Sandbox:Javaria: Difference between revisions
No edit summary |
No edit summary |
||
Line 1: | Line 1: | ||
{{familytree/start |summary=Weight loss Management Algorithm.}} | {{familytree/start |summary=Weight loss Management Algorithm.}} | ||
{{familytree | | | | | | | | | | | | U01 | | | | | | | U01=''' | {{familytree | | | | | | | | | | | | U01 | | | | | | | U01='''Initial screening labs'''<div class="mw-collapsible mw-collapsed"><div style="float: left; text-align: left; width: 20em; padding:1em;"> | ||
❑ [[CBC]] with differential and [[peripheral smear]]<br> | ❑ [[CBC]] with differential and [[peripheral smear]]<br> | ||
❑ [[ESR]], [[CRP]], [[LDH]]<br> | ❑ [[ESR]], [[CRP]], [[LDH]]<br> | ||
Line 13: | Line 13: | ||
❑ Abdominal [[ultrasound]]<br> | ❑ Abdominal [[ultrasound]]<br> | ||
❑ [[Echocardiography]]<br> | ❑ [[Echocardiography]]<br> | ||
❑ [[Rheumatoid factor]] }} | ❑ [[Rheumatoid factor]]<br> | ||
❑ [[PTH]] levels | |||
*''Labs may vary on case by case basis'' }} | |||
{{familytree | | | | | | | | | | | | |!| | | | | | |}} | {{familytree | | | | | | | | | | | | |!| | | | | | |}} | ||
{{familytree |,|-|-|-|v|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|v|-|-|-|.|}} | {{familytree |,|-|-|-|v|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|v|-|-|-|.|}} | ||
{{familytree |B07| | B01 | | B02 | | B03 | | B04 | | B05 | | B06 | |B01=Progressive [[oropharyngeal]] or [[esophageal]] [[dysphagia]]|B02=[[Stomach ulcer|Stomach]]/ [[duodenal ulcer]]<br> [[celiac sprue]], [[whipple disease]]|B03=Potential [[depression]] or [[cognitive impairment|Cognitive dysfunction]]|B04=Suspected [[malignancy]]|B05=Nutritional deficiency is suspected|B06=[[Infection]] is suspected}} | {{familytree |B07| | B01 | | B02 | | B03 | | B04 | | B05 | | B06 | |B07= Provisional diagnosis established| B01=Progressive [[oropharyngeal]] or [[esophageal]] [[dysphagia]]|B02=[[Stomach ulcer|Stomach]]/ [[duodenal ulcer]]<br> [[celiac sprue]], [[whipple disease]]|B03=Potential [[depression]] or [[cognitive impairment|Cognitive dysfunction]]|B04=Suspected [[malignancy]]|B05=Nutritional deficiency is suspected|B06=[[Infection]] is suspected}} | ||
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | |!|}} | {{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | |!|}} | ||
{{familytree |C07| | C01 | | C02 | | C03 | | C04 | | C05 | | C06 | |C01=<div style="float: left; text-align: left; width: 20em;">❑ Video[[fluoroscopy]]<br>❑ [[Dysphagia barium swallow]]|C02=<div style="float: left; text-align: left; width: 20em;">Specific tests:<div class="mw-collapsible mw-collapsed">❑ Upper or lower [[gastrointestinal system|GI]] [[endoscopy]] with [[biopsy]]<br> | {{familytree |C07| | C01 | | C02 | | C03 | | C04 | | C05 | | C06 | |C07=<div style="float: left; text-align: left; width: 20em;">Specific tests:<div class="mw-collapsible mw-collapsed">❑ Dental issues: Refer to the [[dentist]].<br> | ||
❑ [[Nephrotic syndrome]]: [[24-hour urine collection]] ([[urine]] protein >3.5 g/day). <br> | |||
❑ [[Nephritic syndrome]]: Assess [[complement levels]], [[HBV]], [[HCV]], [[HIV]] serologies, [[c-ANCA]] and [[p-ANCA]], and [[anti-dsDNA antibodies]].<br> | |||
❑ [[COPD]] or [[interstitial lung disease]]: [[PFTs]]<br> | |||
❑ [[Pneumonia]]: [[Sputum]] [[microscopy]], [[culture]] and sensitivity<br> | |||
