What is the best initial diagnostic test Flashcards
1
Q
Asthma
A
- Peak expiratory flow (PEF) which depends on age and height
- Arterial blood gas (ABG) which shows an increased A-a gradient
Note: both of them also can be used to quantify the severity of an acute exacerbation
2
Q
RTA Type I
A
Urine analysis looking for pH above 5.5
3
Q
Goodpasture syndrome
A
Anti-GBM antibodies
4
Q
Nephrotic syndrome
A
- Urine analysis
- Doing the albumin/creatinine ratio on spot to determine the 24 hr urine albumin
5
Q
Acute Kidney Injury
A
BUN and Creatinine
6
Q
Acute Kidney Injury
Initial Imaging
A
Renal U/S
7
Q
Renal Papillary Necrosis
A
Urine analysis
8
Q
Urinary Tract Infection (UTI)
A
Urine analysis
9
Q
Esophageal cancer
A
Barium swallow
10
Q
Celiac disease
A
Anti-tissue transglutaminase
11
Q
Carcinoid syndrome
A
Urinary 5-hydroxyindoleacetic acid (5-HIAA) test
12
Q
Diverticulitis
A
CT scan
13
Q
Acute pancreatitis
A
Serum amylase and lipase
14
Q
Spontaneous bacterial peritonitis
A
Paracentesis (cell count with more than 250 neutrophils)
15
Q
Hemochromatosis
A
Iron studies (increased serum iron and ferritin with decreased iron binding capacity)
