Doctor insights on:
Why can hypersecretion of hormones (e.g. hyperpituitarism or hyperthyroidisim) result in diabetes?
Testing for diabetes: Hi. The tests for diabetes (fasting glucose, post-challenge glucose, 3-month average glucose, and random glucose) all have their strengths and weaknesses. A1c is an excellent test and vital to the modern management of diabetes; it's NOT the most sensitive diagnostic test, however. Fasting and post-challenge glucoses can both reveal more subtle abnormalities. Random glucose is a blunt instrument. ...Read more
Maybe: The diagnosis of glaucoma relies on many pieces of data. The shape of the optic nerve, retinal nerve fiber layer thickness, visual field testing, c:d volume and rim thickness, intraocular pressure and changes in these parameters over time. It is rare for only one to be abnormal i would suggest a second opinion before starting treatment. Don't just ignore the possible DX , glaucoma can blind. ...Read moreSee 1 more doctor answer
Complicated: Cushings syndrome is diagnosed by first having a clinical suspicion followed by careful testing: late night salivary cortisol, urinary cortisol or a Dexamethasone suppression test. Tests must be clearly and reproducibly abnormal. Further identification of the cause of the syndrome needs to be tailored to your particular situation. ...Read moreSee 1 more doctor answer
See your doctor: The best way is to see a Psychiatrist for a comprehensive Psychiatric evaluation. They are the best trained clinicians for diagnosing these disorders. Your family physician or internist can do a good job if well trained and they take the time. Most of the time, making a reliable psychiatric diagnosis requires taking the time to obtain a full history, which is time consuming. ...Read more
Examination: See your doctor right away for an examination. If the diagnosis is not obvious, a dermatologist may be consulted for their expertise. Best of luck! ...Read more
While a CBC/Diff....: Will reveal the neutropenia, unfortunately it goes little toward determining cause. There are a host of tests that could be done to address possible causes, in the case of idiopathic neutropenia of childhood, the clinical status of the patient is often very informative. Often, these patients are well overall and mobilize neutrophils in the setting of infectious challenge. If not gcsf is an option. ...Read moreSee 1 more doctor answer
Blood test: Your doctor or health dept can order the appropriate blood tests. ...Read more
Is there a specific criteria for diagnosing Erythromelalgia & does it have any of the same symptoms as some other diseases?
It is a bed side Dx: erythromelalgia can be a primary disorder by itself or caused by other conditions. Rarely inherited. redness , swelling and pain in the distal extremities , that is on / off , triggered by heat , pressure , exertion , insomnia , stress,... high platelet count , high cholesterol, toxins, drugs can cause it. it is a neurovascular condition leading to narrowing of the fine arterioles in hands feet,.. ...Read more
The modified ny criteria for diagnosing anspon includes clinical symptoms. Does acute chronic iritis count as a clinical condition?
I have almost all of the symptoms of borderline pd. Not sure how to bring it up with my dr without sounding that I am self diagnosing.?
Talking to Doctors: You should always and absolutely share with the doctor all that you are wondering or worrying about. We are all used by now to certain 'internet' diagnoses and much of the time my job is to reassure a patient they do not have x, y, and z because of "a, b, or c". Communication is key in the relationship between a patient and physician. Just be prepared if the doctor disagrees with the diagnosi. ...Read more
TESTS FOR LUPUS: Cbc, urine and sed rare.Following test are important to diagnose lups 1ana titer is an important test, it is positive in 97%of patients with lupus.When threeor more typical features of lupus are present like, skin, joints, kidneys, lungs, heart, blood or nervous system, positive ANA will confirm it 2anti ds dna +iin half patients 3apls antibody+in 30% 4ro/ss-a and la/ss-b in skin lupus sm antibod 30-40%. ...Read more
Biopsy: IBD is diagnosed by a combination of the clinical symptoms, duration, the appearance of the mucosa and areas of involvement on a colonoscopic exam, and taking biopsies. The tissue biopsies can give a very good idea of whether a case might be IBD, but since other processes can look similar, your Doctor uses all of the above to make the dx. ...Read moreSee 1 more doctor answer