Medical Criteria – B

Medical Criteria – B

BIFASCICULAR BLOCK:

• RBBB Pattern
  • Small q and prominent R
  • The first 60 msec (1.5 small squares) of the QRS shows the pattern of LAFB or LPFB
  • Bifascicular block refers to impaired conduction in two of the three fascicles, most commonly a RBBB and left anterior hemiblock; the appearance on an ECG meets the criteria for both types of blocks

BETHESDA CRITERIA (REVISED) FOR HNPCC AND MICROSATELLITE INSTABILITY (MSI):

• Tumours from individuals should be tested for MSI in the following situations:

• • Colorectal cancer diagnosed in a patient who is <50 yrs.
  • Presence of synchronous, metachronous, colorectal, or other HNPCC-associated tumours, regardless of age
  • Colorectal cancer with the MSI-H histology diagnosed in a patient who is <60 yr
  • Colorectal cancer diagnosed in one or more first-degree relatives with an HNPCC-related tumour, with one of the cancers being diagnosed <50 yrs.
  • Colorectal cancer diagnosed in two or more first- or second-degree relatives with HNPCC-related tumours, regardless of age

TOXIC MEGACOLON:

• Diagnostic Criteria

• • Must have both colitis and systemic manifestations for diagnosis
  • Radiologic evidence of dilated colon
  • Three of: fever, HR >120, WBC >10.5, and anaemia
  • One of: Fluid and electrolyte disturbances, hypotension, or altered LOC

BEERS CRITERIA:

• A list of medications to avoid in adults ≥65 yrs. due to safety concerns
• 2015 update lists drugs that should be avoided or dose-adjusted based on kidney function, as well as drug-drug interactions associated with harms in older adults
• examples include long-acting benzodiazepines, strong anticholinergics, high-dose sedatives
• the elderly are often under-treated (ACEI, ASA, β-blockers, thrombolytics, oral anticoagulants)

BREECH PRESENTATION:

• Management criteria
  • >36 wks. GA, singleton, unengaged presenting part, reactive NST, not in labour

BRIEF PSYCHOTIC DISORDER:

• Diagnosis criteria
  1. Criteria A1-A4, D, and E of schizophrenia are met; an episode of the disorder lasts for at least 1 day, but less than 1 month with eventual full return to premorbid level of functioning
     • Speci­fiers: with/without marked stressors, with postpartum onset, with catatonia, current severity.

BULIMIA NERVOSA:

• DSM-5 Diagnostic Criteria for Bulimia Nervosa

1. 1. Recurrent episodes of binge-eating; an episode of binge-eating is characterized by both of the following
      • Eating, in a discrete period of time, an amount of food that is de­finitely larger than what most individuals would eat during a similar period of time and under similar circumstances
      • A sense of lack of control over eating during the episode
   2. Recurrent inappropriate compensatory behaviour in order to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics, enemas, or other
      medications, fasting, or excessive exercise
   3. The binge-eating and inappropriate compensatory behaviours both occur, on average, at least once a week for 3 months
   4. Self-evaluation is unduly influenced by body shape and weight
   5. The disturbance does not occur exclusively during episodes of AN

* speci­fiers: partial remission, full remission, severity (measured in # of inappropriate compensatory behaviours/wk.: mild = 1-3, moderate = 4-7, severe = 8-13, extreme = 14+)

Also read:

1. Criteria in GPNotebook
2. Criteria in NICE
3. Criteria in Statpearls