Clinical Tools

Standalone, localized, evidence-based clinical tools for day-to-day practice.

Pain assessment

Abbey Pain Scale for Dementia Patients

Six-domain observational pain scale for adults with dementia who cannot provide a reliable verbal pain report.

Dementia · Geriatrics
Nutrition and metabolism

Basal Energy Expenditure

Estimates basal energy expenditure in kcal/day using the original Harris-Benedict equations.

General medicine

Basic statistics

Summarizes a univariate numeric dataset with exact descriptive statistics.

Trauma

Bastion Classification of Lower Limb Blast Injuries

Classifies complex explosion-related lower-limb injuries by the most proximal extent and associated injuries.

Surgery
Emergency medicine

Behavioral Activity Rating Scale (BARS)

Single-item clinician-observed 7-point ordinal scale for behavioral activity.

Rehabilitation

Barthel Index for Activities of Daily Living (ADL)

Original 10-item Barthel Index scored on a 0–100 scale for actual independence in basic activities of daily living and mobility.

Activities of daily living
Neurology

ASCOD Algorithm for Ischemic Stroke

Clinician-facing etiologic phenotyping tool for ischemic stroke.

Cardiology

ASCVD (Atherosclerotic Cardiovascular Disease) 2013 Risk Calculator from AHA/ACC

Educational risk-estimation support for primary prevention discussions only. Interpret the result with full clinical context, guideline scope, and patient preferences.

Cardiology

ASCVD Risk (ACC/AHA Pooled Cohort Equations)

Educational risk-estimation support for primary prevention discussions only. Interpret the result with full clinical context, guideline scope, and patient preferences.

Pulmonology

A-a O2 Gradient

Alveolar-arterial oxygen gradient calculator for adults with arterial blood gas data.

Critical care · Arterial blood gas
Rheumatology

2010 ACR/EULAR Classification Criteria for Rheumatoid Arthritis (RA)

Score-based rheumatoid arthritis classification criteria for adults with definite clinical synovitis not better explained by another diagnosis.

Autoimmune disease · Classification criteria
Rheumatology

2012 ACR/EULAR Classification Criteria for Polymyalgia Rheumatica (PMR)

2012 ACR/EULAR PMR classification criteria with a clinical pathway and an optional ultrasound pathway.

Classification criteria · Inflammatory disease
Rheumatology

2015 ACR/EULAR Classification Criteria for Gout

Applies the entry criterion, the crystal-based sufficient criterion, and when needed the full weighted gout classification score.

Gout · Classification
Rheumatology

2016 ACR/EULAR Classification Criteria for Primary Sjögren’s Syndrome

2016 ACR/EULAR primary Sjögren’s syndrome classification criteria with five weighted items and explicit exclusion gating.

Autoimmune disease · Classification criteria
Cardiology

ACEF II Risk Score for Cardiac Surgery

Parsimonious preoperative risk score for conventional adult cardiac surgery.

Cardiac surgery · Perioperative risk
Hematology

Absolute Lymphocyte Count (ALC)

Derives the absolute lymphocyte count from total WBC and lymphocyte percentage on a CBC differential.

Laboratory medicine · CBC differential
Laboratory medicine

Absolute Neutrophil Count (ANC)

Derives ANC from total white blood cell count and the neutrophil differential, adding bands when they are reported separately.

Hematology · CBC differential
Obstetrics

Abuse Assessment Screen (AAS)

Binary pregnancy-focused abuse screen using the canonical 5-item AAS questionnaire.

Violence screening · Prenatal care
Cardiology

ACC/AHA Heart Failure Staging

Classifies adults into ACC/AHA Stage A, B, C, or D heart failure using the 2022 framework.

Heart failure · Staging
Neurology

ABC/2 Formula for Intracerebral Hemorrhage Volume

Rapid estimate of spontaneous intracerebral hemorrhage volume on noncontrast head CT.

Stroke · Intracerebral hemorrhage
Trauma

ABC Score for Massive Transfusion

Rapid trauma score to predict likely need for massive transfusion.

Hemorrhage · Massive transfusion
Geriatrics

Abbreviated Mental Test (AMT-10)

Brief 10-item cognitive screening tool for older adults, returning the AMT-10 total and the traditional interpretation band.

Cognitive screening · Bedside assessment
Geriatrics

Abbreviated Mental Test 4 (AMT-4)

Four-item cognitive/orientation screen for adults, especially older adults in acute-care settings.

