ROME II Diagnostic Criteria for Functional Disorders of the Biliary Tract and the Pancreas

The diagnosis of a Functional Disorder of the Biliary Tract and Pancreas always presumes the absence of a structural or biochemical explanation for the symptoms.

E1. Gallbladder Dysfunction

Episodes of severe steady pain located in the epigastrium and right upper quadrant, and all of the following:

  1. Symptom episodes last 30 minutes or more, with pain-free intervals;
  2. Symptoms have occurred on one or more occasions in the previous 12 months;
  3. The pain is steady and interrupts daily activities or requires consultation with a physician;
  4. There is no evidence of structural abnormalities to explain the symptoms; and
  5. There is abnormal gallbladder functioning with regard to emptying.

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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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Criteria for the Diagnosis of Behçet’s Disease

Behçet syndrome, also known as Behçet disease, is characterized by recurrent oral aphthae and any of several systemic manifestations including genital aphthae, ocular disease, skin lesions, gastrointestinal involvement, neurologic disease, vascular disease, or arthritis.

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Common Diagnostic Criteria for Left and Right Atrial Abnormalities

Left Atrial Abnormality

  • Prolonged P wave duration of >120 msec in lead II
  • Prominent notching of the P wave, usually most obvious in lead II, with an interval between the notches of >40 msec (p mitrale)
  • Ratio between the duration of the P wave in lead II and the duration of the PR segment of >1.6
  • Increased duration and depth of the terminal negative portion of the P wave in lead V1 (the P terminal force) so that the area subtended by it exceeds 0.04 mm-sec (Morris index)
  • Leftward shift of the mean P wave axis to between -30 and +45 degrees

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Revised ARA Criteria for the Classification of Rheumatoid Arthritis (RA)

For classification purposes, a patient is said to have RA if he or she has satisfied at least 4 of the following 7 criteria. Criteria 1 through 4 must have been present for at least 6 weeks. Patients with 2 clinical diagnoses are not excluded. Designation as classic, definite, or probable RA is not to be made.

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