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 |
|---|---|---|---|---|---|
| 24 |
Diabetic ketoacidosis
ICD-10: E10.10
ICD-11: 5A10
Endocrinology & Metabolism
|
UK JBDS Triad: Ketonaemia โฅ3.0 mmol/L (or ketonuria โฅ2+) + Blood glucose >11.0 mmol/L (or known diabetes) + Venous HCO3- <15.0 mmol/L and/or venous pH <7.3 | Bedside capillary beta-hydroxybutyrate ketones + Venous Blood Gas (pH, HCO3-, anion gap, K+) + Plasma glucose | IV 0.9% NaCl resuscitation + Potassium replacement (40 mmol/L if K+ 3.5โ5.5) + Fixed-Rate IV Insulin Infusion (0.1 units/kg/hr; add 10% glucose when BG <14 mmol/L) | โ Published (mID 10004) |
| 25 |
Thyroid storm (Burch-Wartofsky score)
ICD-10: E05.91
ICD-11: 5A02.Z
Endocrinology & Metabolism
|
Hyperpyrexia (>38.5โ40ยฐC) + Severe tachycardia / atrial fibrillation / high-output heart failure + CNS agitation, delirium, or coma | Clinical diagnosis supported by Burch-Wartofsky Point Scale (โฅ45 points highly suggestive) + Suppressed TSH (<0.01 mIU/L) and markedly elevated free T4/free T3 | 1. Beta-blockade (IV Propranolol/Esmolol) -> 2. Thionamide (Propylthiouracil 500โ1000 mg loading then 250 mg q4h) -> 3. Lugol's Iodine (given โฅ1 hour AFTER PTU) -> 4. IV Hydrocortisone (100 mg q8h) | โ Published (mID 10030) |
| 26 |
Addisonian crisis (acute adrenal insufficiency)
ICD-10: E27.2
ICD-11: 5A74.1
Endocrinology & Metabolism
|
Vasopressor-refractory hypotensive shock + Acute abdominal pain/vomiting + Classic biochemical pattern: Hyponatraemia, Hyperkalaemia, and Hypoglycaemia | Random serum cortisol & ACTH drawn prior to steroid administration (never delay treatment for Short Synacthen / Cosyntropin stimulation test) | Immediate IV Hydrocortisone 100 mg stat bolus (followed by 200 mg/24h infusion or 50 mg q6h) + Rapid IV 0.9% Sodium chloride resuscitation + IV Dextrose for hypoglycaemia | โ Published (mID 10031) |
| 27 |
Phaeochromocytoma
ICD-10: D35.00
ICD-11: 2F37
Endocrinology & Metabolism
|
Classic Episodic Triad: Paroxysmal headache + Profuse diaphoresis + Palpitations/tachycardia with severe episodic or sustained hypertension | Plasma free metanephrines or 24-hour urinary fractionated metanephrines and catecholamines + Adrenal CT/MRI (T2 'light-bulb' hyperintensity) ยฑ 68Ga-DOTATATE PET | Pre-operative Alpha-blockade FIRST (Phenoxybenzamine or Doxazosin for 10โ14 days) + high-sodium/fluid intake, FOLLOWED BY Beta-blockade (never give beta-blocker before alpha-blockade), then Laparoscopic Adrenalectomy | โ Published (mID 10032) |