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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