Page 34 - Complementary and Alternative Medicine Treatments in Psychiatry

34 | Complementary and Alternative Medicine Treatments in Psychiatry

NODE D
YES (to any)
1. History of asthma
2. History of high blood pressure
3. Diastolic blood pressure > 94
mm Hg Disease likely
L.R. = 2.2
4. Serum vitamin B12 < 200pg/L

Disease less likely NO ( to all)
L.R. = 0.39

NODE E YES (to any)

1. Pain in the chest while at rest

2. Headaches associated with Disease likely
vomiting L.R. = 1.9
3. History of thyroid disease

Disease less likely
L.R. = 0.34 NO (to all)

NODE F YES (to any)

1. Loss of control of urine or stool
2. White blood count > 11,000 /cu mm Disease likely
3. Serum cholesterol > 320 mg/dL or
L.R. = 1.7
serum triglyceride > 400 mg/dL
4. Serum potassium > 5.5 meq/L
5. Serum sodium < 134 meq/L

NO (to all)

Disease less likely
L.R. = 0.21

Figure 2.1—The Koran Algorithm (cont.).