Page 33 - Complementary and Alternative Medicine Treatments in Psychiatry

The Comprehensive Medical Exam in Psychiatry | 33

NODE A
1. Serum T4 <4.5 mcg/dL or free T4 < 1 ng/dL YES (to
2. Hematocrit < 39% (m) or < 35% (f) any)
3. Hematocrit > 56% (m) or > 52% (f)
4. White blood count < 4100/cu mm

5. Serum aspartate aminotransferase (SGOT) >150 Disease
IU/L likely
6. Serum albumin < 2.0 gm/dL L.R. = 6.4
7. Serum calcium > 12.0 mg/dL
8. Glycosuria (by dipstick)

Disease less
likely NO (to all) YES (to
any)
NODE B
1. History of epilepsy Disease
2. History of emphysema likely
3. History of blood or pus in the urine L.R. = 5.7
4. Hematuria (by dipstick) in male aged
over 50 years

Disease less likely NO (to all)
L.R. = 0.58
YES (to
NODE C any)
1. History of diabetes
2. Serum T4 > 12.5 mcg/dL or free T4 > 4.4 Disease
ng/dL likely
3.Proteinuria (by dipstick) L.R. = 2.75
4. Serum aspartate aminotransferase
(SGOT) > 60 IU/L or serum alanine
aminotransferase (SGPT) > 75 IU/L

Disease less likely NO (to all)
L.R. = 0.58
Figure 2.1—The Koran Algorithm. L.R. = Likelihood Ratio. (Courtesy of
Christine Marr.)