells criteria. Another one that comes up often is the CHADS2 score, both in making the decision whether or not to anticoagulate someone with Afib or to hold anticoagulation in someone already on anticoagulation but may be having some minor bleeding or is a fall risk. TIMI score also is something that may come up often.