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Doctor insights on: Stonerisk Diagnostic Profile

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Is an nmr lipid panel a valuable tool to better assess heart disease risk compared to a basic lipid panel?

Is an nmr lipid panel a valuable tool to better assess heart disease risk compared to a basic lipid panel?

Yes - Based on Data: LDL cholesterol (LDL-C) is the traditional measure of LDL quantity. NMR measures LDL particle number (LDL-P). When LDL-C and LDL-P differ CHD risk tracks with LDL-P not LDL-C. Expert groups advocate use of LDL-P to judge response to therapy and guide adjustment of therapy. New data shows adjusting therapy to achieve low LDL-P results in fewer CVD events versus statin treatment to low LDL-C levels. ...Read more

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Please advise about diagnostic workup (lab, body exam, etc) for melasma, but specifically in men? Please see my profile before.replying.Thank you.

Please advise about diagnostic workup (lab, body exam, etc) for melasma, but specifically in men? Please see my profile before.replying.Thank you.

None really: i read your profile, you saw that nothing really matter in this condition Regular primary care exam ,consult with a dermatologist and control of BP and general health maintenance will help. Fading cream may be the only thing that work temporarily ...Read more

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Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Maybe: It seems as though you've had quite a few tests ordered. Whether or not you're done will likely depend on the reason why they were ordered along with the test results that you'll discuss with your doctor. Good luck. ...Read more

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When we patients submit questions here what exactly the doctors on healthtap see from information beside the question?What info in my profile do u see

Limited Info: The clinician see a small profile pic, a screen name, a gender symbol, an age and text questions or comments. Below the comment section are tag words and that's about it. ...Read more

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TSI bloodwork test or Thyroid Uptake test with the radioisotopes? Benefits/risks, pros/cons? Are they interchangeable as diagnostic tool for graves?

TSI bloodwork test or Thyroid Uptake test with the radioisotopes? Benefits/risks, pros/cons? Are they interchangeable as diagnostic tool for graves?

Thyroid: The first thing you must do is have your doctor order the thyroid labs once he/she has taken a full history and physical exam. The first thing would be to order the thyroid labs and if they are abnormal the radiology program will look for problems in your thyroid. Do not get too concerned for now - all may be OK. If not appropriate care will be given after discussion with you. Keep me posted! ...Read more

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Lower abdominal discomfort, ultra/ct scans, bloodwork, esr, pst, colonoscopy, celiac hla typing, celiac panel all normal. Can it be ativan (lorazepam) withdrawal?

Lower abdominal discomfort, ultra/ct scans, bloodwork, esr, pst, colonoscopy, celiac hla typing, celiac panel all normal. Can it be ativan (lorazepam) withdrawal?

It is nonspecific sy: Your symptoms are not anything serious to justify anymore testing, as you already have done a lot. I would hold off any further interventions and eat and live normally. Begin to exercise daily would help to get your mind of this vague symptom of abdominal discomfort. ...Read more

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Effect of medicine on lipid profile and routine urine, bilirubin test.

Effect of medicine on lipid profile and routine urine, bilirubin test.

Yes: Many medications affect lipid profile such as diuretics. Also they can affect the bilirubin. Ask your doctor to review your meds. ...Read more

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Would a complete patient profile blood test show cancer?

Would a complete patient profile blood test show cancer?

Maybe not: There is no standard "complete patient profile blood test" in the U.S., so what is tested for depends on what a doctor is looking for. A blood chemistry test such as a Comprehensive Metabolic Panel looks at 14-17 items, but isn't looking for cancer. It will, however, detect some side effects of having a widespread cancer problem. Cancers come in all sizes and many types, but need specific testing. ...Read more

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My anus skin looks little pink By almost year,Itch a little and sometimes burns,U can see the picture and my profile pliss tell me what is and what2do?

My anus skin looks little pink By almost year,Itch a little and sometimes burns,U can see the picture and my profile pliss tell me what is and what2do?

Pruritus Ani: The most prevalent anorectal diseases related with pruritus ani are hemorrhoids and anal fissures; others are anal fistulas, abscesses, proctitis, rectal cancer, adenomatous polyps, etc. Skin disorders as etiologic factor are contact dermatitis, lichen planus, psoriasis, seborrheic dermatitis, vitiligo, squamous cell carcinomas, Paget's disease, etc. Infectious causes, medications and food. ...Read more

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Given a positive RNP antibody test, what are the clinical diagnostic criteria for MCTD?

Given a positive RNP antibody test, what are the clinical diagnostic criteria for MCTD?

MCTD: Usually considered diagnostic if high RNP titer, and two or more of the following: Raynauds, myositis, synovitis and swollen fingers/hands. ...Read more

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Why is screening lipid profile in high school beneficial?

Why is screening lipid profile in high school beneficial?

Good for prevention: If lipid profile is done at early age especially premature cardiovascular disease, abnormal lipids can be corrected with diet exercise medications to prevent cardiovascular disease. ...Read more

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Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication against pancreatic cancer?

Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication  against pancreatic cancer?

Yes: Pancreatic cancer is most uncommon at your age to begin with (it is not a common cancer in general). Normal blood tests and ct scan should reassure you that pancreatic cancer is not there. ...Read more

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I have had severe agitation ever since my Adderall (dextroamphetamine and racemic amphetamine) overdose. I've been clean for a year and none of the meds in my profile work. What do I do?

I have had severe agitation ever since my Adderall (dextroamphetamine and racemic amphetamine) overdose. I've been clean for a year and none of the meds in my profile work. What do I do?

Meds: how long have you been on the brintellix? seroquel (quetiapine)? tough to offer any insights with our knowing you whole history. how are your other meds working and when did you start them? tell me more about your adderall OD. you have complicated polypharmacy and would be best served by getting a second opinion, find another psychiatrist and see if they what they say after full eval. ...Read more

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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?

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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When you are hypnotised and it works does it stay that way for good or does it go away?

When you are hypnotised and it works does it stay that way for good or does it go away?

Depends: When hypnosis works, it can be long lasting and for others it is the beginning of the changes and needs further work. The positive work that has happened is great and i would let that help you lead a better and healthier life. If you need it again, go back until you feel comfortable again. ...Read more

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Besides progress notes, labs, health history, demographics, nurse notes, what other fields are on the EMR?

Besides progress notes, labs, health history, demographics, nurse notes, what other fields are on the EMR?

A lot of info: Hi EMRs are much more than just for storing patient information. Much of the daily operations of a hospital and clinic rely on an EMR and many departments (not just physicians and nurses use it) Would be happy to discuss further with you over an inbox consult if you wish. ...Read more

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FM50, what LFT test required before starting of statin for elevated lipid profile (to see whether statin is effecting liver)?

FM50, what LFT test required before starting of statin for elevated lipid profile (to see whether statin is effecting liver)?

AST and ALT: Get what we call a chemistry panel - that will check your AST and ALT liver tests. We very rarely see liver problems and the FDA now does not recommend continuing periodic liver tests. You can get a liver function test soon after starting to take a statin or after switching to a new one. If everything is fine, no further liver test is needed unless a problem arises. ...Read more

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Would a "basic metabolic panel" show liver problems, in non-alcoholic?

Would a "basic metabolic panel" show liver problems, in non-alcoholic?

No: It may show abnormal sodium levels but that is very non-specific. You need the liver tests which is in a comprehensive metabolic profile. ...Read more

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