19 results
Causes of False Elevation and Reduction in HbA1c

== False Elevation ==
Decreased RBC turnover 
• Iron, B-12,
== Decreased RBC ... • Asplenia Laboratory ... HbA1c #HgbA1c #Laboratory ... #Diagnosis #DM2 ... #Differential
Commonly Observed Laboratory Findings in Hepatic / Liver Failure
 - Elevated conjugated and unconjugated bilirubin -
Commonly Observed Laboratory ... ALT and AST - Elevations ... gluconeogenesis in the fasting ... Hepatic #Hepatology #Laboratory ... #Diagnosis #Testing
Tuberculous Pleural Effusions - Tests and Biomarkers
Age + fever + red blood cells + ADA -
Biomarkers Age + fever ... IFN-y + NAAT - Increase ... #Tuberculosis #Laboratory ... #Testing #diagnosis
Infectious Diarrhea - Laboratory Testing

Clostridium difficile
Salmonella enterica, Shigella spp, Campylobacter spp 
Salmonella enterica serovars Typhi and
Testing Clostridium ... Paratyphi (enteric fever ... Infectious #Diarrhea #diagnosis ... #differential # ... Laboratory #Testing
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura

Activity of von Willebrand factor-cleaving protease activity - A
TTP - Laboratory ... activity is the diagnostic ... Mild-to-moderate decrease ... Mild-to-moderate elevation ... WBC count and differential
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... without platelet decrease ... bartonella (oroya fever ... workup #hematology #testing
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Delivery (DO2) • Decreased ... Pain / Exercise, Fever ... separate D-lactate testing ... Syndrome, where decreased
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... onset, severe, tearing ... friction rub, Fever ... trauma - PEX: Decreased ... Management #Algorithm #differential
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
old on day ≥7 of fever ... should undergo lab testing ... anemia for age, elevation ... lack of tapering, decreased ... #Diagnosis #Peds
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
Dehydrogenase (LDH) - Differential ... Diagnosis Framework ... myocarditis, rheumatic fever ... Idiosyncratic LDH Elevation ... #diagnosis #Laboratory