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Laboratory Findings in Various Platelet and Coagulation Disorders

A peripheral-blood smear is a vital investigation tool in most cases to confirm a low platelet count and the presence or absence of other diagnostic features, such as red-cell fragmentation, platelet morphologic abnormalities, or evidence of dysplasia or hematinic deficiency.
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Definitions for the Terms Bacteremia, Sepsis, Severe Sepsis, Septic Shock, and Other Related Disorders

A 1992 American College of Chest Physicians/Society of Critical Care Medicine consensus panel defined the following terms which are relevant to the discussion of septic shock:

Infection: Infection is a microbial phenomenon characterized by an inflammatory response to the presence of microorganisms or the invasion of normally sterile host tissue by those organisms.

Bacteremia: Bacteremia refers to the presence of viable bacteria in the blood.

Systemic inflammatory response syndrome: Systemic inflammatory response syndrome (SIRS) is a widespread inflammatory response to a variety of severe clinical insults. This syndrome is clinically recognized by the presence of two or more of the following:

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ROME II Diagnostic Criteria for Functional Disorders of the Anus and Rectum

The diagnosis of a Functional Disorder of the Anus and Rectum always presumes the absence of a structural or biochemical explanation for the symptoms.

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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 pre-sumes the absence of a structural or biochemical explanation for the symptoms.

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ROME II Diagnostic Criteria for Childhood Functional Gastrointestinal Disorders

The diagnosis of a Childhood Functional Gastrointestinal Disorder always presumes the absence of a structural or biochemical explanation for the symptoms.

G1.Vomiting

G1a. Infant Regurgitation Continue reading “ROME II Diagnostic Criteria for Childhood Functional Gastrointestinal Disorders”

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. Continue reading “ROME II Diagnostic Criteria for Functional Disorders of the Biliary Tract and the Pancreas”
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