Synonym: Burch-Wartofsky point scale
German: Burch-Wartofsky-Score
The Burch-Wartofsky-Score is a point scale that halps to assess of the probability of thyrotoxicosis independently from the level of thyroid hormones. It is solely based on clinical and physical criteria.
The point scale covers body temperature, central nervous effect, hepatogastrointestinal symptoms, cardiovascular dysfunction and the patient's history.
| Celsius | Fahrenheit | Points |
|---|---|---|
| < 37,7 °C | < 99,9 °F | 5 Points |
| 37.8 - 38.3 °C | 100 - 100.9 °F | 10 Points |
| 38.4 - 38.8 °C | 101 - 101.9 °F | 15 Punkte |
| 38.9 - 39.4 °C | 102 - 102.9 °F | 20 Points |
| 39.5 - 39.9 °C | 103 - 103.9 °F | 25 Points |
| >= 40 °C | >= 104 °F | 30 Points |
| Symptoms | Points |
|---|---|
| Missing | 0 Points |
| Mild (agitation) | 10 Points |
| Moderate (delirium, psychosis, extreme lethargy) | 20 Points |
| Severe (seizures, coma) | 30 Points |
| Symptoms | Points |
|---|---|
| Missing | 0 Points |
| Moderate (diarrhea, nausea, vomiting, abdominal pain) | 10 Points |
| Severe (unexxplained jaundice) | 20 Points |
| Pulse frequeny | Points |
|---|---|
| 90 - 109 / Minute | 5 Points |
| 110 - 119 / Minute | 10 Points |
| 120 - 129 / Minute | 15 Points |
| 130 - 139 / Minute | 20 Points |
| >= 140 / Minute | 25 Points |
| Symptoms | Points |
|---|---|
| Mssing | 0 Points |
| Mild (pedal edemas) | 5 Points |
| Moderae (bibasilar rales) | 10 Points |
| Severe (pulmonary edema) | 15 Points |
| Arrhythmia | Points |
|---|---|
| Missing | 0 Points |
| Present | 10 Points |
| History | Points |
|---|---|
| Mssing | 0 Points |
| Present | 10 Points |
The summed up point values deliver the score.
With a score over 25 points thyrotoxicosis is possible, a score over 45 points renders it probable.
Burch, H. B. und L. Wartofsky (1993). "Life-Threatening Thyrotoxicosis. Thyrotoxic storm. " Endocrinology and Metabolism Clinics of North America 22(2): 263-77. (>> Abstract)
Online-Calculator for Burch-Wartosky-Score (formatio reticularis)
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Non-medical professions
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