Mental status · Cognitive screening
Pediatrics

AAP Pediatric Hypertension Guidelines

Classifies a single office blood pressure reading in patients with exact age >=13 years using the fixed-threshold adolescent pathway from the 2017 AAP guideline.

Blood pressure · Hypertension
Pediatrics

Bacterial Meningitis Score for Children

Risk-stratifies children with CSF pleocytosis into very-low-risk versus not-very-low-risk groups for bacterial meningitis.

Infectious diseases · Emergency medicine
Respiratory medicine

Berlin Criteria for Acute Respiratory Distress Syndrome

Strict 2012 Berlin definition implementation with PaO₂/FiO₂ oxygenation severity classification.

Neurology

AWOL Score for Delirium

Hospitalized medical inpatients assessed at admission, generally age 50 years or older, without delirium at admission.

Pediatrics

Brief Resolved Unexplained Events (BRUE) Criteria for Infants

Infants younger than 1 year being evaluated after a sudden, brief, resolved event, after an appropriate history and physical examination, to determine whether the episode qualifies as a BRUE and whether it meets AAP lower-risk criteria.

Cardiology

CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk

Historical stroke/thromboembolism risk stratification for adults with atrial fibrillation.

Atrial fibrillation · Stroke risk
Nephrology

CKD-EPI Equations for Estimated GFR

Estimates adult GFR from standardized serum creatinine using the race-free 2021 CKD-EPI creatinine equation.

Kidney function · Laboratory medicine
Lipid management

Friedewald LDL

Estimates LDL-C from total cholesterol, HDL-C, and triglycerides using the Friedewald equation.

Laboratory medicine · Cardiovascular prevention
Neurology

2HELPS2B Score

Electrographic seizure-risk stratification for acutely ill adults undergoing cEEG.

EEG · Seizure risk
Cardiology

Acute Decompensated Heart Failure National Registry (ADHERE) Algorithm

Three-variable bedside tree for estimating in-hospital mortality during a hospitalization for acute decompensated heart failure.

Heart failure · Risk stratification
Anthropometry

Adjusted body weight

Adult adjusted body weight calculator for obesity-related dosing contexts using sex, height in centimeters, and total body weight in kilograms.

Clinical pharmacy · Obesity dosing
Mental health

Adverse Childhood Experiences (ACE) Score

10-item adult ACE questionnaire that returns a cumulative exposure count from 0 to 10.

Public health · Screening
Anthropometry

Adult body mass index BMI

adult BMI calculator using CDC adult categories, age, height, and weight.

Nutrition · Preventive screening
Pulmonology

Age-Adjusted D-dimer for Venous Thromboembolism (VTE)

Calculates the age-adjusted D-dimer threshold for suspected PE in adults with low/intermediate or nonhigh pretest probability.

Emergency medicine · Thromboembolism
Rheumatology

Age-adjusted ESR/CRP for rheumatoid arthritis

Calculates age- and sex-adjusted upper limits of normal for ESR and CRP in rheumatoid arthritis context.

Rheumatoid arthritis · Reference values
Gastroenterology

AIMS65 Score for Upper GI Bleeding Mortality

Five-criterion score for in-hospital mortality prognostic stratification in adults with acute upper GI bleeding.

Upper GI bleeding · Risk stratification
Nephrology

AKIN Classification for Acute Kidney Injury (AKI)

Historical AKIN staging for adults using optional creatinine, urine-output, and renal replacement therapy inputs.

Acute kidney injury · Hospital medicine
Hepatology

ALBI Grade (Albumin-Bilirubin) for Hepatocellular Carcinoma (HCC)

Calculates the continuous ALBI score and corresponding ALBI grade in adults with hepatocellular carcinoma.

Oncology · Prognosis
Oncology

BCLC Staging Classification and Treatment Guidance

Classifies hepatocellular carcinoma using the 2022 BCLC framework and presents the associated broad initial treatment class.

Hepatology
Hepatology

BARD Score for NAFLD Fibrosis

Stratifies advanced-fibrosis risk in NAFLD using BMI, AST/ALT ratio, and diabetes mellitus.

Liver fibrosis · NAFLD
Anesthesiology

Aldrete Score for Post-Anesthesia Recovery

Adult post-anesthesia recovery scoring with an explicit MAS or PARSAP branch.

Recovery room · Ambulatory discharge
Geriatrics

Prueba de las 4 A para cribado de delirium (4AT)

Rapid delirium screening in adults, with strongest validation in older adults.

