Brodsky Tonsil Grading Scale

When it activates

Scribeable activates a calculator from the encounter. The Brodsky Tonsil Grading Scale can activate when the transcript or pasted chart context documents any of these:

• Tonsil size assessment
• Tonsillectomy candidacy
• Obstructive sleep apnea evaluation in children

Inputs the note needs

1 input. Each is resolved from the transcript, the pasted chart context and charted labs; at this calculator’s tier a missing input is never requested, and a missing required input keeps the score out of the draft.

Scoring

0=Within tonsillar fossa, 1=<25% of airway, 2=25-50%, 3=50-75%, 4=>75%.

Interpretation

0: No obstruction. 1: <25% airway obstruction. 2: 25-50% obstruction. 3: 50-75% obstruction — tonsillectomy often indicated. 4: >75% obstruction — tonsillectomy indicated.

Evidence

Sources carried in Scribeable's citation registry for this calculator; guideline version: Brodsky 1989.

• Brodsky L. Modern assessment of tonsils and adenoids (Brodsky Tonsil Grading Scale)Brodsky (Tonsil Grading) 1989 · 1989 · link last verified 2026-03-28

How Scribeable handles it in the note

When an encounter activates the Brodsky Tonsil Grading Scale (its highest tier is recommended), Scribeable does not ask you for missing inputs. The score is computed in code from whatever inputs resolve from the transcript, the pasted chart context or charted labs; a computed value is written into the draft only when every required input already resolves.

The score is computed in code from the resolved inputs, not recalled by the language model. A stated Brodsky Tonsil Grading Scale value is compared against the computed one when the draft's structured summary carries it; a disagreement found there is flagged to the second drafting pass, which is instructed to correct the score and its interpretation, unless Scribeable has supplied the computed value to that pass, in which case the value the draft writes is checked against the supplied one and a detected difference is shown beside the note for you to adjudicate rather than silently rewritten.

Classified as a risk score: activated strictly, by a documented trigger, never by a permissive reading of the encounter.

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Can activate in: Pediatrics, ENT / Otolaryngology.