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New Diagnostic Criteria Proposed for Polycystic Kidney Disease

Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited cause of kidney disease. Enlarging cysts within the kidneys are the clinical hallmark of the disease. Renal manifestations include varying degrees of kidney injury, urinary tract infections, kidney stones, and hematuria. Extrarenal manifestations can include pain, hypertension, left ventricular hypertrophy, hepatic cysts, intracranial aneurysm, diverticulosis, and abdominal and inguinal hernias. Continue reading “New Diagnostic Criteria Proposed for Polycystic Kidney Disease”

Differences Between Diagnostic and Classification Criteria

The majority of rheumatic diseases are multisystem disorders with poorly understood etiology; they tend to be heterogeneous in their presentation, course, and outcome and do not have a single clinical, laboratory, pathologic, or radiologic feature that could serve as a “gold standard” in support of diagnosis and/or classification. Continue reading “Differences Between Diagnostic and Classification Criteria”

Pediatric Sequential Organ Failure Assessment (pSOFA) Score

The SOFA score at admission is useful for predicting outcomes in the Paediatric Intensive Care Units (PICUs) and is more accurate than SIRS for definition of paediatric sepsis.
Continue reading “Pediatric Sequential Organ Failure Assessment (pSOFA) Score”

Definitions for Sepsis and Septic Shock (Sepsis-3)

These updated definitions and clinical criteria should replace previous definitions, offer greater consistency for epidemiologic studies and clinical trials, and facilitate earlier recognition and more timely management of patients with sepsis or at risk of developing sepsis. Continue reading “Definitions for Sepsis and Septic Shock (Sepsis-3)”

DSM-5 Diagnostic Criteria for Opioid Use Disorder

Opioid analgesics (termed opioids in this report) are a class of drugs commonly prescribed to treat moderate to severe pain. Opioids include drugs available by prescription such as oxycodone, hydrocodone, codeine, morphine, and fentanyl. Opioids also include illicit substances such as heroin and fentanyl. Although often prescribed to control pain, opioids may also produce feelings of euphoria and sedation which may lead to misuse of opioids resulting in opioid use disorder. Continue reading “DSM-5 Diagnostic Criteria for Opioid Use Disorder”

Diagnostic Criteria for Transient Ischemic Attack (TIA)

The diagnosis of transient ischemic attack (TIA) can be notoriously difficult, mainly because it is often solely based on history taking. Patients suspected of a TIA require an urgent assessment with timely start of antithrombotic therapy to reduce the risk of an early ischemic stroke. Continue reading “Diagnostic Criteria for Transient Ischemic Attack (TIA)”

2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides

Chapel Hill Consensus Conference (CHCC) is a nomenclature system (nosology). It is neither a classification system that specifies what findings must be observed in a specific patient to classify that patient for clinical research nor a diagnostic system that directs clinical management. Continue reading “2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides”

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