SPEP - GrepMed

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231 results

Monoclonal Gammopathy Testing
Strengths, Weaknesses and Accuracy Compared
- SPEP
- IFE
- FLC

Accuracy Compared - SPEP ... - FLC - UPEP ... Diagnosis #MGRS #MGUS #SPEP

Diagnostic Testing for Meningitis
History:
• Triad: Fever, neck stiffness, and altered mental status
• Sens: 44%

+ are present; Spec ... if sitting up); Spec ... • Sens: 5%; Spec ... • Sens: 30%; Spec ... Sens: 60-90%; Spec

Recommended initial testing for patients being evaluated for glomerular disease

24-hour urine collection - Quantify proteinuria.

SPEP+free light ... monoclonal gammopathy (SPEP ... hypergammaglobulinemia (SPEP ... expensive than SPEP

Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.

pathways. 6) SPEP ... monoclonal gammopathy (SPEP ... hypergammaglobulinemia (SPEP ... expensive than SPEP

Multiple Myeloma and Monoclonal Gammopathies
C - HyperCalcemia- calcium > 11 mg/dL / >1 mg/dL the ULN
R

hypergammaglobulinemia; SPEP ... false- negative SPEP

Indications for Serum Protein Electrophoresis (SPEP)
• Suspected multiple myeloma, Waldenström's macroglobulinemia, primary amyloidosis, or related

Electrophoresis (SPEP ... Electrophoresis #SPEP

Fungal Biomarkers: Comparing Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
• Polysaccharide cell wall component of many fungi
•

Sens ~55-96%, Spec ... Cryptococcus • Sens/Spec

The value of point-of-care ultrasound for detecting nail bed injury in [the] ED

American Journal of Emergency

- 0.06 - 100% spec ... calculate - 98.4%* spec

Hypercalcemia Evaluation
1) Clinical clues
- Is the patient symptomatic?
- Family history?
- Have you done

normal, move on to SPEP

Screening Tools for Alcohol Use
• Single Item - 82% sens, 79% spec for "unhealthy use"

82% sens, 79% spec ... 77% sens, 79% spec ... 73% sens, 91% spec ... 86% sens, 89% spec ... 90% sens, 80% spec

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