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NCBI STATPEARLS + PUBMED + OPEN-I VERIFIED SEED TAXONOMY

Medipaedia.org Master Clinical Topic Taxonomy (By Specialty & ICD-10/11)

Standardized 10-Section High-Yield Clinical Reference Matrix across 19 Medical Specialties with verified ICD-10/11 codes, Classic Triads, Gold-Standard Diagnostic Tests, and First-Line Treatment Protocols.

All 19 Specialties (60)CardiologyRespiratoryGastroenterology & HepatologyNephrology & UrologyNeurologyEndocrinology & MetabolismHaematology & OncologyInfectious DiseasesRheumatology & ImmunologyEmergency Medicine & Critical CareGeneral & Specialty SurgeryPaediatricsObstetrics & GynaecologyDermatologyPsychiatryOphthalmology & ENTPathology & Laboratory MedicineMusculoskeletal & TraumaRadiology & Medical Imaging
# Topic, Specialty & ICD-10/11 Classic Triad / Key Presentation Gold-Standard Diagnostic Test First-Line Treatment Protocol Status
36 Toxic epidermal necrolysis (SCORTEN score)
ICD-10: L51.2 ICD-11: EB13.1 Dermatology
Febrile prodrome after culprit drug (Allopurinol, Lamotrigine, Carbamazepine, Sulfonamides) + Painful erythematous/dusky macules with positive Nikolsky sign (>30% BSA detachment in TEN; <10% in SJS) + Haemorrhagic mucositis of โ‰ฅ2 mucosal surfaces (oral, ocular, urogenital) Clinical assessment of Body Surface Area (BSA) epidermal detachment + Skin Biopsy (frozen/paraffin section showing full-thickness epidermal keratinocyte necrosis and subepidermal split) + SCORTEN prognostic score Immediate withdrawal of culprit drug + Transfer to ICU / Severe Burns Unit + Aggressive fluid/electrolyte & nutritional support + Non-adherent wound dressings + Urgent Ophthalmology review (Ciclosporin/Etanercept/IVIG per specialist protocol) โœ“ Published (mID 10039)