Surgical Calculators

Evidence-based scoring systems, formulas, and classification tools for surgical residents and NEET SS preparation.

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General Surgery

23
Formula

BMI Calculator

Body Mass Index with weight class interpretation.

Formula

Fluid Maintenance

Daily fluid requirement using Holliday-Segar method.

Formula

Parkland Formula

Burn fluid resuscitation calculator for the first 24 hours.

Formula

Corrected Sodium

Sodium correction in the setting of hyperglycaemia.

Formula

Anion Gap

Metabolic acidosis evaluation — Na, Cl, HCO3 inputs.

Formula

Creatinine Clearance

Renal function via Cockcroft-Gault equation.

Score

Child-Pugh Score

Liver cirrhosis severity — Class A, B, or C assessment.

Score

MELD Score

Model for End-Stage Liver Disease — mortality prediction.

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Ranson Criteria

Acute pancreatitis severity — admission and 48h criteria.

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BISAP Score

Pancreatitis mortality risk — 5 bedside criteria.

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APACHE II

ICU severity and mortality scoring system.

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SOFA Score

Sequential Organ Failure Assessment for ICU patients.

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qSOFA

Rapid bedside sepsis screening — 3 quick criteria.

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Wells Score

DVT and PE pre-test probability assessment.

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Caprini DVT Score

Venous thromboembolism risk stratification tool.

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Revised Cardiac Risk Index

Lee index for perioperative cardiac risk — 6 criteria.

Reference

ASA Classification

Preoperative physical status grading (I-VI).

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LRINEC Score

Necrotizing fasciitis risk — laboratory risk indicator.

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Alvarado Score

Appendicitis clinical scoring — MANTRELS system.

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RIPASA Score

Appendicitis assessment validated for Asian populations.

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Boey Score

Perforated peptic ulcer — 3-factor mortality prediction.

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Mannheim Peritonitis Index

Peritonitis severity and mortality assessment.

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Fournier Severity Index

Fournier gangrene severity — vital signs and labs.

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Vascular Surgery

5
Formula

ABI Calculator

Ankle-Brachial Index — peripheral arterial disease screening.

Reference

WIfI Classification

Wound, Ischemia, Foot Infection — limb threat staging.

Reference

Rutherford Classification

Peripheral arterial disease clinical staging (0-6).

Reference

CEAP Classification

Chronic venous disease — Clinical, Etiology, Anatomy, Pathophysiology.

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Villalta Score

Post-thrombotic syndrome severity assessment.

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Colorectal Surgery

3
Reference

Hinchey Classification

Complicated diverticulitis — 4-stage severity system.

Reference

TNM Staging Lookup

Cancer staging quick reference for colorectal tumours.

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LARS Score

Low Anterior Resection Syndrome — patient-reported outcome.

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Breast Surgery

2
Reference

BI-RADS

Breast Imaging Reporting and Data System — categories 0-6.

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Gail Risk Model

5-year breast cancer risk estimation.

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Thyroid Surgery

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Reference

Bethesda Classification

Thyroid cytology reporting — 6 diagnostic categories.

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Trauma

5
Score

Glasgow Coma Scale

Neurological status — Eye, Verbal, Motor response scoring.

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RTS Score

Revised Trauma Score — GCS, SBP, and respiratory rate.

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ISS Score

Injury Severity Score — top 3 AIS body region scores.

Reference

ATLS Shock Classification

Haemorrhagic shock staging — Class I through IV.

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Pediatric Trauma Score

Trauma triage and severity in paediatric patients.

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Pediatric Surgery

6
Formula

Broselow Estimation

Paediatric emergency weight estimation from height/length.

Formula

Pediatric Fluid Calculator

Weight-based fluid management for paediatric patients.

Formula

Tube Size Calculator

Endotracheal tube size estimation from age.

Formula

Maintenance Fluid

Holliday-Segar maintenance fluid calculation.

Score

Neonatal Sepsis Risk Tools

Early-onset neonatal sepsis risk evaluation.

Reference

Congenital Anomaly Quick Guides

Rapid reference for common paediatric surgical anomalies.

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Oncology TNM Staging

8
Reference

Gastric Cancer TNM

AJCC 8th edition T1a-T4b staging with N0-N3b and stage grouping.

Reference

Oesophageal Cancer TNM

AJCC 8th ed. — SCC and adenocarcinoma with grade-based staging.

Reference

Pancreatic Cancer TNM

AJCC 8th ed. with resectability criteria (resectable/borderline/unresectable).

Reference

Breast Cancer TNM

AJCC 8th ed. T0-T4d, N0-N3, M staging with anatomic stage grouping.

