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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
17 Acute pancreatitis
ICD-10: K85.9 ICD-11: DC31 Gastroenterology & Hepatology
Revised Atlanta Criteria (โ‰ฅ2 of 3): Severe epigastric pain radiating to the back + Serum lipase/amylase โ‰ฅ3ร— ULN + Characteristic CECT/MRI pancreatitis findings Serum Lipase (more specific and stays elevated longer than amylase) + Right Upper Quadrant Ultrasound (to detect gallstones) Goal-directed balanced crystalloid resuscitation (Ringer's Lactate) + Multimodal analgesia + Early oral/enteral nutrition within 24โ€“48h + Index laparoscopic cholecystectomy if gallstone-induced โœ“ Published (mID 10006)
18 Spontaneous bacterial peritonitis
ICD-10: K65.2 ICD-11: DB99.7 Gastroenterology & Hepatology
Ascites in cirrhotic patient + Fever / Diffuse abdominal tenderness + Hepatic encephalopathy or acute kidney injury (often asymptomatic in 30%) Diagnostic Paracentesis showing Ascitic Fluid Absolute Polymorphonuclear (PMN / Neutrophil) count โ‰ฅ250 cells/mmยณ (โ‰ฅ0.25 ร— 10โน/L) Empiric IV 3rd-generation Cephalosporin (Cefotaxime 2 g q8h or Ceftriaxone 2 g OD for 5 days) + IV Albumin (1.5 g/kg on Day 1 and 1.0 g/kg on Day 3 to prevent Hepatorenal Syndrome) โœ“ Published (mID 10025)
19 Acute cholangitis
ICD-10: K83.0 ICD-11: DC12.0 Gastroenterology & Hepatology
Charcot's Triad: Fever with rigors + Right upper quadrant pain + Obstructive jaundice (Reynolds' Pentad adds: Septic shock + Confusion/altered mental status) Tokyo Guidelines (systemic inflammation + cholestasis + biliary dilatation/choledocholithiasis on RUQ Ultrasound, MRCP, or EUS) IV broad-spectrum antibiotics (Piperacillin-tazobactam or Ceftriaxone + Metronidazole) + Crystalloid resuscitation + Urgent biliary decompression via ERCP within 24โ€“48 hours โœ“ Published (mID 10026)
20 Upper gastrointestinal bleeding
ICD-10: K92.2 ICD-11: ME24.90 Gastroenterology & Hepatology
Haematemesis (red blood or coffee-ground emesis) + Melaena (black, tarry stools) + Haemodynamic instability / elevated urea-to-creatinine ratio Oesophagogastroduodenoscopy (OGD / EGD) within 24 hours (within 12 hours if suspected variceal bleed) + Glasgow-Blatchford Score risk stratification Restrictive RBC transfusion (threshold Hb <70 g/L) + Non-variceal: Endoscopic therapy (clips/adrenaline/thermal) + IV PPI; Variceal: IV Terlipressin/Octreotide + IV Ceftriaxone + Endoscopic variceal band ligation โœ“ Published (mID 10027)