58 results
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
for Celiac Disease ... patients with celiac disease ... value for celiac disease ... Reflects response to treatment ... #Diagnosis #Workup
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Graves disease – ... Check pregnancy test ... affects diagnostic workup ... choices AND management ... Diagnosis #Algorithm #Workup
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
chronic kidney tests ... Test for celiac ... disease with serology ... change medical management ... Gastrointestinal #Evaluation #workup
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Diagnosis and Management ... Imaging and Treatment ... test: abdominal ... express Laboratory tests ... RCC #Diagnosis #Management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Presentation: • Mild disease ... Severe pulmonary disease ... agglutination - test ... microbiology #diagnosis #treatment ... #management
Systemic Lupus Erythematosus - Summary
Antinuclear (ANA) - 95% - Initial screening test
Anti-dsDNA - 50%
 • Associated
Initial screening test ... with more severe disease ... Used to monitor disease ... Treatment: • ... #rheumatology #management
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Diagnosis and Management ... the preferred test ... typically part of the workup ... • Test all patients ... Distal joints, knees
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... specific laboratory tests ... IgG4 #Related #Disease ... #diagnosis #management ... #phenotypes #workup
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Non-culture-based tests ... • Molecular Tests ... Line Targeted Treatment ... Additional management ... • Infectious Diseases
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... failure, esp in work-up ... /management of shock ... Urine Pregnancy Test ... #ICU #Pearls #Checklist