Amsel’s Diagnostic Criteria for Bacterial Vaginosis

Three of four criteria must be met; establishes accurate diagnosis of bacterial vaginosis in 90 percent of affected women.

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Diagnostic Criteria for Preeclampsia

Preeclampsia: For the diagnosis of preeclampsia, both hypertension and proteinuria must be present.

  • Blood pressure: 140 mm Hg or higher systolic or 90 mm Hg or higher diastolic after 20 weeks of gestation in a woman with previously normal blood pressure. Systolic increased > 30 mm Hg or diastolic increased > 15 mm Hg in a patient with preexisting chronic hypertension.
  • Proteinuria: 0.3 g or more of protein in a 24-hour urine collection (usually corresponds with 1+ or greater on a urine dipstick test) Continue reading

CDC Diagnostic Criteria for the Diagnosis of Pelvic Inflammatory Disease (PID)

Minimal criteria*

  • Lower abdominal tenderness
  • Uterine/adnexal tenderness
  • Cervical motion tenderness Continue reading

Syndromes or Disease Entities That Have Been Associated with Polycystic Ovaries

A- Hyperandrogenism

o Steroidogenic enzyme deficiencies

§ Congenital adrenal hyperplasia

§ Aromatase deficiency

o Androgen-secreting tumors

§ Ovarian

§ Adrenal

o Exogenous androgens

§ Anabolic steroids

§ Transsexual hormone replacement

o Other

§ Acne

§ Idiopathic hirsutism

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Diagnostic Criteria in Polycystic Ovary Syndrome (PCOS)

Revised diagnostic criteria of PCOS

1999 criteria (both 1 and 2)

1. Chronic anovulation

2. Clinical and/or biochemical signs of hyperandrogenism, and exclusion of other aetiologies

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Diagnostic Criteria for HELLP Syndrome

The diagnosis of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) is based upon the presence of the characteristic laboratory findings in patients of appropriate gestational age. Imaging tests, particularly CT or MRI scanning, are useful when complications such as hepatic infarction, hematoma, or rupture are suspected.

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Diagnosis of Gestational Diabetes Mellitus (GDM)

Screening for gestational diabetes mellitus

  1. 50-g oral glucose load, administered between the 24th and 28th weeks, without regard to time of day or time of last meal. Universal blood glucose screening is indicated for patients who are of Hispanic, African, Native American, South or East Asian, Pacific Island, or Indigenous Australian ancestry. Other patients who have no known diabetes in first-degree relatives, are under 25 years of age, have normal weight before pregnancy, and have no history of abnormal glucose metabolism or poor obstetric outcome do not require routine screening.
  2. Venous plasma glucose measure 1 hour later.
  3. Value of 130 mg/dL (7.2 mmol/L) or above in venous plasma indicates the need for a full diagnostic glucose tolerance test. Continue reading

2001 Bethesda System Terminology

Specimen Type: Indicate conventional smear (Pap smear) vs. liquid based vs. other

Specimen Adequacy

  • Satisfactory for evaluation (describe presence or absence of endocervical/transformation zone component and any other quality indicators, e.g., partially obscuring blood, inflammation, etc.)
  • Unsatisfactory for evaluation … (specify reason)

*Specimen rejected/not processed (specify reason)
*Specimen processed and examined, but unsatisfactory for evaluation of epithelial abnormality because of (specify reason)
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