Jinsi ya kukokotoa Wells Score
Wells Score ni nini?
Wells score estimates pulmonary embolism (PE) probability based on clinical findings. It helps guide diagnostic testing decisions.
Mwongozo wa Hatua kwa Hatua
- 1Assign points for clinical features: leg swelling, HR >100, respiration >20, hemoptysis, signs of DVT, etc.
- 2Calculate total score
- 3Score 0-1 (low), 2-6 (intermediate), or 7+ (high) PE probability
Mifano Iliyotatuliwa
Ingizo
Sudden dyspnea +3, HR 110 +1.5, no leg signs, CXR normal
Matokeo
Wells ≈ 4.5 (intermediate risk)
Consider D-dimer
Makosa ya Kawaida ya Kuepuka
- ✕Applying score in patients already hospitalized for other reasons
- ✕Neglecting clinical context when interpreting score
Maswali yanayoulizwa mara kwa mara
When should Wells score be used?
For non-hospitalized patients with suspected PE. It combines clinical judgment with objective criteria.
What if Wells score is intermediate?
Order D-dimer testing; negative D-dimer essentially excludes PE at this risk level.
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