Widget:DVT Wells score calculator: Difference between revisions

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<form name="DVTCalc">
<form name="DVTCalc">
<table>
<table>
 
<tbody style="border: 0; float: left; position: float; background: #104E8B; border-radius: 10px 10px 10px 10px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); margin: 0 0 0 0; padding: 5px 5px; font-weight: bold;">
<tr><td>Active cancer (treatment within last 6 months or palliative) </td><td><input type="checkbox" name="input1" value="1.0" onchange="calcScore();" /></td></tr>
<tr>
<tr><td>Calf swelling >3 cm compared to other calf (measured 10 cm below tibial tuberosity) </td><td><input type="checkbox" name="input2" value="1.0" onchange="calcScore();" /></td></tr>
<td style="text-align: center;" colspan="3"><span style="color: #ffffff;"><strong>Wells score calculator for DVT</strong></span></td>
<tr><td>Collateral superficial veins (non-varicose) </td><td><input type="checkbox" name="input3" value="1.0" onchange="calcScore();" /></td></tr>
</tr>
<tr><td>Pitting edema (confined to symptomatic leg) </td><td><input type="checkbox" name="input4" value="1.0" onchange="calcScore();" /></td></tr>
<tr>
 
<td style="color: #4479ba; background: #ffffff; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px 0px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px;"><strong>Variable</strong></td>
<tr><td>Swelling of entire leg </td><td><input type="checkbox" name="input5" value="1.0" onchange="calcScore();" /></td></tr>
<td style="color: #4479ba; background: #ffffff; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px 0px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>Score</strong></td>
 
<td style="text-align: left; color: #4479ba; background: #ffffff; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"> </td>
<tr><td>Localized pain along distribution of deep venous system </td><td><input type="checkbox" name="input6" value="1.0" onchange="calcScore();" /></td></tr>
</tr>
 
<tr>
<tr><td>Paralysis, paresis, or recent cast immobilization of lower extremities </td><td><input type="checkbox" name="input7" value="1.0" onchange="calcScore();" /></td></tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Active cancer (treatment within last 6 months or palliative) </td>
<tr><td>Recently bedridden > 3 days, or major surgery requiring regional or general anesthetic in past 12 weeks </td><td><input type="checkbox" name="input8" value="1.0" onchange="calcScore();" /></td></tr>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<tr><td>Previously documented DVT </td><td><input type="checkbox" name="input9" value="1.0" onchange="calcScore();" /></td></tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input1" type="checkbox" value="1.0" onchange="calcScore();" /></td>
<tr><td>Alternative diagnosis at least as likely </td><td><input type="checkbox" name="input10" value="- 2.0" onchange="calcScore();" /></td></tr>
</tr>
 
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Calf swelling >3 cm compared to other calf (measured 10 cm below tibial tuberosity)</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input2" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Collateral superficial veins (non-varicose)</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input3" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Pitting edema (confined to symptomatic leg)</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input4" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Swelling of entire leg</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input5" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Localized pain along distribution of deep venous system</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input6" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Paralysis, paresis, or recent cast immobilization of lower extremities</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input7" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Recently bedridden > 3 days, or major surgery requiring regional or general anesthetic in past 12 weeks</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input8" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Previously documented DVT</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>1</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input9" type="checkbox" value="1.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);">Alternative diagnosis at least as likely</td>
<td style="color: #ffffff; background: #4479ba; padding: 2px 10px; border-radius: 5px; text-shadow: rgba(0, 0, 0, 0.5) 0px -1px 0px; box-shadow: rgba(0, 0, 0, 0.5) 0px 1px 1px; text-align: center;"><strong>-2</strong></td>
<td style="text-align: left; color: #ffffff; background: #4479BA; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);"><input style="top: 4px; width: 24px; height: 24px;" name="input10" type="checkbox" value="-2.0" onchange="calcScore();" /></td>
</tr>
<tr>
<td style="text-align: left; color: #4479BA; background: #ffffff; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" colspan="3">Wells Score: <input name="result" type="text" style="border: white"/></td>
</tr>
<tr>
<td style="text-align: left; color: #4479BA; background: #ffffff; padding: 2px 10px; border-radius: 5px 5px 5px 5px; text-shadow: 0 0 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5);" colspan="3">Interpretation:<input name="longanswer" size="50" type="text" style="border: white"/></td>
</tr>
</tbody>
</table>
</table>
Score: <input type="text" name="result" /><br />
<input type="text" size="80" name="longanswer" />
</form>
</form>


</includeonly>
</includeonly>

Revision as of 18:54, 28 October 2018

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