❑ [[Stroke]]: [[CT]] or [[MRI]] head.<br> | |||
❑ [[Hyperparathyroidism]]: Serum [[calcium]], [[phosphate]] levels to identify the type.<br> | |||
❑ Drug-induced|C01=<div style="float: left; text-align: left; width: 20em;">❑ Video[[fluoroscopy]]<br>❑ [[Dysphagia barium swallow]]|C02=<div style="float: left; text-align: left; width: 20em;">Specific tests:<div class="mw-collapsible mw-collapsed">❑ Upper or lower [[gastrointestinal system|GI]] [[endoscopy]] with [[biopsy]]<br> | |||
❑ [[Fecal fat|Stool fat]], [[anti-transglutaminase antibodies]], [[elastase]], [[lactoferrin]]<br>❑ Upper GI and small bowl series|C03=<div style="float: left; text-align: left; width: 20em;"> | ❑ [[Fecal fat|Stool fat]], [[anti-transglutaminase antibodies]], [[elastase]], [[lactoferrin]]<br>❑ Upper GI and small bowl series|C03=<div style="float: left; text-align: left; width: 20em;"> | ||
❑ [[Geriatric Depression Scale]]<br> | ❑ [[Geriatric Depression Scale]]<br> | ||
Line 37: | Line 46: | ||
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!|}} | {{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!|}} | ||
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!|}} | {{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!|}} | ||
{{familytree | D07 | | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | | |D07=|D01=|D02=|D03=|D04=|D05=|D06=<div class="mw-collapsible mw-collapsed"><div style="float: left; text-align: left; width: 20em;"> | {{familytree | D07 | | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | | |D07=[[Nephrotic syndrome medical therapy|Nephrotic syndrome treatment]]<br>[[Hyperthyroidism medical therapy|Hyperthyroidism treatment]]<br>[[Hepatitis] medical therapy|Hepatitis treatment]]<br>[[Chronic cholecystitis medical therapy|Chronic cholecystitis treatment]]|D01=|D02=|D03=|D04=|D05=|D06=<div class="mw-collapsible mw-collapsed"><div style="float: left; text-align: left; width: 20em;"> | ||
❑ [[Chronic diarrhea medical therapy|Chronic diarrhea treatment]] | ❑ [[Chronic diarrhea medical therapy|Chronic diarrhea treatment]]<br> | ||
❑ [[Tuberculosis medical therapy|Tb treatment]]<br> | ❑ [[Tuberculosis medical therapy|Tb treatment]]<br> | ||
❑ [[HIV AIDS medical therapy|HIV treatment]]<br> | ❑ [[HIV AIDS medical therapy|HIV treatment]]<br> |
Revision as of 19:51, 6 September 2020
Initial screening labs ❑ CBC with differential and peripheral smear
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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). | Specific tests: ❑ Upper or lower GI endoscopy with biopsy ❑ Stool fat, anti-transglutaminase antibodies, elastase, lactoferrin ❑ Upper GI and small bowl series | Specific tests: ❑ CT (chest, abdomen, pelvis, head, etc) ❑PET scan | Specific tests ❑ Serum ferritin | Specific tests: ❑ Chronic diarrhea: Stool osmotic gap, culture, ova and parasite, electrolytes, leukocytes, lactoferrin, and C. difficile test. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Nephrotic syndrome treatment Hyperthyroidism treatment [[Hepatitis] medical therapy|Hepatitis treatment]] Chronic cholecystitis treatment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Follow-up in 1, 3, and 6 months depending upon the cause. Reevaluate should be continued among cases of unknown etiology. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||