|
|
| Line 5: |
Line 5: |
|
| |
|
| == Diagnostic Study of Choice == | | == Diagnostic Study of Choice == |
| | | * The diagnostic standard is synovial fluid or tophus aspiration with identification of monosodium urate crystals. |
| === Study of choice ===
| | * Synovial fluid is aspirated off the inflamed joint by careful arthrocentesis. |
| * [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
| | * The sample is then analyzed for characteristic negatively birefringent monosodium urate crystals which appear needle-like structures of 1–20 μm in length under polarized microscopy. This is central to confirm the diagnosis of gout. 22303530 18299687 |
| * The following result of [gold standard test] is confirmatory of [disease name]: | |
| ** Result 1
| |
| ** Result 2
| |
| * The [name of the 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 the 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 of various diagnostic studies for [disease name] ====
| |
| {|
| |
| |- style="background: #4479BA; color: #FFFFFF; text-align: center;"
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" | Test
| |
| ! 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 =====
| |
| The following result of [investigation name] is confirmatory of [disease name]:
| |
| * Result 1
| |
| * Result 2
| |
| | |
| ===== 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 ===
| |
| * Here you should describe the details of the diagnostic criteria.
| |
| *Always mention the name of the criteria/definition you are about to list (e.g. modified Duke criteria for the diagnosis of endocarditis / 3rd universal definition of MI) and cite the primary source of where this criteria/definition is found.
| |
| *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.
| |
| *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].
| |
| * The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
| |
| | |
| * [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
| |
| ** Criteria 1
| |
| ** Criteria 2
| |
| ** Criteria 3
| |
| | |
| IF there are clear, established diagnostic criteria:
| |
| *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].
| |
| *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].
| |
|
| |
|
|
| |
|