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Medical Criteria – V

Medical Criteria – G

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Home Criteria

Medical Criteria – G

by Dr.NM Tamilmani
April 13, 2024
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Medical Criteria – G


GENERALIZED ANXIETY DISORDER:

  • DSM-5 Diagnostic Criteria for Generalized Anxiety Disorder
    1. 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)
    2. The individual ­finds it difficult to control the worry
    3. 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)
        • 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)
    4. The anxiety, worry, or physical symptoms cause clinically signifi­cant distress or impairment in social, occupational, or other important areas of functioning
    5. The disturbance is not attributable to the physiological effects of a substance or another medical condition
    6. 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


Also read:

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