Sandbox:Javaria

Labs ❑ CBC with differential and peripheral smear ❑ ESR, CRP, LDH ❑ HbA1c ❑ CMP ❑ Serum ferritin ❑ Lipid profile ❑ TSH, free T4 ❑ Urinalysis ❑ Protein electrophoresis ❑ FOBT ❑ Chest X-ray ❑ Abdominal ultrasound ❑ Echocardiography ❑ RA factor,

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Progressive oropharyngeal or esophageal dysphagia

Stomach/ duodenal ulcer

1. Potential depression 2. Cognitive dysfunction

Baseline malignancy

Unexplained weight loss in >65 year old

Infection is suspected

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Videofluoroscopy Dysphagia barium swallow

Upper GI Endoscopy

1. Geriatric Depression Scale 2. MoCA

CT or PET scan

Oral exam

Specific tests: ❑ Chronic diarrhea: Stool osmotic gap, culture, ova and parasite, electrolytes, leukocytes, lactoferrin, and C. difficile test. For a detailed information on differentials click here ❑ Tuberculosis: AFB and sputum culture sputum ❑ HIV:ELISA or Latex Agglutination Test for screening and viral RNA (P24) for confirmation ❑ Endocarditis: Modified Duke Criteria and at least two blood cultures ❑ Gastroenteritis and colitis: Stool exam as in chronic diarrhea.

❑ Chronic diarrhea treatment ❑ Tb treatment ❑ HIV treatment ❑ Infective endocarditis treatment ❑ Gastroenteritis treatment and colitis treatment

Follow-up in 1, 3, and 6 months depending upon the cause. Reevaluate should be continued among cases of unknown etiology.