Medical Criteria – G
GENERALIZED ANXIETY DISORDER:
- DSM-5 Diagnostic Criteria for Generalized Anxiety Disorder
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- Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (i.e., Work or school performance)
- The individual finds it difficult to control the worry
- The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months)
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- Restlessness or feeling keyed up or on edge
- Being easily fatigued
- Difficulty concentrating or mind going blank
- Irritability
- Muscle tension
- Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep)
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- The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
- The disturbance is not attributable to the physiological effects of a substance or another medical condition
- The disturbance is not better explained by another mental disorder
CRITERIA FOR GAD (≥3)
- C-FIRST
- Concentration issues
- Fatigue
- Irritability
- Restlessness
- Sleep disturbance
- Tension (muscle)
GRANULOMATOSIS WITH POLYANGIITIS:
(GPA, formerly known as Wegener’s Granulomatosis)
- Classification Criteria for GPA*
Criteria Description | |
1. Nasal or oral involvement | Inflammation, ulcers, epistaxis |
2. Abnormal findings on CXR | Nodules, cavitations, etc. |
3. Urinary sediment | Microscopic haematuria ± RBC casts |
4. Biopsy of involved tissue | Lungs show granulomas, kidneys show necrotizing segmental glomerulonephritis |
*Diagnosed if 2 or more of the above 4 criteria present American College of Rheumatology, 1990
GCA CRITERIA:
- Presence of 3 or more criteria yields
- Sensitivity of 94%, specificity of 91%
GCA/TEMPORAL ARTERITIS
- Classification Criteria for GCA*
Criteria | Description |
1. Age at onset ≥50 | |
2. New H/A | Often temporal |
3. Temporal artery abnormality | Temporal artery tenderness or decreased pulsations, not due to arteriosclerosis |
4. Elevated ESR | ESR ≥50 mm/h |
5. Abnormal artery biopsy | Mononuclear cell infiltration or granulomatous inflammation, usually with multinucleated giant cells |
*Diagnosed if 3 or more of the above 5 criteria present American College of Rheumatology, 1990