f149_display

Field Label

criteria b/c:   there is evidence from this history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of another medical condition and the disturbance is not better accounted for by another mental disorder.  {f149}   note: the following factors should be considered and, if present, support the conclusion that a general medical condition is etiologic to the anxiety symptoms. 1) there is evidence from the literature of a well-established association between the general medical condition and the anxiety symptoms. etiological medical conditions include: endocrine disease (e.g., hyperthyroidism, pheochromocytoma, hypoglycemia, hyperadrenocortisolism), cardiovascular disorders (e.g., congestive heart failure, pulmonary embolism, arrhythmia such as atrial fibrillation), respiratory illness (e.g., chronic obstructive pulmonary disease, asthma, pneumonia), metabolic disturbances (e.g., vitamin b12 deficiency, porphyria), and neurological illness (e.g., neoplasms, vestibular dysfunction, encephalitis, seizure disorders). etiological substances/medications include: alcohol (i/w), caffeine (i), cannabis (i), opioids (w), phencyclidine (i), other hallucinogens (i), inhalants, and stimulants (including cocaine) (i/w), sedatives, hypnotics, and anxiolytics (w); anesthetics and analgesics, sympathomimetics or other bronchodilators, anticholinergics, insulin, thyroid preparations, oral contraceptives, antihistamines, antiparkinsonian medications, corticosteroids, antihypertensive and cardiovascular medications, anticonvulsants, lithium carbonate, antipsychotic medications, antidepressant medications, and exposure to heavy metals and toxins such as organophosphate insecticide, nerve gases, carbon monoxide, carbon dioxide, volatile substances such as gasoline and paint. 2) there is a close temporal relationship between the course of the anxiety symptoms and the course of the general medical condition.  3) the anxiety symptoms are characterized by unusual presenting features (e.g., late ageat- onset). 4) the absence of alternative explanations (e.g., anxiety symptoms as a psychological reaction to the stress of being diagnosed with a general medical condition). * must provide value

Branching Logic

[f147] <> "1" and ([f21_gmc] = "1" or [f75_gmc] = "1" or [f122_gmc] = "1" or [f138_gmc] = "1" or [f144_gmc] = "1")