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The modified ny criteria for diagnosing anspon includes clinical symptoms. Does acute chronic iritis count as a clinical condition?
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.
Is ECG and blood work sufficient enough workup for chest pain with other symptoms of virus. Suggesting myocarditis?
Depends: If the findings on ecg, and blood tests are normal and there is confirmation of viral infection, it is likely enough. ...Read more
What classifies as 'stress related illness?' Sx:Muscle tens fatigue irritability HRT palps. Complete workup. No clinical illness. This is Dr's dx.
25 yr old previously diagnosed with fibromyalgia. Increasingly worse symptoms. Recent lab work shows SED rate of 50 and CRP of 1.4. Misdiagnosed?
Impossible to say: That is impossible to even begin to answer. The sed rate and CRP could be totally unrelated. ...Read more
Would normal CBC, metabolic panel, ESR, CRP, PT, aPTT, d-dimer make multiple myeloma or waldenstrom macroglobulinemia unlikely? Given a presumptive diagnosis of von Willebrand at age 31 with no known family history. Concerned it may be acquired form.
Not right tests: If you wish to be tested for multiple myeloma or Waldenstrom, you should have serum protein electrophoresis and immunofixation electrophoresis and if needed similar studies on urine. It is not a do it yourself diagnosis and your doctor should order the tests, if warranted. ...Read more
Yes: There's a list of 11 criteria to help diagnose sle. A person needs to satisfy at least 4 out of the 11 criteria before the diagnosis can be pinpointed. Of the 11 criteria, 7 relate to symptoms, and 4 have to do with lab tests. So it is possible to make a diagnosis of sle with just clinical symptoms as long as you have at least 4 from the list. ...Read more
Relation of thyroid function to suspected CFS: TSH test =1.1. All other conditions ruled out (except CFS). Would T3, T4 & RT3 tests clarify further?
CFS TSH: Yes without them you do not know what is going on. CFS is basically a diagnosis. Exclude all causes of fatigue. Then only CFS remains. ...Read more
Clinical Correlation: No Epileptiform abnormalities noted on this recording. Please note this does not exclude clinical diagnosis of epilepsy. Could the person be epileptic?
Rheumatologists, at what Vectra Score are you comfortable with regarding current treatment regimen? All other findings excluded.
Best 1-29: Best would be 1-29. Worst 45-100.From 39-44 depends on starting score. ...Read more
Feel great - incidental finding ANA 1:160 after acute sinusitis. Then had Anti-DNA, Ant-Smith, SSA/SSB, RNP, SCL-70, Centromere, and Thyroid labs all normal. Does this exclude autoimmune disorder?
Doc investigating possible bleeding/coagulation disorders w/blood work. Ordered cardiac/hs CRP instead of normal CRP. Is that right?
Lab results led to subclinical hypothyroidism diagnosis. Treated for mdd, anxiety, ptsd. Should it be further examined? Chances of infertility?
Labs alone =Dx???: History which includes symptoms over time family history and physical exam almost always trump lab results alone. Once a good history and physical are done then testing. Other endocrine disorders should be considered. However all alcohol/substances? Need to be stopped first and current meds reassessed after a new baseline mental status achieved. If appropriate, adrenal gland function may need test. ...Read moreSee 1 more doctor answer
Experienced few flutters with exercise. Would a clear ecg read by a cardiologist be enough to exclude life threatening conditions. (E.g, arvd, hcm)?
Cardiology Consult: 21 year old gentleman experiencing possible arrhythmia with exercise. An EKG is a good start in this case but referral to a specialist in Cardiology is a good idea. A stress test and hotter monitor are more accurate in detecting arrhythmia that may be brought on by exertion. Echocardiography and or imaging usually employed to diagnose other disorders but they do have EKG signs experts recognize. ...Read more
For 55+ female, does early/mid stage GI issues (e.g. ulcer, tumor) get revealed by physical examination of doctor ?
Try elimination diet: Must start with your PRIMARY care doctor & if you do not have one find a good internist. Detail history will reveal many differential diagnosis. Exam alone may not reveal much but helps to rule out many options. go dairy free for 1 month except yogurt & see how your symptoms improve.If no change go grain free & see. Visit drhoffman.com for holistic & practical answers. ...Read more
Pr3 elevated at 3.9 u/ml labcorp, with no anca titre. anemia, kidney issue and shortness of breath: should vasculitid be worked up? diabetic patient.
Mgt: I would suggest chest imaging, and discussing a renal workup to include an ultrasound, renal function, and possibly a biopsy. Vasculitis is one possible cause of shortness of breath, but others include fluid retention due to decreased renal function. Is there a family history of renal disease? ...Read more
I know ARD diagnosis depends on the whole clinical picture. Probability-wise, which ARDs are associated with a nuclear coarse speckled ANA pattern?
Depends on other lab: There are a number of rheumatologic diseases that could have that ANA pattern, and it's also possible to have a positive ANA without having a disease. Diagnosis depends on more than just the ANA -- your doctor will probably do other tests, and with all the lab results plus your physical exam, be able to give you a diagnosis. ...Read more
With repeated ECG, holter monitors, ECHO, cardiac MRI and stress tests would long QT syndrome be obvious to diagnose?
Bloodwork, xray, ekg, echo, stress test, 24hr holter. Had all these tests done and only benign arrhythmia. Does anxiety sound right? Or possible chd?
Not CHD: Missing information is what symptom prompted this extensive work-up in the first place. Assuming palpitations was the reason, the first thing to do is to better define this. Keep a log. Take your pulse every time. Record how fast, how often, how long it lasts and what happens when it stops (sudden or slows down). The answers to these questions will provide more information to start than the tests. ...Read moreSee 1 more doctor answer
Would there be a narrow range of diagnoses for an ED patient who had 14 diagnostic lab tests, 1 unk diagnostic test at cost of $3k? Food poisoning?
What is the question: You went to an emergency room for some illness and expected to be diagnosed without testing? You are lucky you were only charged $3, 000. It could have been a great deal more. Ers are abused, overused and populated by large numbers of people who never pay and cannot be turned away by law. Those who can pay foot the bill for those who cannot . This is why we need major revision to med care. ...Read more
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