on room air, accessory muscle use, stridor, or altered mental status in pneumonia, asthma, or COPD presentations (Escalate for immediate airway support and intensive care evaluation).
Calculate the FIB-4 index (using age, AST, ALT, and platelet count) to stratify the risk of advanced liver fibrosis.
Utilize the CURB-65 score to determine if outpatient or inpatient care is required. 3. Asthma (Exacerbation)
Palpitations, chest pain, dyspnea, fatigue, exercise intolerance, lightheadedness, or syncope; can present acutely as an ischemic stroke or systemic embolic event. sop for diagnosis of top 20 common diseases updated
Imaging: Order a chest X-ray only if vital signs are abnormal, lung consolidation is noted, or the patient is >75is greater than 75 years old, to rule out acute pneumonia. 17. Allergic Rhinitis
Perform rapid strep or PCR if bacterial pharyngitis is suspected. 4. Influenza (Seasonal)
Disease 16: Urinary Tract Infection (UTI) - Uncomplicated Acute Cystitis on room air, accessory muscle use, stridor, or
The EAACI/GA²LEN guideline updated the diagnostic algorithm: routine extensive allergy testing is NOT recommended for chronic spontaneous urticaria (CSU) lasting <6 weeks. Instead, the autologous serum skin test (ASST) is resurrected as a diagnostic tool for autoimmune urticaria.
Order Erythrocyte Sedimentation Rate (ESR) or C-Reactive Protein (CRP) only if needed to rule out rheumatoid arthritis or crystalline arthropathies. 11. Gastroesophageal Reflux Disease (GERD)
HbA1c ≥ 6.5% or Fasting Plasma Glucose ≥ 126 mg/dL. non-pitting edema (myxedema)
First-line: Properly positioned office BP measurements (seated, 5 minutes rest, empty bladder).
Fatigue, weight gain, cold intolerance, dry skin, constipation, bradycardia, non-pitting edema (myxedema), delayed relaxation phase of deep tendon reflexes, and menorrhagia. Diagnostic Thresholds:
Clinical diagnosis based on rhinorrhea, nasal congestion, and sore throat.
Microbiology: Sputum Gram stain and culture, blood cultures (for severe cases), urinary antigen tests for Streptococcus pneumoniae and Legionella pneumophila .