Doctor insights on:
What Is The Gold Standard For Laboratory Confirmation Of A Mumps Case
Mumps immunity: Two sets of blood tests will have to be performed in order to confirm the development of mumps disease. As is usual with other viral illnesses, mumps antibody (igm and igg) levels are performed during the first week of the illness (acute stage) and again about 4-6 weeks later during the recovery period. The IgM confirms that the infection is due to current mumps; the IgG level confirms immunity. ...Read more
A viral infection of children caused by the paramyxovirus virus. The salivary glands (especially the parotid glands behind the ears) swell. The paramyxovirus virus is spread by direct contact with an infected person's sneeze or cough. With nearly universal immunization in childhood, there are few cases ...Read more
In case of prostate infection, what is the specimen type that should be used for PCR testing? Is specimen taken by urethral swab suitable?
Usually not: Expressed prostatic secretions are the gold standard. ...Read more
When a Fluroscopic Single Contrast Enema of the rectum is performed by Radiology, what would be the reason for a doctor to request that kind of test?
What is the treatment for urinary tb? I'm awaiting test results for the possibility of having that condition.
Urinary Tb: Tb of the urinary tract is secondary to systemic TB and lung tb. Treatment is the same as pulmonary tb. ...Read more
A person infected with an onychomycosis for 2 years ago. What is the quickest treatment to him? Is that differs of tenia peds treatment?
>3 Losses. MD Eval: 3 or more losses. The evaluation involves blood tests (basic labs, antiphospholipid antibody, exclusion of thyroid disease or diabetes), evaluation for genetic issues, uterine (womb) abnormalities, and sometimes, the cause is not known. An evaluation by a physician with experience in this area is important as some causes can be corrected and/or treated. ...Read more
What is the significance of a positive IgM & IgG in a patient of typhoid after the patient is asymptomatic? Does the patient need further treatment?
Not necessarily: The IgM may be a residual of the recent infection, the IgG indicates long-term protection. If you have no symptoms otherwise, no further treatment is needed. If the IgM remains elevated months from now, then it may indicate the presence of a persistent low-grade infection. ...Read more
HIV testing...: Negative testing 6 months from exposure is highly accurate and no further testing is needed as long as there have not been other risky sexual encounters since that time. You can be confident that testing 6 months after exposure to the virus provides highly accurate results. In future avoid high risk sexual encounters, use protection, and get regular screening for HIV/STDs if remain sexually active ...Read moreSee 1 more doctor answer
What is the standard uirne test for chalmdyia?? Most comply used in Canada? At a local
Doctor office which he sends to the lab
In the case of suspected sirs (systemic inflammation response syndrome) what should be done and how quickly? Is there a standard treatment?
Possibly new culture: There are many tests for lyme, but none are totally reliable. The elisa test is positive in about half of those infected. The western blot test is positive in ~70% of cases, but most labs don't do a thorough enough version- i recommend igenex labs. Pcr tests are positive only ~20% of the time. A new test, a culture by advanced laboratory services may detect lyme in >80% of cases so may be best. ...Read moreSee 1 more doctor answer
Chrohn's Disease: Colonoscopy and sigmoidoscopy allow the doctor to directly view the large intestine, which is the lower part of the digestive tract. These techniques can often provide the most accurate information about the intestines. They may be better at detecting small ulcers or inflammation than other techniques. They can be used to assess the severity of any inflammation. Colonoscopy is the most important. ...Read more
Likely more testing: The best place to check is with the lab. They should be able to outline the difference between the 2 tests and give you a list of the tests being done. ...Read more
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