Birmingham Vasculitis Activity Score | Medical Algorithm

Are you evaluating a patient with Wegener's granulomatosis?

Yes

Baseline serum creatinine

Current serum creatinine

Select an appropriate answer for each finding

Gangrene

Scleritis

Retinal exudate or hemorrhage

Sensorineural deafness

Mesenteric ischemia

Alveolar hemorrhage

Respiratory failure

RBC casts in the urine

Major decline in renal function

Meningitis

Spinal cord lesion

Stroke

Cranial nerve palsy

Sensory peripheral neuropathy

Motor mononeuritis multiplex

Arthralgias or arthritis

Fever (temperature >= 38°C)

Purpura

Skin ulcer

Mouth ulcers

Conjunctivitis or episcleritis

Retro-obital mass or proptosis

Uveitis

Bloody nasal discharge, crusting, ulcer

Sinus involvement

Swollen salivary gland

Subglottic inflammation

Conductive deafness

Pericarditis

Pleurisy

Pulmonary nodules or cavities

Other pulmonary infiltrate from WG

Endobronchial involvement

Hematuria without red blood cell casts

Number of other major items that are new or worse

Number of other major items that are persistent

Number of other minor items that are new or worse

Number of other minor items that are persistent

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Wegener's Granulomatosis | Modified Birmingham Vasculitis Activity Score (BVAS)

Purpose: To evaluate disease activity in a patient with Wegener's granulomatosis (WG) using the modified BVAS of Stone et al.