Delirium · Cognitive screening
COVID-19

4C Mortality Score for COVID-19

Predicts in-hospital mortality in adults admitted with COVID-19 using 8 admission variables.

Prognosis · Internal medicine
Hematology

Puntuación 4Ts para trombocitopenia inducida por heparina

Pretest score to estimate the probability of immune-mediated heparin-induced thrombocytopenia.

Thrombosis · Clinical risk
Neurology

ABCD² Score for TIA

Historical very-early stroke-risk stratification after transient ischemic attack using the original ABCD² score.

TIA · Stroke risk
Neurology

Alberta Stroke Program Early CT Score (ASPECTS)

Ten-point topographic score for early ischemic change on non-contrast head CT in MCA territory stroke.

Stroke · Neuroradiology
Hepatology

ABIC Score for Alcoholic Hepatitis

Baseline prognostic stratification for adults with alcoholic hepatitis using age, bilirubin, creatinine, and INR.

Gastroenterology · Prognosis
Psychiatry

Abnormal Involuntary Movement Scale (AIMS)

Captures the 14 canonical AIMS items and calculates only the items 1-7 motor subtotal.

Movement disorders · Medication safety
COVID-19

ACEP ED COVID-19 Management Tool

ACEP Step 1 illness-severity classifier for symptomatic adults with suspected or confirmed COVID-19 in the emergency department.

Emergency medicine · Severity classification
Toxicology

Acetaminophen Overdose and NAC Dosing

FDA-aligned IV acetylcysteine dosing for a narrow single acute acetaminophen ingestion pathway with known time.

Emergency medicine · Antidotes
Cardiology

ACTION ICU Score for Intensive Care in NSTEMI

Estimates the risk of in-hospital complications requiring ICU-level care in initially stable adults with NSTEMI.

NSTEMI · ICU triage
Rheumatology

Acute Gout Diagnosis Rule

Seven-item rule to estimate gout probability in adults with acute monoarthritis when crystal analysis is unavailable.

Diagnosis
Nephrology

Acute Interstitial Nephritis (AIN) Risk Calculator

Logistic model to estimate the prebiopsy probability of biopsy-proven AIN in adults already selected for nephrology or native-kidney-biopsy evaluation.

Acute kidney injury · Diagnosis
Gastroenterology

Acute Pancreatitis Prediction Model

Pre-imaging diagnostic score for adults with suspected acute pancreatitis and serum lipase >=3x ULN.

Diagnosis · Emergency care
Cardiology

Acute Renal Failure after Cardiac Surgery (Thakar Score)

Preoperative point score for dialysis-requiring acute renal failure risk after adult cardiac surgery.

Cardiac surgery · Nephrology
Endocrinology

ADA Diabetes Risk Test

Seven-ítem ADA/CDC questionnaire for screening adults for elevated prediabetes or type 2 diabetes risk.

Diabetes · Screening
Cardiology

ADAPT Protocol for Cardiac Event Risk

Binary classification of the original ADAPT chest-pain protocol using TIMI, ECG findings, and 0-hour and 2-hour troponin status.

Chest pain · Emergency medicine
Oncology

Additional Nodal Metastasis Nomogram

Estimates the probability of additional axillary non-sentinel lymph-node metastasis after a positive sentinel lymph-node biopsy.

Surgery · Breast
Psychiatry

Adult Self-Report Scale (ASRS v1.1) for ADHD

Standalone ASRS v1.1 Part A screener for adult ADHD using the official 6-item positive-threshold map.

ADHD · Screening
Emergency

Alvarado Score for Acute Appendicitis

8-item MANTRELS score for suspected acute appendicitis with low-, intermediate-, and high-risk bands.

Surgery · Abdominal pain
Dermatology

ALT-70 Score for Cellulitis

Helps differentiate lower-extremity cellulitis from pseudocellulitis in adults.

Infectious Diseases · Emergency Medicine
Emergency medicine

Altitude-Adjusted PERC Rule

Bedside check of the published high-altitude PERC variant using SpO2 >=90% in the original study setting.

Pulmonary embolism · Clinical decision rule
Urology

American Urological Association Symptom Index (AUA-SI)/International Prostate Symptom Score (IPSS)

Lower urinary tract symptom questionnaire for adults, with a 0-35 symptom total and an optional separate quality-of-life item.

