Medical Criteria – I

Medical Criteria – I

INAPPROPRIATE ADH SECRETION:

• Diagnostic Criteria

• • Hyponatremia (serum Na⁺ <135 mEq/L) with
  • Plasma hypo-osmolality (<275 mOsm/Kg),
  • Urine Na⁺ concentration >40 mEq/L,
  • Urine osmolality >100 mOsm/kg),
  • Euvolemia (no edema) and
  • Absence of adrenal, renal, or thyroid insufficiency.

IBS ROME IV CRITERIA:

• Recurrent abdominal pain for more than 6 mo, of at least 1/d/wk in the last 3 mo, associated with 2 or more of the following:

1. • Related to defecation
   • Associated with a change in frequency of stool
   • Associated with a change in form (appearance) of stool

• Symptom onset at least 6 months before diagnosis and criteria present during the last 3 months

THE FOLLOWING ARE SUPPORTIVE, BUT NOT ESSENTIAL TO THE DIAGNOSIS:

• Abnormal stool frequency (>3/d or <3/wk)
• Abnormal stool form (lumpy/hard/loose/watery) >1/4 of defecations
• Abnormal stool passage (straining, urgency, feeling of incomplete evacuation) >1/4 of defecations
• Passage of mucus >1/4 of defecations
• Bloating

INFECTIVE ENDOCARDITIS

• Diagnosis

• • Modifi­ed Duke Criteria:

• • • Defi­nitive diagnosis if: 2 major, OR 1 major + 3 minor, OR 5 minors
    • Possible diagnosis if: 1 major + 1 minor, OR 3 minors

MODIFIED DUKE CRITERIA TABLE

IDIOPATHIC INTRACRANIAL HYPERTENSION (PSEUDOTUMOR CEREBRI):

• Diagnosed by modified Dandy’s criteria

• • Modified Dandy’s Criteria

1. 1. 1. Symptoms of raised ICP
      2. No localizing signs except sixth nerve palsy
      3. Patient awake and alert
      4. Normal neuroimaging without evidence of thrombosis
      5. LP opening pressure >25 cm H2O, normal CSF
      6. No better explanation for raised ICP

INDICATIONS FOR TRANSFER TO BURN CENTRE:

• American Burn Association Criteria
  • Patients with partial or full-thickness burns that involve the hands, feet, genitalia, face, eyes, ears, and/or major joints or perineum

• • Partial thickness burns ≥20% TBSA in patients aged 10-50 yr old
  • Partial thickness burns ≥10% TBSA in children aged ≤10 or adults aged ≥50 yr old
  • Full thickness burns ≥5% TBSA in patients of all ages
  • Electrical burns, including lightning (internal injury underestimated by TBSA), and chemical burns
  • Inhalation injury (high risk of mortality and may lead to respiratory distress)
  • Burn injuries in patients with medical comorbidities could complicate management and recovery
  • Any patient with simultaneous trauma plus burns should be stabilized for trauma rst, then triaged appropriately to burn centre

• • Any patients with burn injury and who will require special emotional, social, and rehabilitation intervention

• • Children with burns in a hospital not equipped with paediatric care specialists

IDEAL CRITERIA FOR SCREENING TESTS:

Also read:

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