Diagnostic Criteria to know Flashcards
what is Amsel’s criteria?
thin, white, yellow, homogeneous d/c
pH > 4.5
(+) whiff test
(+) clue cells on wet prep
what is Amsel’s criteria used for?
to diagnose BV and subsequently treat
what is CHADS2 score?
CHD hx? HTN hx? age >/= 75 yo? DM hx? Stroke or TIA sxs previously? 1 point for first 4 questions, 2 points for 5th question
what is CHADS used for?
used to calculate risk of thromboembolic event and to help guide if anti-coagulation therapy is indicated for the individual
what is CRB score? CURB? CURB 65?
CRB: confusion, respiratory rate >/=30, BP <90 systolic or <60 diastolic in the presence of pneumonia sxs
CURB: confusion, BUN >19, respiratory rate >/=30, BP <90 systolic or <60 diastolic in the presence of pneumonia sxs
CURB 65: confusion, BUN > 19, respiratory rate >/=30, BP <90 systolic or <60 diastolic, >/= 65 yo
all worth 1 point
what is CRB/CURB/CURB65 used for?
used to assess when in-patient treatment for pneumonia is needed
score of 1 = outpatient tx can be utilized
score of 2= consider inpatient tx or outpatient tx with close followup (rx abx and call w/in 24 hours and then 48 hrs)
score of 3= consider inpatient tx with possible intensive care admission
score of 4= consider inpatient tx w/possible intensive care admission
score of 5= consider inpatient tx w/possible intensive care admission
what is metabolic syndrome criteria (according to WHO)?
metabolic syndrome present if 3 or more of the following criteria are met:
hyperinsulinemia or hyperglycemia (>/=110)
obesity, >30 BMI
waist circumference >40 cm in men, >35 cm in women
BP >130/85
fasting TG over 150 or HDL cholesterol <40 in men or <50 in women
what is the Rotterdam criteria?
2 of the 3 features must be present:
clinical and/or biochemical signs of hyperandrogenism (hirsuitism, masculinization of features)
amenorrhea or oligomenorrhea (oligo or anovulation)
polycystic ovaries seen on TVUS
what is the Rotterdam criteria used for?
used to clinically diagnose PCOS
need 2 out of 3 to give a dx
what is a Wells score?
1 point for active CA, recently bedridden >3 days or major surgery w/in 4 weeks, calf swelling > 3cm compared to other leg, collateral (nonvaricose) superficial veins present, entire leg swollen, localized tenderness along deep venous system, pitting edema confined to symptomatic leg, paralysis, paresis, or recent plaster immobilization of lower extremity, previously documented DVT
-2 points for alt dx to DVT as likely or more likely
what is a Wells score used for? management and tx for each of the scores?
used to assess the likelihood that a DVT is present and subsequent treatment and management
total of 0= unlikely DVT
total of 1= unlikely DVT
total of 2-9= high risk group for DVT and appropriate PEs and workup is required
score of
for score of 0 or lower order D-dimer testing, if (=) D-dimer then no further testing required, if (+) D-dimer then U/S, if U/S concerning then anti-coagulation therapy
if score of 1-2 then hsD-dimer, if (=) then ruled out, if (+) then U/S, if (+) U/S then tx with anticoag therapy
if score of 3 or higher then U/S, along with D-dimer testing to stratify pts, if D-dimer (=) then still U/S, if U/S (=) then d/c, if U/S (+) then anticoagulation therapy,
if likely DVT w/(+) D-dimer but (=) U/S then repeat U/S in 1 week
what is the Pneumonia Severity Index?
used to assess if inpatient or outpatient tx of CAP is needed look at age gender: if female -10 pts, if male 0 pts if a nursing home resident +10 pts if neoplastic dz +30 pts hx of liver dz +20 pts CHF hx + 10 pts CVD hx +10 pts renal dz hx +10 pts altered mental status +20 pts respiratory rate >/= 29 +20 pts systolic BP <90 +20 pts temp <95 or >103.8 +15 pts pulse >124 +10 pts pH <7.35 +30 pts BUN >29 +20 pts sodium <130 +20 pts glucose >249 +10 pts hematocrit <30% +10 pts partial P of O2 < 60 mmHg +10 pts pleural effusion on CXR + 10 pts
what is the Pneumonia Severity Index used for?
to determine treatment for CAP
= 70 = low risk = outpatient care
71-90 = low risk = outpatient vs observation admission to be weighed
91-130 = moderate risk = inpatient admission
>130 = high risk = inpatient admission
what is the Rome criteria?
recurrent abd pn or discomfort 3 days/mo in the last 3 mos, associated with >/=2 of the following criteria: improvement with defection
onset associated with a change in stool frequency
onset associated with a change in stool form (appearance)
the criteria are fulfilled with sxs onset 6 mos prior to dx
what is the Rome criteria used for?
IBS diagnosis
