Doctor insights on:
Clinical Eds Test Vascular
Older testing: If a comprehensive evaluation is done the people with vascular risk can be determined. The incidence of vascular complications reflects available testing about 15 years ago. With improved testing techniques unanticipated vascular complications are rare without additional risk factors to include smoking. ...Read moreSee 1 more doctor answer
Depends: Would not focus so much on percentages, but instead would present your symptoms to your rheumatologist. Would try to seek out eds centers who understand the condition more than most and have seen a larger volume of eds patients (usually at university hospitals). ...Read moreSee 1 more doctor answer
No simple test: Eds in one form (vascular eds) can cause weakness of the blood vessels. If the vessel ruptures seriousl consequences can occur. Eds causes a weakness or loss of elasticity which can lead to stretching, ballooning out and eventual rupture. Probably easiest way to diagnose is with ultrasound or ct with contrast. ...Read moreSee 1 more doctor answer
How/why can lupus symptoms present & diagnosis of lupus be made by clinical picture &high ANA titer only?Why don't other labs show positive?Two rheum mds dx'd me.
PM/Scl: The paradox of rheumatologic diseases is that there are more lab tests in this area than any other, and they of relatively less value compared to the history and physical findings than in other fields. If your rheumatologist is comfortable with the diagnosis of "scleromyositis", which usually features anti-pm/scl, i'd accept it even with a single negative result, and proceed. ...Read more
ABI/PRESSURES: Ankle brachial index(abi) measures the difference in blood pressures between the arms and legs and arterial ultrasound which is a type of imaging test can be used in conjunction with this to establish this diagnosis along with an appropriate history. ...Read moreSee 1 more doctor answer
Several features: Features suggestive of marfan syndrome include: above-average height, long arms, long fingers, flat feet, high-arched palate, narrow face, crowded teeth, small lower jaw, pectus carinatum (pigeon chest), pectus excavatum (sunken chest), hunchback (hunchback), scoliosis (crooked back), hypermobile/hyperflexible joints, etc... ...Read moreSee 1 more doctor answer
Ana direct positive ANA , ifa neg , rnp 2.3, CRP 5.4 ss-b2.7.Diag with lupus connective tissue and sjorgen all at once? Why 2 ANA tests different answ
They can change!: Appears you have mctd with sjogren's like features based on the labs and titers. No lupus marker present! ...Read more
P-Anca positive, negative MPO??? Wegener's vasculitis suspected due to clinical symptoms. 6 yr old with juvenile arthritis.
Autoimmune: The positive ANCA test supports the diagnosis of an autoimmune disorder but with a negative MPO test (of one the proteins in the neurophils targeted by the disease) the possible diagnoses are many including Wegener's, RA, and others. Further testing including a biopsy may be required. ...Read moreSee 2 more doctor answers
Would a negative brain MRI rule out Huntington's in 53yo with sx worsening over 30 yrs? Family history unknown (orphan). DNA test pending.
Maybe: Some defined antibodies are associated with paraneoplastic syndromes (note: plural). In those cases the testing may be positive. However, a person could have a paraneoplastic syndrome with negative testing for the known paraneoplastic antibodies. It is possible that studies are being done to characterize tests for paraneoplastic syndromes. That might be experimental. ...Read moreSee 1 more doctor answer
Does a positive ANA 1:160 homogeneous test result for teen require further clinical review w/rheumatologist (mom recently dx w/lupus)?
Mgt: More details regarding the presentation,symptoms and other illnesses would be helpful in advising further studies. ...Read more
Cardiac MRI, stress echo, 3d echo and blood test CRP all done at the mayo clinic AZ would these 3 rule out a blocked artery/CAD? If normal?
Transthoracic echocardiogram, chest x ray, renal sonogram, lots of blood work by hematologist, lupus test found nothing after splenic infarct. More test?
Transthoracic echocardiogram, chest x ray, renal sonogram, lots of blood work by hematologist, lupus test found nothing after splenic infarct. Am i ok?
Do neg EMG's/NCS (incl. single fiber/repetitive EMG) rule out channelopathies and mitochondrial neuromuscular dis? Would they rule out all neurom. Dz?
NO and NO: EMG/NCS is a useful diagnostic tool but BY NO MEANS EXCLUDES the medical problems you mention. ...Read more
Different areas: Collagen vascular diseases or multi-system diseases are just that. They are a group of diseases characterized by autoimmune aberrations. Varied organ systems can be involved - skin, joints or any internal organs - heart, kidneys, blood or nervous system. The way a disease presents itself depends on which areas are involved. See you doctor or rheumatologist. ...Read more