patient_id_26129817.json

{
  "patient_id": "26129817",
  "tool_results": [
    {
      "tool_id": "715",
      "tool_name": "NIH Stroke Scale/Score (NIHSS)",
      "params": {
        "1A: Level of consciousness": "Alert; keenly responsive",
        "1B: Ask month and age": "Both questions right",
        "1C: 'Blink eyes' & 'squeeze hands'": "Performs both tasks",
        "2: Horizontal extraocular movements": "Normal",
        "3: Visual fields": "Partial hemianopia",
        "4: Facial palsy": "Minor paralysis (flat nasolabial fold, smile asymmetry)",
        "5A: Left arm motor drift": "Drift, but doesn't hit bed",
        "5B: Right arm motor drift": "No drift for 10 seconds",
        "6A: Left leg motor drift": "Drift, but doesn't hit bed",
        "6B: Right leg motor drift": "No drift for 5 seconds",
        "7: Limb Ataxia": "Ataxia in 1 Limb",
        "8: Sensation": "Mild-moderate loss: less sharp/more dull ",
        "9: Language/aphasia": "Mild-moderate aphasia: some obvious changes, without significant limitation",
        "10: Dysarthria": "Normal",
        "11: Extinction/inattention": "No abnormality"
      },
      "tool_summary": "NIH Stroke Scale/Score (NIHSS): [7, mild to moderate stroke]"
    },
    {
      "tool_id": "3941",
      "tool_name": "Rapid Arterial oCclusion Evaluation (RACE) Scale for Stroke",
      "params": {
        "Facial palsy": "Mild",
        "Arm motor impairment": "Moderate",
        "Leg motor impairment": "Moderate",
        "Head and gaze deviation": "Absent",
        "Hemiparesis": "Left",
        "Aphasia": "Performs one task correctly",
        "Agnosia": "Patient recognizes his/her arm and the impairment"
      },
      "tool_summary": "RACE Scale/Score: [3, LVO unlikely]"
    },
    {
      "tool_id": "1756",
      "tool_name": "Modified NIH Stroke Scale/Score (mNIHSS)",
      "params": {
        "1B: Level of consciousness/orientation questions": "Both questions correct",
        "1C: Level of consciousness commands": "Both tasks correct",
        "2: Test horizontal extra-ocular movements": "Normal",
        "3: Test visual fields": "Partial hemianopia",
        "5A: Test left arm motor drift": "Drift before 10 seconds",
        "5B: Test right arm motor drift": "No drift",
        "6A: Test left leg motor drift": "Drift before 5 seconds",
        "6B: Test right leg motor drift": "No drift",
        "8: Test sensation": "Abnormal; sensory loss",
        "9: Test language/aphasia": "Mild aphasia",
        "11: Test extinction/inattention/neglect": "Normal"
      },
      "tool_summary": "Modified NIH Stroke Scale (mNIHSS): [5, mild stroke risk]"
    },
    {
      "tool_id": "357",
      "tool_name": "ABCD<sup>2</sup> Score for TIA",
      "params": {
        "Age >= 60 years": "Yes",
        "BP >= 140/90 mmHg": "Yes",
        "Clinical features of the TIA": "Unilateral weakness",
        "Duration of symptoms": ">= 60 minutes",
        "History of diabetes": "No"
      },
      "tool_summary": "ABCD2 Score: [6, high risk (2-Day Stroke Risk: 8.1%, 7-Day Stroke Risk: 11.7%, 90-Day Stroke Risk: 17.8%)]"
    },
    {
      "tool_id": "10007",
      "tool_name": "Embolic Stroke of Undetermined Source (ESUS) Criteria",
      "params": {
        "Non-lacunar ischemic stroke on CT or MRI": "Yes",
        "Absence of atherosclerosis (extra- or intracranial) causing >=50% luminal stenosis in arteries supplying the ischemic area": "No",
        "No major risk cardioembolic source": "Yes",
        "No other specific cause of stroke identified": "Yes"
      },
      "tool_summary": "ESUS Criteria Result: [Negative, low risk of embolic stroke]"
    },
    {
      "tool_id": "3948",
      "tool_name": "EGSYS (Evaluation of Guidelines in SYncope Study) Score for Syncope",
      "params": {
        "Abnormal EKG and/or heart disease": "Yes",
        "Palpitations before syncope": "No",
        "Syncope during effort ": "No",
        "Syncope in supine position": "No",
        "Autonomic prodromes": "No",
        "Predisposing and/or precipitating factors": "No"
      },
      "tool_summary": "EGSYS Score: [3, likely cardiac syncope with high risk (17% mortality at 21-24 months)]"