Lower urinary tract symptoms · BPH
Rheumatology

Ankylosing Spondylitis Disease Activity Score with CRP (ASDAS-CRP)

Composite disease-activity index for ankylosing spondylitis or axial spondyloarthritis using CRP.

Axial spondyloarthritis · Disease activity
Rheumatology

Ankylosing Spondylitis Disease Activity Score with ESR (ASDAS-ESR)

Composite disease-activity index for ankylosing spondylitis or axial spondyloarthritis using ESR.

Disease activity · Axial spondyloarthritis
Toxicology

Antivenom Dosing Algorithm

Three-branch CroFab pathway for symptomatic North American crotalid envenomation in the United States.

Snakebite · Emergency medicine
Cardiology

Aortic Dissection Detection Risk Score (ADD-RS)

Pretest-probability score for acute aortic syndrome in adults assessed in emergency or acute care.

Critical care

APACHE II Score

Critically ill adults admitted to an ICU; original validation used 5,815 ICU admissions from 13 hospitals and the score is based on initial/worst first-24-hour data.

Surgery

Apfel Score for Postoperative Nausea and Vomiting

Adults undergoing surgery with inhalational/general anesthesia, used to estimate nausea or vomiting within 24 hours after surgery.

Anesthesiology
Neonatology

APGAR Score

Sums the five classic APGAR domains and returns the raw 0-10 newborn total.

Newborn assessment · Delivery room
Surgery

Appendicitis Inflammatory Response (AIR) Score

Clinical and laboratory score that supports assessment of suspected acute appendicitis.

Hematology

Academic Research Consortium for High Bleeding Risk (ARC-HBR) Criteria

Consensus classification of bleeding risk in adults undergoing percutaneous coronary intervention.

Pulmonology

ARISCAT Score for Postoperative Pulmonary Complications

Adults undergoing elective or emergency surgery with general, neuraxial, regional, or plexus block anesthesia for estimation of in-hospital postoperative pulmonary complication risk.

Surgery
Pulmonology

Arterial Blood Gas (ABG) Analyzer

Adult arterial acid-base interpretation from pH, PaCO2, and bicarbonate.

Critical care
Hematology

AST to Platelet Ratio Index (APRI)

Calculates APRI to support non-invasive assessment of liver fibrosis in the appropriate clinical context.

Gastroenterology

ATLAS Score for Clostridium Difficile Infection

Calculates the ATLAS score for treatment-response prognosis in established Clostridium difficile infection.

Alcohol use screening

AUDIT-C for Alcohol Use

Three-question AUDIT-C screen for hazardous alcohol use in adults.

Anesthesiology

ASA Physical Status/ASA Classification

Patients of any age receiving anesthesia care after preanesthesia evaluation, when a clinician has already assigned an ASA Physical Status class.

Rheumatology

ASAS Criteria for Axial Spondyloarthritis (SpA)

Applies the published 2009 ASAS classification criteria for axial spondyloarthritis through the imaging or HLA-B27 clinical arm.

Rheumatology

ASAS Criteria for Peripheral SpondyloArthritis (SpA)

Patients being classified for peripheral spondyloarthritis who currently have peripheral arthritis and/or enthesitis and/or dactylitis. The main supporting study enrolled newly referred, undiagnosed patients whose peripheral manifestations usually began before 45 years of age.

Inflammatory arthritis
Cardiology

ASCVD risk algorithm including known ASCVD

Legacy AHA/ACC pathway for known ASCVD, LDL-C thresholds, diabetes, and 10-year PCE risk.

Pulmonology

Asthma Impairment and Risk Questionnaire (AIRQ)

A 10-question tool for classifying asthma control in people aged 12 years and older with diagnosed asthma.

Depression screening

Questionário de Saúde do Doente-9 (PHQ-9)

Sums the nine standard English PHQ-9 items and presents the source-native severity category.

Mental health · Primary care
Pulmonology

Asthma Predictive Index (API)

Standalone implementation of the original stringent API to estimate future school-age asthma risk in young children with early wheezing.

Allergy · Pediatrics
Emergency medicine

ASTRAL Score for Ischemic Stroke

Admission score for estimating 3-month unfavorable functional outcome after acute ischemic stroke.

Oncology

Asymptomatic Myeloma Prognosis

For clinician use as a legacy prognostic aid; verify inputs and interpret alongside current specialist assessment.

