Doctor insights on:
Test Needed Diagnose
What test is needed to diagnose HSV 1 if patient has never had symptoms of it but is worried they may have contracted it?
Test not needed: 90% of are carriers of hsv1. Testing can be done through a blood antibody test but usually is not since 90% will be positive. If you have an oral cold sore then a swab can be done to detect the actual presence of the virus. If you have not symptoms then there is no value in getting tested for hsv 1. ...Read more
What test is needed to diagnose a cervical polyp seen during the pap exam (if it's cancerous, cause, etc.)? Does the Pap test give any info on polyp?
FIQR: Dr. Bennett published the fibromyalgia impact questionnaire (fiqr), which appears to be able to distinguish fibromyalgia from other chronic pain conditions. There is a fibromyalgia app available for the ipad that makes it easy for anyone to use the fiqr. After that, you should share the fiqr results with your doctor and your doctor can do a workup to confirm your diagnosis and start treatment. ...Read moreSee 2 more doctor answers
Ultrasound is best: As dr. Hertzman said, ultrasound is best but you might not need one. If your history is suggestive of a deep venous thrombosis (dvt), a blood test called a d-dimer can be very useful. If your d-dimer is normal, an ultrasound is probably not necessary. If your history is suggestive of a DVT and your d-dimer is abnormal, an ultrasound is a must. ...Read moreSee 2 more doctor answers
Observation: There are no blood tests or imaging studies that have consistantly been proven to be valid in diagnosis. The only way is to use questionnaires such as the connor's or vanderbilt forms filled by people who have exposure and observation of the individual and discussing with your doctor. ...Read more
Biopsy: Confirmatory test is biopsy via upper GI endoscopy and/or colonoscopy. Crohn's usually presents with inflammatory changes and granulomas (areas of immune system consolidation) at the end of the small intestine (terminal ileum) but it can involve any part of the GI tract. ...Read moreSee 1 more doctor answer
Excessive sleepiness: A multiple sleep latency test (mslt) is also referred to as the "nap study". It is strictly for diagnosing narcolepsy with or without cataplexy and idiopathic hypersomnia. .. Essentially, this test allows us (sleep physicians) to see objectively how sleepy a person truly is by calculating the time one falls asleep during 5 naps spread throughout the day. It should be preceded by a night study. ...Read more
The senses: Most of them time your doctor can diagnose a pinched nerve by letting you tell your story in your own words and by examining you. Depending on the type of pinched nerve you have, an imaging study, preferably mri, and possibly nerve studies may be needed to confirm the diagnosis and to help tailor the most effective treatment plan for you. ...Read more
Accurate history: A careful interview (history) will help your provider determine whether you have carsickness (motion sickness). It is more common in people with migraines. Symptoms can have varying degrees of intensity. Typically nausea and feeling poorly occur when the car is in motion. The more winding the road, the more intense the symptoms. Looking out towards something on the distant horizon seems to help. ...Read moreSee 1 more doctor answer
Clinical is the best: You've just stated a few hundred different disease processes that involve "UMN disorders." Which one did you have in mind? The best way to a diagnosis is a well trained neurologist who likes to examine their patients, judiciously use tests to help support their clinical thinking or help reorient them if necessary and not make snap decisions. Do you know anybody like that? That's who needs to see U ...Read more