Revised Geneva Score Calculator
Pulmonary embolism probability assessment tool for emergency diagnosis
Assess Pulmonary Embolism Risk
Revised Geneva Score Results
Clinical Interpretation
Low clinical probability of pulmonary embolism. PE probability: 8-10%.
Clinical Recommendations
Check D-dimer level
Low risk patients require D-dimer evaluation. If D-dimer is normal, PE is unlikely.
Clinical Significance
Example Case
High-Risk Patient
Patient: 70-year-old woman with sudden onset dyspnea
History: Recent hip fracture surgery, active breast cancer
Symptoms: Unilateral leg swelling, hemoptysis, tachycardia (HR 98)
Geneva Score Assessment
✓ Age >65 years: +1 point
✓ Recent surgery: +2 points
✓ Active malignancy: +2 points
✓ Hemoptysis: +2 points
✓ Heart rate ≥95/min: +5 points
✓ Unilateral edema: +4 points
Total Geneva Score: 16 points (High Risk)
Recommendation: Urgent CT pulmonary angiography
Risk Classification
2-Level System
3-Level System
PE Signs & Symptoms
Common Symptoms
- • Sudden shortness of breath
- • Chest pain (pleuritic)
- • Hemoptysis (coughing blood)
- • Rapid heart rate
- • Leg pain/swelling (DVT signs)
Severe Signs
- • Cyanosis (blue discoloration)
- • Loss of consciousness
- • Hypotension
- • Severe hypoxemia
Diagnostic Workflow
Low Risk (0-3 points)
- • Order D-dimer test
- • If normal: PE unlikely
- • If elevated: Consider CT
Intermediate Risk (4-10)
- • Order D-dimer test
- • If elevated: CT required
- • Consider clinical probability
High Risk (≥11)
- • Urgent CT pulmonary angiography
- • Consider empirical anticoagulation
- • Emergency management
Understanding the Revised Geneva Score
What is Pulmonary Embolism?
Pulmonary embolism (PE) is a serious condition caused by a blood clot blocking a pulmonary artery. The clot typically originates from deep vein thrombosis (DVT) in the legs and travels to the lungs. PE can be life-threatening, with 30% mortality if undiagnosed, but only 2% when properly treated.
Clinical Significance
- •Rapid diagnostic assessment tool
- •Standardized clinical probability assessment
- •Guides diagnostic imaging decisions
- •Reduces unnecessary testing
Scoring System
Nine clinical variables
Each factor assigned specific points (1-5)
Advantages
- •Objective clinical criteria
- •Less subjective than Wells Score
- •No invasive measurements required
- •Validated in emergency departments
Important: The Geneva Score should be used in conjunction with D-dimer testing and clinical judgment for optimal diagnostic accuracy.
Medical Disclaimer
This Revised Geneva Score calculator is intended for educational and informational purposes only. It should not be used as a substitute for professional medical advice, diagnosis, or treatment. Pulmonary embolism is a life-threatening emergency that requires immediate medical evaluation and treatment. The Geneva Score should be interpreted by qualified healthcare professionals as part of a comprehensive clinical assessment including D-dimer testing and appropriate imaging studies. Clinical decisions regarding PE diagnosis and treatment should always consider the complete clinical picture, patient-specific factors, and current medical guidelines. In cases of suspected PE, seek immediate emergency medical care. This tool does not replace clinical judgment or the need for appropriate medical evaluation and emergency care.