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Crohn's Disease Activity Index (CDAI)

Purpose: To monitor the clinical status of a patient with Crohn's disease using the Crohn's Disease Activity Index (CDAI).

Evaluation

Are you evaluating a patient with Crohn's disease?

Gender of the patient

Current body weight

Standard body weight

Hematocrit (enter from 0 to 100)

percent

Is the patient taking Lomotil for diarrhea?

Does the patient show ...

• arthritis or arthralgias?

• iritis or uveitis?

• erythema nodosum, pyoderma gangrenosum or aphthous stomatitis?

• anal fissure, fistula or abscess?

• other fistula?

• fever > 100°F during the past week?

Number of liquid or very soft stools

Day 1

per day

Day 2

per day

Day 3

per day

Day 4

per day

Day 5

per day

Day 6

per day

Day 7

per day

Select appropriate answer to indicate the presence or absence of abdominal mass

Abdominal mass

Abdominal Pain: Select appropriate answer indicating the patient's level of abdominal pain each day

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

General Well-Being: Select appropriate answer indicating the patient's status each day

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Results

Please fill out required fields.

Specialty

Objective

ICD-10