CATEGORIZATION OF RABIES EXPOSURE HYPERTENSION
CATEGORY I CATEGORY II CATEGORY III CLASSIFICATION SYSTOLIC (mmHg) DIASTOLIC (mmHg)
Feeding/touching an Nibbling/nipping of Transdermal bites or Normal < 120 and < 80
animal uncovered skin with scratches (includes puncture Pre-hypertension 120 − 139 or 80 − 89
Licking of intact skin bruising wounds, lacerations, and Stage I Hypertension 140 − 159 or 90 − 99
Exposure to patient Minor scratches/ abrasions) Stage II Hypertension ≥ 160 or ≥ 100
with signs of rabies abrasions/abrasions Contamination of mucous Isolated Systolic Hypertension ≥ 140 and < 90
by sharing of eating without bleeding (includes membranes with saliva (e.g.
or drinking utensils wounds that are induced licks)
Casual contact with to bleed) Exposure to rabies patient INTERNATIONAL PROSTATE SYMPTOM SCORE
patient with signs of Licks on broken skin through bites, contamination of 0 1 2 3 4 5
rabies mucous membrane or open Sa nakalipas na buwan, gaano kadalas
skin lesions with body fluids FREQUENCY mo kailangang umihi kada isa o
(except blood/feces) dalawang oras?
KULANG SA KALAHATI NG PAGKAKATAON
Handling of infected carcass
HIGIT SA KALAHATI NG PAGKAKATAON
Sa nakalipas na buwan, gaano kadalas
or ingestion of infected meat
URGENCY ka nakakaranas ng hirap sa pagpigil
All Category I exposure on
KALAHATI NG PAGKAKATAON
umihi tuwing maiihi?
head and neck areas
Does not include sharing of Sa nakalipas na buwan, gaano kadalas
food/drink/utensils and casual NOCTURIA ka nagigising sa gabi para umihi?
BIHIRA LANG
HALOS LAGI
contact with rabid patient Sa nakalipas na buwan, gaano kadalas
WEAK STREAM mo maramdaman na mahina ang daloy
WALA
ng iyong ihi?
LEPTOSPIROSIS Sa nakalipas na buwan, gaano kadalas
SUSPECTED MILD/ MODERATRE-SEVERE/ INTERMITTENCY mo napansin na paputol-putol ang iyong
ANICTERIC WEIL'S ihi?
Individual presenting with Any suspected case Any suspected case
acute febrile illness of at Sa nakalipas na buwan, gaano kadalas
least 2 days BUT WITH: WITH: STRAINING mo kailangang umiri o magpwersa
AND Stable vital signs Unstable vital signs habang umiihi?
Anicteric sclerae Jaundice Sa nakalipas na buwan, gaano kadalas
EITHER: Good urine output Abdominal pain, nausea, INCOMPLETE mo nararamdaman na hindi pa nasasaid
Residing in a flooded No evidence of vomiting, diarrhea EMPTYING ang ihi mo pagkatapos umihi?
area or meningismus/meningeal Oliguria/anuria
Has high-risk exposure irritation, sepsis/septic Meningismus/meningeal INTERPRETATION: 0 − 7 = MILD | 8 − 19 = MODERATE | 20 − 35 = SEVERE
shock, difficulty of irritation
AND breathing or jaundice Sepsis/septic shock or
At least 2 of the following: altered sensorium
Myalgia Difficulty of breathing or
HYPERTENSION
Calf tenderness CLASSIFICATION SYSTOLIC (mmHg) DIASTOLIC (mmHg)
hemoptysis
Conjunctival suffusion Normal <120 and <80
Chills Pre-hypertension 120 − 139 or 80 − 89
Stage I Hypertension 140 − 159 or 90 − 99
Abdominal pain
Stage II Hypertension ≥ 160 or ≥ 100
Headache
Isolated Systolic Hypertension ≥ 140 and < 90
Jaundice
Oliguria
CONVERSION TO mg/dL
PARAMETER FACTOR
COMMUNITY-ACQUIRED PNEUMONIA RBS (mmol/L) Multiply by 18
LOW-RISK CAP MODERATE-RISK HIGH-RISK CAP BUN (mmol/L) Multiply by 2.8
CAP CREATININE (umol/L) Divide by 88.4
Stable Unstable URIC ACID (umol/L) Divide by 59.48
RR < 30/min RR ≥ 30/min HDL/LDL (mmol/L) Divide by 0.0259
TRIGLYCERIDES (mmol/L) Divide by 0.0113
PR <125 bpm PR ≥125 bpm
CALCIUM (mmol/L) Divide by 0.25
Vital Signs Temp 36−40°C Temp ≥ 40°C or
MAGNESIUM (mmol/L) Divide by 0.411
BP ≥ 90/60 mmHg ≤ 36°C Any of the criteria under
BILIRUBIN (umol/L) Divide by 17.10
BP < 90/60 mmHg Moderate Risk CAP
No altered mental Altered mental state PLUS:
state of acute of acute onset
Features onset Suspected aspiration Severe sepsis and ANKLE-BRACHIAL INDEX
septic shock INDEX INTERPRETATION
No suspected Decompensated
aspiration comorbids Need for mechanical > 0.90 Normal Lower Extremity Blood Flow
ventilation < 0.89 to > 0.60 Mild PAD
No or stable
< 0.59 to > 0.40 Moderate PAD
comorbids
< 0.39 Severe PAD
Localized infiltrates Multilobular infiltrates
Chest No pleural effusion Pleural effusion
X-ray No abscess Abscess
CHRONIC KIDNEY DISEASE STAGES
Disposition Outpatient Ward admission ICU admission
WHO CLASSIFICATION OF DENGUE
DENGUE ± WARNING SIGNS SEVERE DENGUE
DENGUE FEVER WARNING SIGNS
Probable Dengue Abdominal pain or Severe Plasma Leakage
Lives in/travels to dengue endemic tenderness Leads to shock and fluid
area Persistent vomiting accumulation with
Fever and any 2 of the following: Clinical fluid respiratory distress
Nausea, vomiting accumulation
Rash Mucosal bleed Severe Bleeding
Aches and pains Lethargy, restlessness As evaluated by physician
Positive Tourniquet Test Liver enlargement >2
Leukopenia cm Severe Organ Involvement
Any warning signs Increase in Hct Liver: AST or ALT ≥ 1000
concurrent with rapid CNS: Impaired
Laboratory-Confirmed Dengue decrease in platelet consciousness
Important when there are no count Heart and other organs
signs of plasma leakage
*Requiring strict
observation and medical
intervention
DIAZ SCORING FOR STROKE
Parameter Score
A. Vomiting +4
B. Level of Consciousness
Unarousable +4
Drowsy − arousable +2
Awake 0
C. Fever +3
D. Respiratory Pattern
Ataxic or apneustic (rapid irregular) +3
Hyperventilation (rapid regular) +2
Cheyne-Stokes (slow irregular) +1
Normal or regular 0
E. Upper GI Bleeding +3
F. Neurologic deficit maximal onset +2
G. Headache +2
H. Nuchal rigidity +2
I. Diastolic Blood Pressure (mmHg)
≤90 −2
91-99 0
≥100 +2
J. Systolic Blood Pressure (mmHg)
≤150 −2
151-169 −1
170-180 0
181-199 +1
≥200 +2
INTERPRETATION:
Score ≥ 7 = >90% probability of bleed
Score < 7 = probably infarct
