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The benefits of a current, living SOP are profound:
For paroxysmal symptoms, order a 24-hour Holter monitor, patch monitor (e.g., Zio patch), or an event recorder.
H. pylori test (Urea breath test or stool antigen), Upper GI endoscopy (OGD) for red flags. Gastroesophageal Reflux Disease (GERD): Protocol: Typical heartburn symptoms.
Cholelithiasis markers: Acoustic shadowing from mobile intraluminal echogenic foci. Acute Cholecystitis markers: Gallbladder wall thickening (
≥5 attacks, 4–72 hr duration.
Document onset, duration, progression, aggravating/alleviating factors, and relevant family or social history.
Imaging: Renal ultrasound demonstrating bilateral small kidneys, cortical thinning, or structural anomalies. 3.10 Osteoarthritis (OA)
Fatigue, weight gain, cold intolerance, dry skin, constipation, bradycardia, non-pitting edema (myxedema), delayed relaxation phase of deep tendon reflexes, and menorrhagia. Diagnostic Thresholds:
Investigate the underlying cause: Order fecal occult blood testing or refer for endoscopy/colonoscopy in males and postmenopausal females to rule out gastrointestinal malignancy. 14. Non-Alcoholic Fatty Liver Disease (NAFLD / MASLD)
Standard Operating Procedure (SOP) for the Diagnosis of the Top 20 Common Diseases 1. Document Control & Quality Assurance 1.1 Purpose
Fixed airflow limitation confirmed by spirometry.
Urine culture is required for recurrent cases or pregnancy. 13. Gastritis / Peptic Ulcer Disease
The benefits of a current, living SOP are profound:
For paroxysmal symptoms, order a 24-hour Holter monitor, patch monitor (e.g., Zio patch), or an event recorder.
H. pylori test (Urea breath test or stool antigen), Upper GI endoscopy (OGD) for red flags. Gastroesophageal Reflux Disease (GERD): Protocol: Typical heartburn symptoms.
Cholelithiasis markers: Acoustic shadowing from mobile intraluminal echogenic foci. Acute Cholecystitis markers: Gallbladder wall thickening (
≥5 attacks, 4–72 hr duration.
Document onset, duration, progression, aggravating/alleviating factors, and relevant family or social history.
Imaging: Renal ultrasound demonstrating bilateral small kidneys, cortical thinning, or structural anomalies. 3.10 Osteoarthritis (OA)
Fatigue, weight gain, cold intolerance, dry skin, constipation, bradycardia, non-pitting edema (myxedema), delayed relaxation phase of deep tendon reflexes, and menorrhagia. Diagnostic Thresholds:
Investigate the underlying cause: Order fecal occult blood testing or refer for endoscopy/colonoscopy in males and postmenopausal females to rule out gastrointestinal malignancy. 14. Non-Alcoholic Fatty Liver Disease (NAFLD / MASLD)
Standard Operating Procedure (SOP) for the Diagnosis of the Top 20 Common Diseases 1. Document Control & Quality Assurance 1.1 Purpose
Fixed airflow limitation confirmed by spirometry.
Urine culture is required for recurrent cases or pregnancy. 13. Gastritis / Peptic Ulcer Disease