|
Shwachman Score |
|
Total
score
|
Points
|
General
activity
|
Physical
examination
|
Nutrition
|
X
ray findings
|
|
Excellent (86-100) |
25
|
normal
|
normal
|
normal
|
normal
|
|
Good (71-85) |
20
|
lack
of endurance
|
rare
cough, no clubbing, minimal hyperinflation
|
stools
slightly abnormal
|
minimal
accentuation of bronchovascular markings, early hyperinflation
|
|
Mild (56-70) |
15
|
tires
easily after exertion
|
occasional
cough wheeze, increased respiratory rate early clubbing
|
stools
often abnormal, minimal abdo distension, reduced muscle mass
|
mild
hyperinflation, patchy atelectasis, increases bronchoalveolar markings
|
|
Moderate (41-55) |
10
|
home
teacher dyspnoea after short walk
|
frequent
cough, clubbing, moderate hyperinflation crackles and wheezes
|
wt
and ht below the 3rd centile, offensive stools, reduced muscle mass
|
moderate
hyperinflation, widespread atelectasis and areas of infection
|
|
Severe <40 |
5
|
orthopnoea
stays in chair or bed
|
tachypnoea,
tachycardia, extensive crackles, cyanosis, severe clubbing
|
marked
malnutrition, rectal prolapse,etc
|
severe
hyperinflation, lobar atelectasis and bronchiectasis. nodules/cysts, cardiac
enlargement
|
|
Maximum score 100 Reference Shwachman H, Kulczycki LL. Longterm study of one hundred and five patients with cystic fibrosis: studies made over a five to fourteen year period. Am J Dis Child 1958; 96: 6-15 |
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