Dyspepsia Evaluation

Gastroenterology & Hepatology
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Dyspepsia[html]
Summary: This calculator is intended to help guide evaluation for dyspepsia and guide the workup once that diagnosis is established.[/html]
Rome III Diagnostic Criteria
[select name="Q1" value="no=0|YES=1"] <-- Bothersome postprandial fullness
[select name="Q2" value="no=0|YES=1"] <-- Early satiation
[select name="Q3" value="no=0|YES=1"] <-- Epigastric pain
[select name="Q4" value="no=0|YES=1"] <-- Epigastric burning
[select name="Q5" value="no=0|YES=10"] <-- No evidence of structural disease (including at upper endoscopy) that is likely to explain the symptoms*
[select name="Q6" value="no=0|YES=10"] <-- Onset at least 6 months ago*
[select name="Q7" value="no=0|YES=10"] <-- Symptoms present for the last 3 months*
*=required elements
Risk Factors
[select name="Q8" value="no=0|YES=100"] <-- Age > 55 years
[select name="Q9" value="no=0|YES=100"] <-- Unintended weight loss
[select name="Q10" value="no=0|YES=100"] <-- Progressive dysphagia
[select name="Q11" value="no=0|YES=100"] <-- Persistent vomiting
[select name="Q12" value="no=0|YES=100"] <-- Evidence of gastrointestinal bleeding
[select name="Q13" value="no=0|YES=100"] <-- Family history of cancer
Interpretation --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)+(Q10)+(Q11)+(Q12)+(Q13);score>630?'Functional dyspepsia with six serious risk factors. Perform endoscopy and treat accordingly. ':score>599?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>530?'Functional dyspepsia with five serious risk factors. Perform endoscopy and treat accordingly. ':score>499?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>430?'Functional dyspepsia with four serious risk factors. Perform endoscopy and treat accordingly. ':score>399?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>330?'Functional dyspepsia with three serious risk factors. Perform endoscopy and treat accordingly. ':score>299?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>230?'Functional dyspepsia with two serious risk factors. Perform endoscopy and treat accordingly. ':score>199?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>130?'Functional dyspepsia with serious risk factor. Perform endoscopy and treat accordingly. ':score>99?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>30?'Functional dyspepsia without risk factors. Test for H. pylori and treat accordingly. If negative, consider trial of antisecretory therapy. ':'Rome III Criteria for functional dyspepsia not met. Evaluate for other diagnoses with history and physical clues. '" memo="Interpretation"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: AAFP article entitled "Update on the Evaluation and Management of Functional Dyspepsia" at <a href="http://www.aafp.org/afp/2011/0301/p547.html" target="_blank">Loyd (2011) Am Fam Physician 83: 547-52</a>, Rome III (2006) Criteria for Functional Dyspepsia at <a href="http://www.theromefoundation.org/criteria/" target="_blank">The Rome Foundation</a>.[/html][/conditional]
Dyspepsia
Summary: This calculator is intended to help guide evaluation for dyspepsia and guide the workup once that diagnosis is established.

Rome III Diagnostic Criteria
<-- Bothersome postprandial fullness
<-- Early satiation
<-- Epigastric pain
<-- Epigastric burning
<-- No evidence of structural disease (including at upper endoscopy) that is likely to explain the symptoms*
<-- Onset at least 6 months ago*
<-- Symptoms present for the last 3 months*
*=required elements
Risk Factors
<-- Age > 55 years
<-- Unintended weight loss
<-- Progressive dysphagia
<-- Persistent vomiting
<-- Evidence of gastrointestinal bleeding
<-- Family history of cancer
Interpretation --> Interpretationscore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)+(Q10)+(Q11)+(Q12)+(Q13);score>630?'Functional dyspepsia with six serious risk factors. Perform endoscopy and treat accordingly. ':score>599?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>530?'Functional dyspepsia with five serious risk factors. Perform endoscopy and treat accordingly. ':score>499?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>430?'Functional dyspepsia with four serious risk factors. Perform endoscopy and treat accordingly. ':score>399?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>330?'Functional dyspepsia with three serious risk factors. Perform endoscopy and treat accordingly. ':score>299?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>230?'Functional dyspepsia with two serious risk factors. Perform endoscopy and treat accordingly. ':score>199?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>130?'Functional dyspepsia with serious risk factor. Perform endoscopy and treat accordingly. ':score>99?'Rome III Criteria for functional dyspepsia not met. Serious condition may exist. Evaluate for other diagnoses with history and physical clues. ':score>30?'Functional dyspepsia without risk factors. Test for H. pylori and treat accordingly. If negative, consider trial of antisecretory therapy. ':'Rome III Criteria for functional dyspepsia not met. Evaluate for other diagnoses with history and physical clues. '

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