FROM OUR EXPERTS
This question has not been answered by one of our experts yet.
Q: How do most patients get referred to a rheumatologist in the first place? Kremer: Usually, it’s the pain that’s perceived to be arthritis pain. Sometimes it’s muscle pain. Other times it can just be a nagging pain from anywhere that the primary care provider cannot diagnose. It’s more helpful to be referred to a rheumatologist when there are other symptoms along with the pain, such as early joint swelling. Q: What does the rheumatologist do when they see a referred patient? Kremer: We’ll take a history. Do you have morning stiffness? Fatigue? How long has this been going on? Do you have any family history of these same symptoms? After history, you do a physical exam looking for impaired joint movement, which joints are swollen, warm to the touch, difficult to move. Q: When do you take lab tests? And which tests do you start with first? Kremer: It depends on where the initial history and exams lead you. You many test for Rheumatoid factor (...
Understanding Herpes Testing
The most important fact to know in terms of Herpes testing is that
blood testing with an IgG test is the BEST test for diagnosing the disease.
first see the doctor for a suspicious genital ulcer, your health care provider
may ask a lot of really personal and embarrassing questions. Know
that having an accurate sexual history as well as a description of your
symptoms is very important as your health care provider evaluates you. Be honest.
medical history and physical examination alone can not diagnose herpes.
I've seen a
lot of genital herpes, but it's easy to be fooled. I've had patients who had lesions in unusual
places or didn't have a typical story that I mistook for abscesses - only after
they failed antibiotics did I do the culture and verify that it was
On the other hand, I've seen some very typical appearing ulcers on the genitals
that turned out NOT to be herpes.
Alternative Names 25-OH vitamin D test; Calcidiol 25-hydroxycholecalciferol test Normal Values The normal range is 30.0 to 74.0 nanograms per milliliter (ng/mL). Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results. What abnormal results mean Lower than normal levels suggest a vitamin D deficiency. This condition can result from: Lack of exposure to sunlight Lack of adequate vitamin D in the diet Liver and kidney diseases Malabsorption Use of certain medicines, including phenytoin, phenobarbital, and rifampin Low vitamin D levels are more common in African-American children, particularly in the winter, as well as in infants who are exclusively breastfed. Low vitamin D levels have also been associated with an increased risk of developing cancer. For more information, see the article on vitamin D deficiency . Higher than normal levels suggest excess vitamin D, a condition called hypervitaminosis D .
You should know
Answers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.