Oh I got labs.  Here’s what’s on deck for this afternoon:

  • hepatic function panel
  • Basic metabolic panel
  • CBC w/diff
  • ANA w/reflex
  • ESR
  • Magnesium
  • Phosphorous
  • Prolactin
  • Gastrin 478
  • ANA choice cascading reflex
  • Vasoactive intestinal peptide
  • Parathyroid hormon, intact with calcium (serum)
  • CRP
  • Catecholamines, fractionated and total, plasma
  • Catecholamines, fractionated and total, 24 hour urine
  • VMA, 24 hour urine
  • Pheochromocytoma evaluation
  • Dopamine, urine
  • Homovanillic acid, 24 hour urine
  • Metanephrines, fractionated, plasma
  • Chromogranin A

That is a lot of bloodwork, and possibly several jugs to pee into.  Reasons for this (on the req) include:

  • chest discomfort
  • tachycardia
  • hypotension
  • theraputic drug monitoring
  • hypoglycemia
  • abnormal high adrenaline and adrenaline breakdown product levels on screening
  • episodes of flushing
  • diarrhea

With the following notes to laboratory:
“Additional history: Positive antinuclear antibody, abnormally elevated chromogranin A, possible pleurisy”

Jeez, he forgot fatigue, migraines, multiple avitaminosis, mild hypercalcemia, and arthralgia.  ;p

And this is what I mean when I say my PCP is god damned thorough.

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  1. queenofoptimism

     /  February 18, 2011

    Wow! Thorough indeed. So glad you are getting this workup and rekindling your PCP relationship. this is not the standard workup. Thank goodness for a doctor thinking beyond the standard check boxes on the lab sheet.

    Crossed fingers!!

  1. how the hell do they do it? « Final Trick

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