Reference

Thyroid Cancer TNM

AJCC 8th ed. — age-stratified staging for differentiated thyroid cancer.

Reference

HCC TNM + Milan Criteria

AJCC 8th ed. liver cancer staging plus transplant eligibility criteria.

Reference

Gallbladder Cancer TNM

AJCC 8th ed. T1a-T4 with hepatic vs peritoneal surface distinction.

Reference

Melanoma TNM

AJCC 8th ed. Breslow thickness, ulceration, mitotic rate staging.

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Imaging Classifications

4
Score

ACR TI-RADS

Thyroid Imaging Reporting and Data System — TR1 to TR5 with FNA thresholds.

Reference

LI-RADS

Liver Imaging Reporting and Data System — LR-1 to LR-5, LR-M, LR-TIV for HCC.

Reference

PI-RADS

Prostate Imaging Reporting and Data System v2.1 — categories 1-5.

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Peritoneal Carcinomatosis Index

13-region PCI scoring — HIPEC eligibility and cytoreduction planning.

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Hepatobiliary & Pancreatic Surgery

8
Reference

BCLC Staging

Barcelona Clinic Liver Cancer — links tumour burden, liver function, PS to treatment.

Formula

ALBI Score

Albumin-Bilirubin grade — objective liver function assessment (alternative to Child-Pugh).

Formula

MELD-Na Score

MELD plus serum sodium — improved transplant waitlist prioritisation.

Formula

Future Liver Remnant (FLR)

FLR% from measured volume and BSA — portal vein embolisation threshold calculator.

Reference

Bismuth-Corlette Classification

Hilar cholangiocarcinoma (Klatskin tumour) — Types I, II, IIIa/b, IV with resectability.

Reference

Strasberg Classification

Bile duct injuries at laparoscopic cholecystectomy — Types A through E5.

Reference

ISGPF Pancreatic Fistula

Post-pancreatectomy fistula grading — Biochemical Leak, Grade B, Grade C.

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Fong Clinical Risk Score

Colorectal liver metastases — 5-factor resection outcome predictor.

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Perioperative & ICU

9
Score

P-POSSUM Score

Portsmouth POSSUM — predicted morbidity and mortality for surgical patients.

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Surgical Apgar Score

Intraoperative risk — EBL, lowest HR, lowest MAP during surgery.

Reference

Clinical Frailty Scale

1–9 frailty grading — powerful predictor of postoperative mortality.

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NRS-2002

Nutritional Risk Screening — preoperative malnutrition assessment tool.

Reference

Clavien-Dindo Classification

Postoperative complication grading — Grades I through V.

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CHA₂DS₂-VASc Score

AF stroke risk — guides perioperative anticoagulation decisions.

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HAS-BLED Score

Bleeding risk on anticoagulation — helps balance risk vs benefit.

Reference

RASS Scale

Richmond Agitation-Sedation Scale — ICU sedation target guide (+4 to −5).

Reference

CAM-ICU

Confusion Assessment Method — ICU delirium screening tool and algorithm.

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Trauma & Orthopaedic

7
Score

MESS Score

Mangled Extremity Severity Score — limb salvage vs amputation threshold (≥7).

Reference

Gustilo-Anderson

Open fracture classification — Types I, II, IIIa/b/c with infection risk and management.

Reference

Garden Classification

Femoral neck fracture grading I–IV with AVN risk and management guide.

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NEXUS Criteria

5-criterion C-spine clinical clearance rule — avoids unnecessary CT imaging.

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TASH Score

Trauma-Associated Severe Haemorrhage — massive transfusion prediction.

Reference

Ottawa Rules

Ankle, foot, and knee X-ray decision rules — reduces unnecessary imaging.

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MIRELS Score

Metastatic bone disease — prophylactic fixation threshold (≥9).

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Drug & Dose Calculators

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Formula

Vasopressor Calculator

Noradrenaline, adrenaline, dopamine — mcg/kg/min to mL/hr converter with dose range guide.

Formula

Antibiotic Dosing

Vancomycin, gentamicin, pip-tazo — weight and renal function adjusted doses with intervals.

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TPN / Nutrition Calculator

Harris-Benedict BMR with stress factors — daily calorie, protein, and fluid targets.

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Blood Product Dosing

pRBC, FFP, platelets, cryoprecipitate — dose by weight and target values.

Reference

Antibiotic Prophylaxis Guide

Procedure-based prophylaxis — agent, dose, timing, and penicillin allergy alternatives.

Reference

Insulin Infusion Guide

IV insulin protocol for ICU glycaemic control — BGL targets and rate adjustment guide.

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