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Case Example Quiz 1.1

PASI scoring case example
Created 2019.
 
This exercise will demonstrate a PASI scoring case. 
 
If you haven't already done the Introduction and Practise exercises, you should go do those now.
 
[Link]
 
This exercise should take you about 10 minutes to complete.
 
When you have completed this exercise you will receive a certificate which you can download.
 
Learning objective
  • To assess your ability to competently use the PASI scoring system.
Contents
Section 1: scoring the head
Section 2: scoring the arms
Section 3: scoring the trunk
Section 4: scoring the legs
Section 5: calculating the PASI Score
 
Fortunately, you will not need to calculate these scores manually. Click here for a useful online PASI calculator.
 
 
Disclaimer
This online exercise is intended to familiarise health professionals with PASI scoring. DermNet NZ does not offer any guarantee of accuracy, but if you see any errors or omissions, please let us know at http://dermnetnz.org/contactus/ so that we can correct them.
 
Author: Sam MacGill, Medical Student, University of Otago, New Zealand
Editor: Adjunct A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand
Images: Waikato District Health Board, New Zealand
Thank you to Prof Richard Langley for scoring advice.
Abbvie provided an educational grant towards the costs of providing this course.
PASI scoring case example
Created 2019.
 
This exercise will demonstrate a PASI scoring case. 
 
If you haven't already done the Introduction and Practise exercises, you should go do those now.
 
[Link]
 
This exercise should take you about 10 minutes to complete.
 
When you have completed this exercise you will receive a certificate which you can download.
 
Learning objective
  • To assess your ability to competently use the PASI scoring system.
Contents
Section 1: scoring the head
Section 2: scoring the arms
Section 3: scoring the trunk
Section 4: scoring the legs
Section 5: calculating the PASI Score
 
Fortunately, you will not need to calculate these scores manually. Click here for a useful online PASI calculator.
 
 
Disclaimer
This online exercise is intended to familiarise health professionals with PASI scoring. DermNet NZ does not offer any guarantee of accuracy, but if you see any errors or omissions, please let us know at http://dermnetnz.org/contactus/ so that we can correct them.
 
Author: Sam MacGill, Medical Student, University of Otago, New Zealand
Editor: Adjunct A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand
Images: Waikato District Health Board, New Zealand
Thank you to Prof Richard Langley for scoring advice.
Abbvie provided an educational grant towards the costs of providing this course.
Section 1: scoring the head - area
 
What is the area score for this patient's head?
Area score 0: none
Area score 1: < 10%
Area score 2: 10–29%
Area score 3: 30–49%
Area score 4: 50–69%
Area score 5: 70–89%
Area score 6: 90–100%
Section 1: scoring the head - erythema
 
What erythema score would you give for this patient's head?
Erythema score 0: absent
Erythema score 1: mild
Erythema score 2: moderate
Erythema score 3: severe
Erythema score 4: very severe
Section 1: scoring the head - induration
 
What induration score would you give for this patient's head?
Induration score 0: absent
Induration score 1: mild
Induration score 2: moderate
Induration score 3: severe
Induration score 4: very severe
Section 1: scoring the head — desquamation
 
What desquamation score would you give for this patient's head?
Desquamation score 0: no scale
Desquamation score 1: mainly fine scale, some of lesion covered
Desquamation score 2: coarser, thin scale, most of lesion covered
Desquamation score 3: coarser, thick scale, most of lesion covered, rough
Desquamation score 4: very thick scale, all of lesion covered, very rough
What is the total for the head?
 
Section 1: scoring the head - weighting
 
What is the weighting factor for the head?
0.1
0.2
0.3
0.4
Section 2: scoring the arms - area
 
What is the area score for this patient's arms?
Area score 0: none
Area score 1: < 10%
Area score 2: 10–29%
Area score 3: 30–49%
Area score 4: 50–69%
Area score 5: 70–89%
Area score 6: 90–100%
Section 2: scoring the arms - erythema
 
What erythema score would you give for this patient's arms?
Erythema score 0: absent
Erythema score 1: mild
Erythema score 2: moderate
Erythema score 3: severe
Erythema score 4: very severe
Section 2: scoring the arms - induration
 
What induration score would you give for this patient's arms?
Induration score 0: absent
Induration score 1: mild
Induration score 2: moderate
Induration score 3: severe
Induration score 4: very severe
Section 2: scoring the arms - desquamation
 
What desquamation score would you give for this patient's arms?
Desquamation score 0: no scale
Desquamation score 1: mainly fine scale, some of lesion covered
Desquamation score 2: coarser, thin scale, most of lesion covered
Desquamation score 3: coarser, thick scale, most of lesion covered, rough
Desquamation score 4: very thick scale, all of lesion covered, very rough
 
What is the total for the arms?
 
Section 2: scoring the arms - weighting
 
What is the weighting factor for the arms?
0.1
0.2
0.3
0.4
Section 3: scoring the trunk - area
 
What is the area score for this patient's trunk?
Area score 0: none
Area score 1: < 10%
Area score 2: 10–29%
Area score 3: 30–49%
Area score 4: 50–69%
Area score 5: 70–89%
Area score 6: 90–100%
What is the score for the trunk?
 
Section 3: scoring the trunk - weighting
 
What is the weighting factor for the trunk?
0.1
0.2
0.3
0.4
Section 4: scoring the legs - area
 
What is the area score for this patient's legs?
Area score 0: none
Area score 1: < 10%
Area score 2: 10–29%
Area score 3: 30–49%
Area score 4: 50–69%
Area score 5: 70–89%
Area score 6: 90–100%
Section 4: scoring the legs - erythema
 
What erythema score would you give for this patient's legs?
Erythema score 0: absent
Erythema score 1: mild
Erythema score 2: moderate
Erythema score 3: severe
Erythema score 4: very severe
Section 4: scoring the legs - induration
 
What induration score would you give for this patient's legs?
Induration score 0: absent
Induration score 1: mild
Induration score 2: moderate
Induration score 3: severe
Induration score 4: very severe
Section 4: scoring the legs - desquamation
 
What desquamation score would you give for this patient's legs?
Desquamation score 0: no scale
Desquamation score 1: mainly fine scale, some of lesion covered
Desquamation score 2: coarser, thin scale, most of lesion covered
Desquamation score 3: coarser, thick scale, most of lesion covered, rough
Desquamation score 4: very thick scale, all of lesion covered, very rough
What is the total for the legs?
 
Section 4: scoring the legs - weighting
 
What is the weighting factor for the legs?
0.1
0.2
0.3
0.4
 
What is this patient's total PASI score?
 
Fortunately, it's not necessary to do these calculations manually. Here is a link to a PASI calculator you may find useful:
 
 
Fortunately, it's not necessary to do these calculations manually. Here is a link to a PASI calculator you may find useful:
 
 
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