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. Continue reading →
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:
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 RegurgitationContinue reading →
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. E1. Gallbladder Dysfunction
Episodes of severe steady pain located in the epigastrium and right upper quadrant, and all of the following:
Symptom episodes last 30 minutes or more, with pain-free intervals;
Symptoms have occurred on one or more occasions in the previous 12 months;
The pain is steady and interrupts daily activities or requires consultation with a physician;
There is no evidence of structural abnormalities to explain the symptoms; and
The diagnosis of a Functional Disorder of the Anus and Rectum always presumes the absence of a structural or biochemical explanation for the symptoms. F1. Functional Fecal Incontinence
Recurrent uncontrolled passage of fecal material for at least one month, in an individual with a developmental age of at least 4 years, associated with: