Irritant-induced occupational asthma is a term used to describe occupational asthma that occurs from exposure to agents considered to be airway irritants, in the absence of sensitization.
Continue reading “Criteria for the Reactive Airways Dysfunction Syndrome (RADS)”
A patient without an obvious need was defined as one who did not require endotracheal intubation and mechanical ventilation or as one who did not have hypotension requiring vasopressors while in the emergency department. Risk increases proportionally with the presence of more than three criteria.
Continue reading “Criteria for Consideration of ICU Admission for Patients without an Obvious Need”
Health care-associated pneumonia has been categorized as a discrete entity, with the goal of identifying patients with pneumonia that develops outside the hospital yet is caused by pathogens usually associated with hospital-acquired pneumonia or even ventilator-associated pneumonia, including methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant (MDR) gram-negative pathogens.
Continue reading “Criteria for Health Care–Associated Pneumonia”
Two scales are in common use, the Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC).
Continue reading “Scoring Systems for the Diagnosis of Delirium in Critically Ill Patients”
Of the sedation scales described, the Riker Sedation–Agitation Scale and the Richmond Agitation–Sedation Scale are the most commonly reported, but in head-to-head comparison, neither is demonstrably superior Sedation Scales for Patients in the intensive care unit (ICU).
Continue reading “Sedation Scales for Patients in the ICU”
Recent guidelines published by the American College of Gastroenterology suggest that urgent endoscopic retrograde cholangiopancreatography (ERCP) (within 24 hours after admission) is indicated in patients with biliary pancreatitis who have concurrent acute cholangitis, but it is not needed in most patients who do not have evidence of ongoing biliary obstruction.
Continue reading “Indications and Contraindications for ERCP in Patients with Acute Biliary Pancreatitis”
The incidence of cervical cancer, as well as mortality rates from the disease, has decreased over the past 30 years because of widespread screening with cervical cytology. The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical management guideline on cervical cytology screening.
Continue reading “Cervical-Cancer Screening Guidelines”
According to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), attention deficit–hyperactivity disorder (ADHD) is characterized by symptoms of impulsivity, inattention, and hyperactivity that emerge in childhood.
Continue reading “Criteria for the Diagnosis of Attention Deficit–Hyperactivity Disorder (ADHD)”
The recommended classification is unchanged from the 2003 and 2007 ESH/ESC guidelines. Hypertension is defined as values >/=140 mmHg systolic blood pressure (SBP) and/or >/=90 mmHg diastolic blood pressure (DBP), based on the evidence from randomized controlled trials (RCTs) that in patients with these blood pressure (BP) values treatment-induced BP reductions are beneficial.
Continue reading “Definitions and Classification of Office Blood Pressure Levels (2013 ESH/ESC)”
New criteria for the use of ultrasonography to assess prenatal viability, introduced by the Society of Radiologists in Ultrasound, will help ensure obstetricians are not too hasty in determining that an embryo has ceased developing.
Continue reading “Diagnostic Criteria for Nonviable Pregnancy Early in the First Trimester”
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