Mountain Medicine Society of Nepal scoring Page 2
6.Change in mental status:
No change 0 ____ ____ ____ ____
Lethargy/lassitude 1 ____ ____ ____ ____
Disoriented/confused 2 ____ ____ ____ ____
Stupor/semiconsciousness 3 ____ ____ ____ ____
7.Ataxia (heel to toe walking):
No ataxia 0 ____ ____ ____ ____
Maneuvers to maintain balance 1 ____ ____ ____ ____
Steps off line 2 ____ ____ ____ ____
Falls down 3 ____ ____ ____ ____
Can't stand 4 ____ ____ ____ ____
8.Peripheral edema:
No edema 0 ____ ____ ____ ____
One location 1 ____ ____ ____ ____
Two or more locations 2 ____ ____ ____ ____
Clinical Assessment Score:
____ ____ ____ ____
Total Score (Symptom + Clinical):
____ ____ ____ ____