Medical Criteria – F
FEBRILE INFANT:
- Rochester Criteria for Febrile Infants Age 28-90 Days Old
- Non-toxic looking
- Previously well (>37 wks. gestational age, home with mother, no hyperbilirubinemia, no prior antibiotics or hospitalizations, no chronic/underlying illness)
- No skin, soft tissue, bone, joint, or ear infection on physical exam
- WBC 5000-15,000, bands <1500, urine <10 WBC/HPF, stool <5 WBC/HPF
FOETAL ALCOHOL SPECTRUM DISORDER
- Criteria for diagnosis of FAS
- Growth deficiency: low birth weight and/or decelerating weight over time not due to nutrition
- Characteristic pattern of facial anomalies: short palpebral fissures (<2 SD below mean), flattened philtrum, thin upper lip (having all 3 features is highly specific for alcohol exposure, don’t need maternal history to confirm)
- CNS dysfunction (need ≥3): motor skills; neuroanatomy/neurophysiology; cognition; language; academic achievement; memory; attention; executive function (impulse control and hyperactivity); affect regulation; adaptive behaviour, social skills or social communication OR microcephaly in infant and young children
- Criteria for diagnosis of ARBD
- Congenital anomalies, including malformations and dysplasias of the cardiac, skeletal, renal, ocular, and auditory systems
- Criteria for diagnosis of ARND
- CNS dysfunction (similar to FAS)
- Complex pattern of behavioural or cognitive abnormalities inconsistent with developmental level that cannot be explained by familial background or environment alone
FUNCTIONAL CONSTIPATION:
- Rome III criteria
- ≥2 of the following for at least 1 month:
- ≤2 defecations/wks.
- History of excessive stool retention
- History of large-diameter stools
- History of painful or hard bowel movements
- In toilet trained children, the following additional criteria may be used:
- At least one episode/wks. of incontinence after the acquisition of toileting skills
- History of large-diameter stools that may obstruct toilet
- ≥2 of the following for at least 1 month:
FIBROMYALGIA:
- 2010 ACR Preliminary Diagnostic Criteria for Fibromyalgia
| Criteria | Comments |
|
A patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met:
1. Widespread Pain Index (WPI) ≥7 and Symptom Severity (SS) scale score ≥5 or WPI 3–6 and SS scale score ≥9 2. Symptoms have been present at a similar level for at least 3 months 3. The patient does not have a disorder that would otherwise explain |
- Arthritis Care and Research 2010;62(5):600-61