    },
    {
      "tool_id": "4019",
      "tool_name": "BAP-65 Score for Acute Exacerbation of COPD",
      "params": {
        "BUN >=25 mg/dL (8.9 mmol/L)": "Yes",
        "Altered mental status": "No",
        "Pulse >=109 beats/min": "No",
        "Age, years": ">=65"
      },
      "tool_summary": "BAP-65 Score: [2.2%, Class III risk level]"
    },
    {
      "tool_id": "4018",
      "tool_name": "DECAF Score for Acute Exacerbation of COPD",
      "params": {
        "Extended MRC Dyspnea Scale (eMRCD)": "Too dyspneic to leave house but independent with washing/dressing (eMRCD 5a)",
        "Eosinopenia": "Yes",
        "Consolidation on chest x-ray": "No",
        "Acidemia": "No",
        "Atrial fibrillation": "No"
      },
      "tool_summary": "DECAF Score: [2, Intermediate risk]"
    },
    {
      "tool_id": "10045",
      "tool_name": "Kidney Failure Risk Calculator",
      "params": {
        "eGFR, mL/min/1.73m²": "25-29",
        "Sex": "Male",
        "Urine albumin-to-creatinine ratio, mg/g": "<30",
        "Age, years": "80-89",
        "Serum albumin, g/dL (g/L)": "2.6-30 (26-30)",
        "Serum phosphorus, mg/dL (mmol/L)": "3.5-4.5 (1.13-1.45)",
        "Serum bicarbonate, mEq/L (mmol/L)": "23-25 (23-25)",
        "Serum calcium, mg/dL (mmol/L)": "8.6-9.5 (2.12-2.37)"
      },
      "tool_summary": "Kidney Failure Risk Calculator: [NaN, data not available/invalid score]"
    },
    {
      "tool_id": "115",
      "tool_name": "Wells' Criteria for Pulmonary Embolism",
      "params": {
        "Clinical signs and symptoms of DVT": "No",
        "PE is #1 diagnosis OR equally likely": "No",
        "Heart rate > 100": "No",
        "Immobilization at least 3 days OR surgery in the previous 4 weeks": "No",
        "Previous, objectively diagnosed PE or DVT": "No",
        "Hemoptysis": "No",
        "Malignancy w/ treatment within 6 months or palliative": "No"
      },
      "tool_summary": "Wells' Score for Pulmonary Embolism (PE): [0.0, low risk]"
    },
    {
      "tool_id": "10092",
      "tool_name": "ACR/EULAR 2010 Rheumatoid Arthritis Classification Criteria",
      "params": {
        "Joint involvement": "1 large joint",
        "Serology (need at least one serology test result to use these criteria)": "Negative rheumatoid factor and negative anti-citrullinated protein antibody",
        "Acute-phase reactants (need at least one acute-phase reactant test result to use these criteria)": "Abnormal CRP or abnormal ESR",
        "Duration of symptoms": "<6 weeks"
      },
      "tool_summary": "ACR/EULAR Criteria for Rheumatoid Arthritis: [1 point, Unlikely RA]"
    },
    {
      "tool_id": "10033",
      "tool_name": "GO-FAR (Good Outcome Following Attempted Resuscitation) Score",
      "params": {
        "Age, years": "80-84",
        "Neurologically intact or with minimal deficits at admission ": "No",
        "Major trauma": "No",
        "Acute stroke": "Yes",
        "Metastatic or hematologic cancer": "No",
        "Septicemia": "No",
        "Medical noncardiac diagnosis on admission": "Yes",
        "Hepatic insufficiency": "No",
        "Admit from skilled nursing facility": "No",
        "Hypotension or hypoperfusion within 4 hrs prior to arrest ": "No",
        "Renal insufficiency or dialysis": "Yes",
        "Respiratory insufficiency": "Yes",
        "Pneumonia": "No"
      },
      "tool_summary": "GO-FAR Score: [29, very low survival]"
    },
    {
      "tool_id": "4010",
      "tool_name": "LENT Prognostic Score for Malignant Pleural Effusion",
      "params": {
        "Pleural fluid LDH, U/L": "<1,500",
        "ECOG Score": "3-4 (symptomatic, in bed >50% of day or bedbound)",
        "Serum neutrophil-to-lymphocyte ratio": ">=9",
        "Tumor type": "Lung or any other cancer"
      },
      "tool_summary": "LENT Score: [6, High risk]"
    },
    {
      "tool_id": "3912",
      "tool_name": "Barthel Index for Activities of Daily Living (ADL)",
      "params": {
        "Feeding": "Unable",
        "Bathing": "Unable",
        "Grooming": "Unable",
        "Dressing": "Unable",
