Sandbox:Javaria

Initial screening labs ❑ CBC with differential and peripheral smear ❑ ESR, CRP, LDH ❑ HbA1c ❑ CMP ❑ Lipid profile ❑ TSH, free T4 ❑ Urinalysis ❑ FOBT ❑ Chest X-ray ❑ Abdominal ultrasound ❑ Echocardiography ❑ Rheumatoid factor ❑ PTH levels Labs may vary on case by case basis

Provisional diagnosis established

Progressive oropharyngeal or esophageal dysphagia

Stomach/ duodenal ulcer celiac sprue, whipple disease

Potential depression or Cognitive dysfunction

Suspected malignancy

Nutritional deficiency is suspected

Infection is suspected

Specific tests: ❑ Dental issues: Refer to the dentist. ❑ Nephrotic syndrome: 24-hour urine collection (urine protein >3.5 g/day). ❑ Nephritic syndrome: Assess complement levels, HBV, HCV, HIV serologies, c-ANCA and p-ANCA, and anti-dsDNA antibodies. ❑ COPD or interstitial lung disease: PFTs ❑ Pneumonia: Sputum microscopy, culture and sensitivity ❑ Stroke: CT or MRI head. ❑ Hyperparathyroidism: Serum calcium, phosphate levels to identify the type. ❑ Drug-induced

❑ Videofluoroscopy ❑ Dysphagia barium swallow

Specific tests: ❑ Upper or lower GI endoscopy with biopsy ❑ Stool fat, anti-transglutaminase antibodies, elastase, lactoferrin ❑ Upper GI and small bowl series

❑ Geriatric Depression Scale ❑ MoCA

Specific tests: ❑ CT (chest, abdomen, pelvis, head, etc) ❑PET scan ❑ Colonoscopy ❑ Mammogram ❑ Protein electrophoresis

Specific tests ❑ Serum ferritin ❑ Vitamins: Beta carotene, vitamin D, tocopherol, vitamin B12, and folic acid ❑ Minerals: Serum copper and zinc, manganese, and magnesium

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.

Nephrotic syndrome treatment Hyperthyroidism treatment [[Hepatitis] medical therapy|Hepatitis treatment]] Chronic cholecystitis treatment

❑ 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.