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0:20
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Follow up Dr appointment for this pork chop today ! We are still trying to find the cause of why John got HLH. (Hemophagocytic Lymphohistiocytosis) This visit was with our rheumatologist to see if there is something underlying there ! More bloodwork will tell us. #HLH #CHD #16monthsold #mom
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Rheumatology is so rewarding when we can diagnose complex cases and completely change our patients life and levels of pain. But theres times we cant help and this is most disappointing to patients and us, because we want to help but our diseases require a clinical diagnosis based on labs, clinical history, and physical exam. We get so many “mystery disease” consults and once ANA comes back slightly positive so many patients get told that its an autoimmune disease before ever seeing a rheumatolog
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#creatorsearchinsights whenever I see a patient and considering a #lupus diagnosis, it is really helpful to have the folllwing labs: 1) ANA with titer 2) dsDNA or double stranded DNA 3) C3 and C4 which are complement proteins or complements 4) Urinalysis - not necessary but helpful as I want to look for protein in the urine Based on these labs along with history and physical, Rheumatologists can order other labs and autoantibodies including smith, RNP and anti-phospholipid labs. As always please
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