        "Bowel control": "Incontinent (or needs to be given enemas)",
        "Bladder control": "Incontinent (catheterized, unable to manage alone)",
        "Toilet use": "Unable",
        "Transfers (bed to chair and back)": "Unable",
        "Mobility on level surfaces": "Immobile or <50 yards",
        "Stairs": "Unable"
      },
      "tool_summary": "Barthel Index: [0, totally dependent]"
    },
    {
      "tool_id": "10088",
      "tool_name": "Cumulative Illness Rating Scale-Geriatric (CIRS-G)",
      "params": {
        "Heart": "CHF compensated with meds, daily antianginal meds, left ventricular hypertrophy, atrial fibrillation, bundle branch block, daily antiarrhythmic drugs ",
        "Vascular": ">=2 symptoms of atherosclerosis",
        "Hematopoietic": "Hemoglobin: females 10-12 g/dL, males 12-14 g/dL, anemia of chronic disease",
        "Respiratory": "Requires supplemental oxygen, >=1 episode of respiratory failure requiring assisted ventilation, any lung cancer ",
        "Eyes, ears, nose, throat, and larynx": "No problem",
        "Upper GI  ": "No problem",
        "Lower GI": "No problem",
        "Liver, pancreas, and biliary ": "No problem",
        "Renal ": "Serum creatinine 1.5-3.0 mg/dL without diuretic or antihypertensive medication",
        "Genitourinary": "Stress incontinence, hysterectomy,  BPH without urinary symptoms",
        "Musculoskeletal and skin": "No problem",
        "Neurologic": "Status post CVA with residual functional hemiparesis or aphasia, severe neurodegenerative disease",
        "Endocrine and breast ": "No problem",
        "Psychiatric illness": "No problem"
      },
      "tool_summary": "Mini-Score: [17, moderate severity], Score: [17, moderate severity]"
    },
    {
      "tool_id": "10084",
      "tool_name": "RegiSCAR Score for Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)",
      "params": {
        "Fever (>=38.5 degC)": "No/Unknown",
        "Enlarged lymph nodes": "No/Unknown",
        "Atypical lymphocytes": "No/Unknown",
        "Eosinophilia": "0-699 cells or <10% (no eosinophilia)",
        "Skin rash extent >50%": "No/Unknown",
        "At least two of: edema, infiltration, purpura, scaling": "Unknown",
        "Biopsy suggesting DRESS": "No",
        "Internal organ involved": ">=2",
        "Resolution in >15 days": "No/Unknown",
        "Alternative diagnoses excluded (by >=3 biological investigations)": "No/Unknown"
      },
      "tool_summary": "RegiSCAR for DRESS: [-1, No case]"
    },
    {
      "tool_id": "10071",
      "tool_name": "REVEAL Registry Risk Score 2.0 for Pulmonary Arterial Hypertension (PAH)",
      "params": {
        "WHO group 1 subgroup": "Other",
        "eGFR 2 or renal insufficiency": "Yes",
        "Male age >60 years": "Yes",
        "NYHA/WHO functional class": "IV",
        "Systolic BP, mmHg": "<110 mmHg",
        "Heart rate, bpm": "<=96 bpm",
        "Any hospitalizations within 6 months": "Yes",
        "6-minute walk test": "<165 m",
        "BNP, pg/mL": ">=800 pg/mL",
        "Pericardial effusion on echocardiogram": "No",
        "DLCO on pulmonary function test": "<40%",
        "Mean right atrial pressure >20 mmHg within 1 year on right heart catheterization": "No",
        "Pulmonary vascular resistance ": "No"
      },
      "tool_summary": "REVEAL Score 2.0 for PAH: [17, high risk]"
    },
    {
      "tool_id": "10562",
      "tool_name": "BALL Score for Relapsed/Refractory CLL",
      "params": {
        "beta2-microglobulin": "<5 mg/dL",
        "Anemia": "Yes",
        "LDH": "<=Upper limit of normal",
        "Last therapy": "<24 months"
      },
      "tool_summary": "BALL Score: [2, intermediate risk]"
    },
    {
      "tool_id": "10078",
      "tool_name": "Pediatric NEXUS II Head CT Decision Instrument for Blunt Trauma",
      "params": {
        "Evidence of skull fracture": "No",
        "Scalp hematoma": "No",
        "Neurologic deficit": "Yes",
        "Abnormal level of alertness": "No",
        "Abnormal behavior": "No",
        "Persistent vomiting": "No",
        "Coagulopathy": "No"
      },
      "tool_summary": "Mini/NEXUS CT Head Rule: [High, Consider CT]"
    }
  ]
}