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Classification of Hypoglycemia Print E-mail


Hypoglycemia is the major limiting factor in the glycemic management of type 1 and type 2 diabetes. Recommendations from the International Hypoglycaemia Study Group regarding the classification of hypoglycemia considers a blood glucose <54 mg/dL (3.0 mmol/L) detected by self-monitoring of blood glucose (SMBG), continuous glucose monitoring (CGM) (for at least 20 min), or laboratory measurement of plasma glucose as sufficiently low to indicate serious, clinically significant hypoglycemia that should be included in reports of clinical trials of glucose-lowering drugs for the treatment of diabetes. However, a glucose alert value of </=70 mg/dL (3.9 mmol/L) can be important for therapeutic dose adjustment of glucose-lowering drugs in clinical care and is often related to symptomatic hypoglycemia. Severe hypoglycemia is defined as severe cognitive impairment requiring assistance from another person for recovery.

Last Updated on Wednesday, 20 September 2017 13:04
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Clinical Syndromes of Acute Spinal Cord Compression Print E-mail
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The cardinal features of acute spinal cord compression are relatively symmetric paralysis of the limbs, urinary retention or incontinence, and a circumferential boundary below which there is loss of sensation, referred to as the “sensory level”.

Last Updated on Friday, 15 September 2017 14:56
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Classification of Peripheral Vascular Disease (PVD) Print E-mail
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PVD can be categorized using the Fontaine or Rutherford classification system. Each system grades PVD from no symptoms to major tissue loss and can be used at diagnosis and to evaluate the progression or improvement of symptoms.

Last Updated on Thursday, 18 May 2017 07:27
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Wilson and Jungner Criteria for Screening Print E-mail


In 1968, Wilson and Jungner published 10 “principles” for evaluating screening programs, criteria widely used since then.

Last Updated on Thursday, 23 March 2017 06:46
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Diagnostic Criteria for Social Anxiety Disorder Print E-mail


Social anxiety is the fear of  interaction with other people that brings on self-consciousness, feelings of being negatively judged and evaluated, and, as a result, leads to avoidance.

Last Updated on Tuesday, 13 June 2017 04:52
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Criteria for Grading Hepatic Encephalopathy Print E-mail


Grading of hepatic encephalopathy categorizes it in clinical stages of stepwise worsening. The description of each grade varies somewhat in the literature, but differences between adjacent grades are clear enough to be helpful in clinical practice, although neurologic descriptors are sparse. One study showed that for patients who become comatose, the Full Outline of Unresponsiveness (FOUR) score is more discriminating than the West Haven grading system because it includes brain-stem and respiration assessment, which are not further differentiated in the West Haven system.

Last Updated on Wednesday, 19 April 2017 05:04
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