11 results
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
• Additional laboratory ... Recommended in men and ... Non-invasive testing ... change medical management ... #workup #diagnosis
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology ... #workup
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Management Summary ... Laboratory Diagnosis ... the preferred test ... testing of skin ... typically part of the workup
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... evaluation (stool ... Breath test for ... #Diarrhea #Workup
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Management Summary ... with contrast Evaluation ... MDR-1 express Laboratory ... tests 1. ... RCC #Diagnosis #Management
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura

Activity of von Willebrand factor-cleaving protease activity - A
TTP - Laboratory ... Evaluation for ... value is low, tests ... the presence of renal ... ThromboticThrombocytopenicPurpura #Diagnosis #Workup
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
pancreas, biliary, renal ... relapse No specific laboratory ... tests: • IgG4 ... Disease #diagnosis #management ... #phenotypes #workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... determine if stress test ... one post op Cardiology ... surgery Stress Testing ... surgical management
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
prolonged bed rest ... phlebotomy/ blood work ... during clinical evaluations ... • Anemia of renal ... from accessing port
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
vancomycin (if SSTI or port ... full infectious work-up ... days → add fungal work-up ... for possible stenting ... , hypotension, renal