Gynecology – MedicalCRITERIA.com

Amsel’s Diagnostic Criteria for Bacterial Vaginosis

8 March, 2009 Guillermo Firman

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

5 March, 2009 Guillermo Firman

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 “Diagnostic Criteria for Preeclampsia”

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

5 March, 2009 Guillermo Firman

Minimal criteria*

Lower abdominal tenderness
Uterine/adnexal tenderness
Cervical motion tenderness Continue reading “CDC Diagnostic Criteria for the Diagnosis of Pelvic Inflammatory Disease (PID)”

Syndromes or Disease Entities That Have Been Associated with Polycystic Ovaries

3 March, 2009 Guillermo Firman

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)

3 March, 2009 Guillermo Firman

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder of reproductive-aged women. This syndrome is predominantly characterized by irregular menstrual cycles, hyperandrogenism, and characteristic findings on pelvic ultrasound. Women with PCOS also frequently suffer from metabolic dysfunction, obesity, infertility and are at an increased risk of pregnancy complications and long-term cardiovascular disease. Continue reading “Diagnostic Criteria in Polycystic Ovary Syndrome (PCOS)”

Diagnostic Criteria for HELLP Syndrome

27 February, 2009 Guillermo Firman

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)

26 February, 2009 Guillermo Firman

Screening for gestational diabetes mellitus

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.
Venous plasma glucose measure 1 hour later.
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 “Diagnosis of Gestational Diabetes Mellitus (GDM)”

ACR/BI-RADS Breast Imaging Reporting and Data System

23 February, 2009 Guillermo Firman

The BIRADS acronym stands for Breast Imaging-Reporting and Data System which is a widely accepted risk assessment and quality assurance tool in mammography, ultrasound or MRI.
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2001 Bethesda System Terminology

23 February, 2009 Guillermo Firman

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)
  Continue reading “2001 Bethesda System Terminology”

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