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Mannheim peritonitis index
Criteria
Point Value
Age >50 years
5
Female sex
5
Organ failure
7
Malignancy
4
Origin of sepsis not colonic
4
Diffuse generalized peritonitis
6
Preoperative duration of peritonitis >24 h
4
Intraperitoneal exudates
Clear
0
Cloudy, purulent
6
Fecal
12
Organ failure: Kidney failure: Cratinine level...
WSES sepsis severity score for patients with cIAIs
Criteria
Point Value
Clinical condition at the admission
Severe sepsis (acute organ dysfunction) at the admission
3
Septic shock (acute circulatory failure characterized by persistent arterial hypotension. It always...
Scientific committee
Joseph Solomkin
Luca Ansaloni
Marja Boermeester
Fausto Catena
Federico Coccolini
Jared Huston
Lillian Kao
Yoram Kluger
Kemal Rasa
Ines Rubio-Perez
Massimo Sartelli (committee coordinator)
Robert Sawyer
Scientific committee
Joseph Solomkin
Luca Ansaloni
Marja Boermeester
Fausto Catena
Federico Coccolini
Jared Huston
Lillian Kao
Yoram Kluger
Kemal Rasa
Ines Rubio-Perez
Massimo Sartelli (committee coordinator)
Robert Sawyer
Website managers
Belinda De Simone
Antonio Tarasconi
Cristian Tranà
Acute calculous cholecystitis
DIAGNOSIS
Clinical signs and symptoms
Abdominal pain in the upper right quadrant of the abdomen
Elevated temperature
Absence of vomiting
Abdominal tenderness (sign of complicated...
POSSUM score
Criteria
Point Value
Age (Years)
<60
1
61-70
2
>71
4
Cardiac Signs
No Failure
1
Diuretic, Digoxin, antianginal or antihypertensive therapy
2
Peripheral edema, anticoagulant therapy
4
Raised JVP
8
Chest X-Ray
Normal
1
Borderline cardiomegaly
4
Cardiomegaly
8
Respiratory History
No Dyspnoea
1
Dyspnoea on exertion
2
Limiting dyspnea (one flight of...
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Acute cholangitis
DIAGNOSIS
Clinical signs and symptoms
Fever
Jaundice
Abdominal pain
Laboratory markers
White blood cell
C-reactive protein
Total bilirubin
Direct bilirubin
Alkaline phosphatase
Gamma-glutamyl transpeptidase
Aspartate aminotransferase
...
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Acute cholangitis
DIAGNOSIS
Clinical signs and symptoms
Fever
Jaundice
Abdominal pain
Laboratory markers
White blood cell
C-reactive protein
Total bilirubin
Direct bilirubin
Alkaline phosphatase
Gamma-glutamyl transpeptidase
Aspartate aminotransferase
...
Modified early warning score
Criteria
Point Value
Systolic Blood pressure (mmHg)
<45% down
3
30% down
2
15% down
1
Normal for patient
0
15% up
1
30% up
2
>45% up
3
Heart rate (bpm)
<40
2
41–50
1
51–100
0
101–110
1
111–129
2
≥130
3
Respiratory rate (bpm)
<9
2
9–14
0
15–20
1
21–29
2
≥30
3
Temperature (°C)
<35
2
35–38.4
1
≥38.5
2
AVPU score
Alert
0
Reacting to Voice
1
Reacting to Pain
2
Unresponsive
3
A score...
