Sop For Diagnosis Of Top 20 Common Diseases Updated -
Rule out underlying hypothyroidism, obstructive liver disease, chronic kidney disease, or diabetogenic medications.
Calculate severity using the score to determine treatment setting (outpatient vs. inpatient): C onfusion, U rea , R espiratory Rate ≥30is greater than or equal to 30 , B lood Pressure ( ≥65is greater than or equal to 65 17. Urinary Tract Infection (UTI) - Uncomplicated
Rapid Streptococcus A antigen test or molecular panel if pharyngeal exudate, tonsillar hypertrophy, or anterior cervical lymphadenopathy are present to rule out bacterial pharyngitis.
Confirm at least 5 attacks lasting 4–72 hours that are untreated or unsuccessfully treated. sop for diagnosis of top 20 common diseases updated
Confirm microcytic, hypochromic parameters characterized by a low Mean Corpuscular Volume (MCV < 80 fL) and elevated Red Cell Distribution Width (RDW).
If you are still using a pre-2020 diagnostic SOP, you are likely making these errors:
symptoms must be present during the same 2-week period; at least one symptom must be either depressed mood or loss of interest/pleasure. Clinical diagnosis based on cough, coryza, and sore
Clinical diagnosis based on cough, coryza, and sore throat, excluding streptococcal pharyngitis (Centor Criteria).
A critical component of the SOP is the "Safety Netting" phase. The Top 20 common diseases often mimic life-threatening conditions. For example, a common tension headache can mask a subarachnoid hemorrhage, and simple indigestion can mimic myocardial infarction.
Used for monitoring acute exacerbations against the patient's personal best. 15. Migraine Headache Chest X-ray (CXR)
Screen for caffeine overuse, stimulant use, hyperthyroidism, and pheochromocytoma. 15. Migraine Headache
Chest X-ray (CXR), Pulse Oximetry, CURB-65 score for severity. Asthma & COPD (Exacerbation): Protocol: Spirometry for diagnosis (FEV1/FVC Diagnostics: Peak flow meter, Chest X-ray, Pulse Oximetry. 4. Gastrointestinal Conditions Dyspepsia/Peptic Ulcer Disease: Protocol: Clinical diagnosis of epigastric pain.
Order a Hepatobiliary Iminodiacetic Acid (HIDA) scan if clinical suspicion remains high despite an equivocal ultrasound. Diagnostic SOP Matrix Primary Diagnostic Tool Key Diagnostic Threshold / Criteria Hypertension ABPM / Office BP Readings ≥is greater than or equal to 140/90 mmHg (office) or ≥is greater than or equal to 130/80 mmHg (ABPM) Ischemic Heart Disease ECG / High-Sensitivity Troponin / CCTA ST-changes / Elevated Troponin / Coronary Stenosis Heart Failure Echocardiogram & BNP/NT-proBNP LVEF calculation + Elevated Natriuretic Peptides Type 2 Diabetes HbA1c / Fasting Plasma Glucose ≥is greater than or equal to 6.5% or FPG ≥is greater than or equal to Hypothyroidism Serum TSH with reflex Free T4 TSH > 4.5 mIU/L with low Free T4 Hyperlipidemia Fasting or Non-fasting Lipid Panel Elevated LDL-C and Triglycerides relative to ASCVD risk COPD Post-Bronchodilator Spirometry FEV1/FVC < 0.70 Asthma Spirometry with Reversibility Testing FEV1 increase > 12% and > 200 mL post-bronchodilator Pneumonia (CAP) Chest X-ray (PA and Lateral) New focal infiltrate or consolidation GERD Clinical / Empirical PPI Trial Symptom resolution with PPI; EGD for alarm signs IBS Rome IV Criteria + Normal Biomarkers Pain 1+ day/week for 3 months with stool changes Chronic Kidney Disease eGFR calculation & Spot UACR eGFR < 60 mL/min/1.73 m² or UACR ≥is greater than or equal to 30 mg/g for 3+ months Major Depression PHQ-9 & DSM-5 Criteria 5+ symptoms for 2+ weeks including depressed mood/anhedonia Generalized Anxiety GAD-7 & DSM-5 Criteria Excessive worry for 6+ months with 3+ physical symptoms Migraine Clinical Diagnostic Criteria
of a short-acting beta-2 agonist (e.g., salbutamol). High-resolution chest CT should be performed to evaluate emphysema phenotype and rule out bronchiectasis. Disease 6: Asthma
