関: 発熱

also see step beyond resident 2 救急で必ず出会う疾患編 p.22

乳幼児の感染症の重症度を判定する指標。
視診のみで判定可能。
Yale Observation Scaleは、重症感染症としての確定には価値は少なく (陰性尤度比 range 1·10—6·70)し、除外価値も少ない (陰性尤度比 range 0·16—0·97)。(参考3)

スコア表

	正常	中等度異常	高度異常
	各1点	各3点	各5点
泣き方	無し、強い	すすり泣き、泣きじゃくり	弱々しい、うなる、反応なし
親の刺激	・少し泣くだけ・泣かない、満足	泣いたり泣き止んだり	ほとんど刺激に反応しないで、泣き続ける
覚醒状態	覚醒、すぐ起きる	・刺激を加え続けて開眼する・傾眠	寝てばかり、起きない
色	ピンク	四肢チアノーゼ	全身チアノーゼ、まだら、青白い
脱水の有無	正常、湿潤	口腔内乾燥	皮膚乾燥、Turgor低下、眼球陥没
社交性	笑う、意識清明	少し笑う、意識あり	笑顔無し、不穏、意識混濁、意識無し

評価

重篤な疾患の確率

スコア	確率(%)
6～10点	3
11～15点	23
15点以上	93

参考

1.

http://www2.nsknet.or.jp/~s-yoshi/kouseizai2.htm

2.

http://www.yodosha.co.jp/rnote/me/q42.html

3.

http://blog.goo.ne.jp/dbqmw440/e/7bf718a66db9b28d606f0a56192a2c29

WordNet

take by attacking with scaling ladders; "The troops scaled the walls of the fort"
a specialized leaf or bract that protects a bud or catkin (同)scale leaf
an ordered reference standard; "judging on a scale of 1 to 10" (同)scale of measurement, graduated table, ordered series
relative magnitude; "they entertained on a grand scale"
size or measure according to a scale; "This model must be scaled down"
the ratio between the size of something and a representation of it; "the scale of the map"; "the scale of the model"
a measuring instrument for weighing; shows amount of mass (同)weighing machine
a flattened rigid plate forming part of the body covering of many animals
an indicator having a graduated sequence of marks
(music) a series of notes differing in pitch according to a specific scheme (usually within an octave) (同)musical scale
a thin flake of dead epidermis shed from the surface of the skin (同)scurf, exfoliation
remove the scales from; "scale fish" (同)descale
reach the highest point of; "We scaled the Mont Blanc" (同)surmount
climb up by means of a ladder
measure by or as if by a scale; "This bike scales only 25 pounds"
measure with or as if with scales; "scale the gold"
pattern, make, regulate, set, measure, or estimate according to some rate or standard
write a musical score for
a slight surface cut (especially a notch that is made to keep a tally) (同)scotch
a number that expresses the accomplishment of a team or an individual in a game or contest; "the score was 7 to 0"
an amount due (as at a restaurant or bar); "add it to my score and Ill settle later"
the act of scoring in a game or sport; "the winning score came with less than a minute left to play"
grounds; "dont do it on my account"; "the paper was rejected on account of its length"; "he tried to blame the victim but his success on that score was doubtful" (同)account
a written form of a musical composition; parts for different instruments appear on separate staves on large pages; "he studied the score of the sonata" (同)musical score
a set of twenty members; "a score were sent out but only one returned"
the facts about an actual situation; "he didnt know the score"
gain points in a game; "The home team scored many times"; "He hit a home run"; "He hit .300 in the past season" (同)hit, tally, rack_up
make underscoring marks (同)mark
make small marks into the surface of; "score the clay before firing it" (同)nock, mark
get a certain number or letter indicating quality or performance; "She scored high on the SAT"; "He scored a 200"
the act of arranging in a graduated series (同)grading
act of measuring or arranging or adjusting according to a scale
ascent by or as if by a ladder
English philanthropist who made contributions to a college in Connecticut that was renamed in his honor (1649-1721) (同)Elihu Yale
(used of armor) having overlapping metal plates attached to a leather backing

PrepTutorEJDIC

《しばしば複数形で》『てんびん』,はかり / てんびんのさら / 《重量を表す副詞[句]を伴って》…の目方(体重)がある / …‘を'てんびんではかる
(蛇・魚類などの)うろこ / うろこ状の物;(ペンキ・さび・ふけなどの)爆片 / 〈魚など〉‘の'うろこを取る;…‘の'皮をはぐ / (…から)〈ペンキなどの薄泰〉‘を'そぎ取る《+『名』+『off』(『from』)+『名』》 / (…から)〈ペンキなどが〉かげ落ちる《+『off』(『from』)+『名』》
『段階』,等級,階級 / 『比率』,縮尺 / (物差しなどの)『目盛り』 / (目盛りの付いた)『物差し』;温度計,(各種の)スケール / 『規模』,スケール / 音階 / 記数法,…進法 / …‘を'よじ登る / (…に合わせて)…‘を'調整する《+『名』+『to』+『名』》 / …‘を'縮尺で製図(設計)する
(ゲーム・競技の)『スコア』,得点記録 / (ゲーム・競技の)『得点』 / (試験の)点数,評点 / 《おもに文》20[の単位] / 《複数形で》多数(の…)《+『of』+『名』》 / 《まれ》勘定,借金 / 《単数形で》理由,根拠,原因 / (また『score mark』)刻み目,線,印 / 総譜,楽譜 / (ゲーム・競技で)〈点数〉‘を'『得点する』 / 〈競技〉‘の'得点を記録する / 〈得点〉‘を'〈人〉‘に'与える《+『名』〈人〉+『名』〈得点〉=+『名』〈得点〉+『to』(『for』)+『名』〈人〉》 / 〈試験〉‘を'採点する;(試験で)…‘の'点をとる《+『名』+『on』+『名』》 / (…で)…‘に'刻み目(印)をつける,線をひく《+『名』+『with』+『名』》 / 《米話》…‘を'こきおろす,酷評する / 《通例受動態で》(…のために)〈音楽〉‘を'作曲(編曲)する《+『for』+『名』》 / (ゲーム・競技で)『得点する』 / 優勢となる,成功する / 《俗》〈男が〉(女を)くどき落とす《+『with』+『名』》 / 《俗》麻薬を売う

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「scale」

　　[★]

n.

1. (魚・は虫類の)うろこ。(チョウ・ガの)鱗粉。(皮膚の)鱗屑。薄片。(植物)芽鱗、鱗片。(動物)カイガラムシ。(金属を熱したときにできる)薄い酸化膜、スケール。(ボイラーややかんの内側にできる)湯垢。歯石。
2. 目盛り、定規、物差し、尺度、基準。(地図などの)縮尺比、縮尺目盛り。階級、等級。規模、スケール
3. はかり、てんびん