Purpose: To classify a patient with an acute frostbite involving a distal extremity using the proposed classification of Cauchy et al.
Citations with documentation. 34.01.09
Medal Project 2003. See disclaimer.
data
enter
Are you evaluating a patient with an acute frostbite injury of a distal extremity? (Y or N)
:-):-):-)
involved member (enter H for hand, F for foot)
:-):-):-)
enter an "x" in the appropriate column for each finding (give only 1 answer per row)
none
distal phalanx only
proximal digit
carpal
site of initial lesion after rapid rewarming
Yes
4
not done
normal
reduced uptake
absent uptake over digits
absent uptake over carpal
bone scan on day 2
Yes
4
none
clear fluid
hemorrhagic over digit
hemorrhagic over carpal
skin blistering on day 2
Yes
3
calculate
result
data complete?
Yes
evaluation appropriate?
Yes
:-):-):-)
grade of lesion
Grade 4
likely outcome for the patient
more extensive amputation; may suffer thrombosis, septic and/or systemic illness
Are functional sequalae likely?
may be severe
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