Hematology

ATRIA Bleeding Risk Score

Patients with atrial fibrillation receiving warfarin anticoagulation, consistent with the ATRIA derivation cohort.

Hematology

ATRIA bleeding score

Educational bleeding-risk estimate only. Confirm every ATRIA input clinically and do not use the score as the sole reason to withhold anticoagulation.

Cardiology

ATRIA Stroke Risk Score

Patients with nonvalvular atrial fibrillation undergoing thromboembolic risk stratification; source cohorts were evaluated during time off warfarin.

Neurology
Pharmacology and toxicology

Atropine Dosing for Cholinesterase Inhibitor Toxicity

Standalone starting-dose aid with a pediatric weight-based branch, adult fixed range, and optional maintenance infusión estimate.

Cardiology

American University of Beirut (AUB)-HAS2 Cardiovascular Risk Index

Preoperative index for cardiovascular risk assessment in adults undergoing noncardiac surgery.

Endocrinology

Australian Type 2 Diabetes Risk (AUSDRISK) Assessment Tool

Australian 12-item questionnaire that estimates 5-year risk of developing type 2 diabetes.

Preventive medicine · Primary care
Hematology

BALL Score for Relapsed/Refractory CLL

Previously treated patients with relapsed/refractory chronic lymphocytic leukemia being assessed for overall-survival risk; the derivation report described use across targeted therapies and chemoimmunotherapy.

Oncology
Emergency medicine

BAP-65 Score for Acute Exacerbation of COPD

Patients presenting to the emergency department or hospitalized with an acute exacerbation of COPD, using admission-time clinical data.

Pulmonology
Pulmonology

CRB-65 Score for Pneumonia Severity

Urea-free CRB-65 score for severity assessment in adults with community-acquired pneumonia.

Community-acquired pneumonia
Diabetes

BeAM Value

Difference between bedtime glucose and next-morning fasting glucose in adults with type 2 diabetes using basal insulin.

Critical care

Bicarbonate Deficit

Estimates total bicarbonate deficit in adults with metabolic acidosis using the fixed 0.5 bedside formula and a clinician-selected target.

Oncology

Assure Renal Cell Carcinoma (RCC) Prognosis

Postoperative ASSURE prognostic model for disease-free and overall survival after resection of intermediate- or high-risk localized RCC.

Urology
Neurology

Barnes Jewish Hospital Stroke Dysphagia Screen

Educational screening support only. Interpret this bedside screen within an adult acute-stroke clinical pathway; a failed screen requires appropriate formal swallowing evaluation and does not diagnose dysphagia or aspiration.

Pediatrics

Behavioral Observational Pain Scale (BOPS) for Post-Op Pediatric Pain

Observational postoperative pediatric pain score based on facial expression, verbalization, and body position.

Critical care

Behavioral Pain Scale (BPS) for Pain Assessment in Intubated Patients

Observational ICU pain assessment tool for intubated, mechanically ventilated adults who cannot reliably self-report pain.

Pharmacology and toxicology

Benzodiazepine Conversion Calculator

For clinician review only. This approximate conversion does not replace prescribing information or individualized clinical judgment.

Rehabilitation

Berg Balance Scale (BBS)

Sum of the 14 Berg Balance Scale items, with each item scored from 0 to 4 and a total range of 0 to 56 points.

Hematology

Binet Staging System for Chronic Lymphocytic Leukemia (CLL)

Classifies CLL as stage A, B, or C using involved areas and strict anemia or thrombocytopenia thresholds.

Oncology
Gastroenterology

BISAP Score for Pancreatitis Mortality

Five-component score for early stratification of in-hospital mortality risk in acute pancreatitis.

Critical care · Emergency medicine
Cardiovascular Risk Assessment

SCORE2

Sex-specific, regionally recalibrated SCORE2 estimate of 10-year CVD risk.

Preventive Cardiology
Preventive Cardiology

SCORE2-Older Persons

SCORE2-OP estimate of 10-year incident cardiovascular disease risk for older European adults.

Cardiovascular Risk Assessment
Emergency Medicine

Wells Criteria for Pulmonary Embolism

Original weighted Wells score for pulmonary embolism with three-tier and two-tier interpretations.

Pulmonary Embolism
Gastroenterology

Glasgow-Blatchford Bleeding Score

Original weighted pre-endoscopy score for acute upper gastrointestinal bleeding.

Gastrointestinal bleeding
Certifications and Compliance

1.1.1 © 2024-2026 Medgical