|
|
(13 intermediate revisions by the same user not shown) |
Line 1: |
Line 1: |
| __NOTOC__ | | __NOTOC__ |
|
| |
|
| {{CMG}}; {{AE}} | | {{CMG}}; {{AE}} {{HQ}} |
| {{Duodenal atresia}} | | {{Duodenal atresia}} |
| == Overview == | | == Overview == |
| * The page name should be '''"[Disease name] diagnostic study of choice"''', with only the first letter of the title capitalized. Note that the page is called "Diagnostic study of choice."
| | Duodenal atresia does not have a diagnostic study of choice. However, abdominal x-ray and ultrasound can confirm duodenal atresia. |
| * '''Goal:'''
| |
| **To describe the most efficient/sensitive/specific test that is utilized for diagnosis of [disease name].
| |
| **To describe the gold standard test for the diagnosis of [disease name].
| |
| **To describe the diagnostic criteria, which may be based on clinical findings, physical exam signs, pathological findings, lab findings, findings on imaging, or even findings that exclude other diseases.
| |
| * As with all microchapter pages linking to the main page, at the top of the edit box put <nowiki>{{CMG}}</nowiki>, your name template, and the microchapter navigation template you created at the beginning.
| |
| * Remember to create links within WikiDoc by placing <nowiki>[[square brackets]]</nowiki> around key words which you want to link to other pages. Make sure you makes your links as specific as possible. For example, if a sentence contained the phrase anterior spinal artery syndrome, the link should be to [[anterior spinal artery syndrome]] not [[anterior]] or [[artery]] or [[syndrome]]. For more information on how to create links, click [[here]].
| |
| * Remember to follow the same format and capitalization of letters as outlined in the template below.
| |
| * You should include the name of the disease in the first sentence of every subsection.
| |
|
| |
|
| == Diagnostic Study of Choice == | | == Diagnostic Study of Choice == |
|
| |
| ===== Template statements =====
| |
|
| |
|
| === Gold standard/Study of choice: === | | === Gold standard/Study of choice: === |
| * [Name of the investigation] is the gold standard test for the diagnosis of [disease name]. | | *Duodenal atresia does not have a [[Gold standard (test)|gold standard]] study of choice. |
| * The following result of [gold standard test] is confirmatory of [disease name]:
| |
| ** Result 1
| |
| ** Result 2
| |
| * The [name of investigation] should be performed when:
| |
| ** The patient presented with symptoms/signs 1. 2, 3.
| |
| ** A positive [test] is detected in the patient.
| |
| * [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
| |
| * The diagnostic study of choice for [disease name] is [name of investigation].
| |
| * There is no single diagnostic study of choice for the diagnosis of [disease name].
| |
| * There is no single diagnostic study of choice for the diagnosis of [disease name], but [disease name] can be diagnosed based on [name of the investigation 1] and [name of the investigation 2].
| |
| * [Disease name] is mainly diagnosed based on clinical presentation.
| |
| * Investigations:
| |
| ** Among patients who present with clinical signs of [disease name], the [investigation name] is the most specific test for the diagnosis.
| |
| ** Among patients who present with clinical signs of [disease name], the [investigation name] is the most sensitive test for diagnosis.
| |
| ** Among patients who present with clinical signs of [disease name], the [investigation name] is the most efficient test for diagnosis.
