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 (...
Read David's first update from the Scientific Sessions here!
San Francisco -- Yesterday I was wearing Band-aids on six of my fingers. I had my A1C tested six times in one day with five different systems. I'm in San Francisco at what is probably the only place in the world
where I could have this bloody experience. It's the annual Scientific
Sessions of the American Diabetes Association. The consistency of the results of these six tests is good news for
people with diabetes. Each of these tests claim to be certified by the National Glycohemoglobin Standardization Program (NGSP) or comparable to it, and the closeness of the results confirm these claims. But my higher numbers from a year ago was bad news for me. At last
year's ADA in Chicago only three booths offered A1C tests. My results
varied from 4.6 with Bayer HealthCare's A1CNow+ to 5.1 with Siemens Healthcare Diagnostics' DCA 2000+ Anaylzer to 5.3 with the Bio-Rad in2it A1C Anaylzer . Those results for a person with typ...
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 .
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