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Score of Ralph et al for Grading the Chest X-ray of a Patient with Smear-Positive Pulmonary Tuberculosis (Timika Score)

Description

Ralph et al reported a simple score for grading changes seen on the chest X-ray of patients with pulmonary tuberculosis. The authors are from multiple institutions in Australia and Indonesia including the District Health Authority in Timika, Papua Province, Indonesia.


Patient selection: smear-positive pulmonary tuberculosis

 

Parameters:

(1) percent of lung affected (consolidation, nodules, fibrosis, cavitation)

(2) cavitary disease

 

Parameter

Finding

Points

percent of lung affected

 

(percent)

cavitary disease

absent

0

 

present

40

 

total score =

= SUM(points for both parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 140

• The higher the score the more severe the pulmonary disease.


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