| |
| | |
| ==== The comparison table for diagnostic studies of choice for [disease name] ====
| |
| {|
| |
| |- style="background: #4479BA; color: #FFFFFF; text-align: center;"
| |
| ! style="background: #FFFFFF; color: #FFFFFF; text-align: center;" |
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
| |
| |-
| |
| ! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 1
| |
| | style="background: #DCDCDC; padding: 5px; text-align: center;" |✔
| |
| | style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| |
| |-
| |
| ! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 2
| |
| | style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| |
| | style="background: #DCDCDC; padding: 5px; text-align: center;" |✔
| |
| |}
| |
| <small> ✔= The best test based on the feature </small>
| |
|
| |
|
| ===== Diagnostic results ===== | | ===== Diagnostic results ===== |
| The following result of [investigation name] is confirmatory of [disease name]: | | The following result of [[ultrasound]] is confirmatory of duodenal atresia:<ref name="AdamsStanton2014">{{cite journal|last1=Adams|first1=Stephen D.|last2=Stanton|first2=Michael P.|title=Malrotation and intestinal atresias|journal=Early Human Development|volume=90|issue=12|year=2014|pages=921–925|issn=03783782|doi=10.1016/j.earlhumdev.2014.09.017}}</ref><ref name="MorrisKennedy2016">{{cite journal|last1=Morris|first1=Grant|last2=Kennedy|first2=Alfred|last3=Cochran|first3=William|title=Small Bowel Congenital Anomalies: a Review and Update|journal=Current Gastroenterology Reports|volume=18|issue=4|year=2016|issn=1522-8037|doi=10.1007/s11894-016-0490-4}}</ref> |
| * Result 1 | | *Air fluid levels in the stomach. |
| * Result 2 | | *Double bubble sign on [[X-rays|x-ray]] which shows absent [[gas]] in the [[small intestine]] and [[Abdominal distension|distended]] [[stomach]]. |
|
| |
|
| ===== Sequence of Diagnostic Studies =====
| | ====Sequence of Diagnostic Studies==== |
| The [name of investigation] should be performed when:
| |
| * The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
| |
| * A positive [test] is detected in the patient, to confirm the diagnosis.
| |
|
| |
|
| === Diagnostic Criteria ===
| | An abdominal [[X-rays|x-ray]] should be performed when: |
| * Here you should describe the details of the diagnostic criteria.
| | * The patient presented with symptoms of persistent [[Nausea and vomiting|emesis]], [[Bile|bilious]] [[Nausea and vomiting|vomiting]], and/or [[Abdomen|abdominal]] [[distension]]. |
| *Always mention the name of the criteria/definition you are about to list (e.g. modified Duke criteria for diagnosis of endocarditis / 3rd universal definition of MI) and cite the primary source of where this criteria/definition is found. | | An abdominal [[ultrasound]] should be performed to: |
| *Although not necessary, it is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
| | * Confirm duodenal atresia. |
| *Be very clear as to the number of criteria (or threshold) that needs to be met out of the total number of criteria.
| |
| *Distinguish criteria based on their nature (e.g. clinical criteria / pathological criteria/ imaging criteria) before discussing them in details.
| |
| *To view an example (endocarditis diagnostic criteria), click [[Endocarditis diagnosis|here]]
| |
| *If relevant, add additional information that might help the reader distinguish various criteria or the evolution of criteria (e.g. original criteria vs. modified criteria).
| |
| *You may also add information about the sensitivity and specificity of the criteria, the pre-test probability, and other figures that may help the reader understand how valuable the criteria are clinically.
| |
| * [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
| |
| * There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
| |
|
| |
|
| * The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
| | ==References== |
| * The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
| | {{Reflist|2}} |
|
| |
|
| * [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
| | {{WH}} |
| ** Criteria 1
| | {{WS}} |
| ** Criteria 2
| | [[Category:Gastroenterology]] |
| ** Criteria 3
| | [[Category:Surgery]] |
| | | [[Category:Disease]] |
| IF there are clear, established diagnostic criteria:
| | [[Category:Pediatrics]] |
| *The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
| | [[Category:Up-To-Date]] |
| *The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
| |
| *The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
| |
| IF there are no established diagnostic criteria:
| |
| *There are no established criteria for the diagnosis of [disease name].
| |
| | |
| | |
| ==References==
| |
| * References should be cited for the material that you have put on your page. Type in <nowiki>{{reflist|2}}</nowiki>.This will generate your references in small font, in two columns, with links to the original article and abstract.
| |
| * For information on how to add references into your page, click [[Adding References to Articles|here]].
| |