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Medical Criteria – V

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Medical Criteria – V

by Dr.NM Tamilmani
April 13, 2024
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Medical Criteria – V


VAGINAL BREECH DELIVERY CRITERIA:

  • Frank or complete breech, GA >36 wks.
  • EFW 2500-3800 g based on clinical and U/S assessment (5.5–8.5 lb)
  • Foetal head flexed
  • Continuous foetal monitoring
  • 2 experienced obstetricians, assistant, and anaesthetist present
  • Ability to perform emergency C/S within 30 min if required

VASCULITIDES:

  • Diagnostic Criteria
    • Fever persisting ≥5 d AND ≥4 of the following features
      • Bilateral, non-exudative conjunctival injection
      • Oral mucous membrane changes (fissured lips, strawberry tongue, injected pharynx)
      • Changes of the peripheral extremities
        1. Acute phase: extremity changes including edema of hands and feet or erythema of palms or soles
        2. Subacute phase: periungual desquamation
      • Polymorphous rash
      • Cervical lymphadenopathy >1.5 cm in diameter (usually unilateral)
    • Exclusion of other diseases (e.g., scarlet fever, measles)
    • Atypical Kawasaki disease: fever persisting ≥5 d and 2-3 of the above criteria
      • Further evaluation dictated by CRP, ESR, and supplemental laboratory criteria

Also read:

  1. Criteria in GPNotebook
  2. Criteria in NICE
  3. Criteria in Statpearls
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