Revised Geneva Score, rGeneva online calculator

Revised Geneva Score, rGeneva online calculator

Scales for assessing the clinical probability of PE are used in stable patients (without shock, without hypotension) with suspected pulmonary embolism. They allow you to determine the sequence of diagnostic procedures to confirm or exclude the diagnosis of pulmonary embolism.

Age > 65:
Yes
No

Previous DVT or PE:
Yes
No

Surgery (under general anesthesia) or lower limb fracture in past month:
Yes
No

Active malignant condition
Solid or hematologic malignant condition, currently active or considered cured < 1 year:

Yes
No

Unilateral lower limb pain:
Yes
No

Hemoptysis:
Yes
No

Heart rate:
< 75 bpm
75-94 bpm
≥95 bpm

Pain on lower limb palpation and unilateral edema:
Yes
No


Probability Score Range of points Clinical advice
0 0 0 0

  Points
Age > 651
Previous DVT or PE3
Surgery (under general anesthesia) or lower limb fracture in past month2
Active malignant condition Solid or hematologic malignant condition, currently active or considered cured < 1 year2
Unilateral lower limb pain3
Hemoptysis2
Heart rate< 75 bpm0
 75-94 bpm3
 ≥95 bpm5
Pain on lower limb palpation and unilateral edema4

Interpretation of obtained results (clinical probability of PE)

ProbabilityPointsClinical advice
Low probability0–3 pointsPerform D-dimer testing: -if D-dimer testing is negative consider stopping workup, -if D-dimer testing is positive consider CT-angiography
Intermediate probability4-10 pointsPerform D-dimer testing: -if D-dimer testing is negative consider stopping workup, -if D-dimer testing is positive consider CT-angiography
High probability≥11 pointsConsider CT-angiography  

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Interactive OSCE Checklist – Emergency care of a patient with chest pain – Acute Coronary Syndrome with ST-segment elevation and equivalents

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