DOCTORS'
Medical Case Studies
DOCTORS'
Medical Case Studies
Clinical testing
Genetic testing
Genetic testing (also called DNA-based tests) is among the newest and most sophisticated of techniques used to test for genetic disorders which involves direct examination of the DNA molecule itself. Other genetic tests include biochemical tests for such gene products as enzymes and other proteins and for microscopic examination of stained or fluorescent chromosomes. Genetic tests are used for several reasons, including: carrier screening, which involves identifying unaffected individuals who carry one copy of a gene for a disease that requires two copies for the disease to be expressed preimplantation genetic diagnosis (see the side bar, Screening Embryos for Disease) prenatal diagnostic testing newborn screening Genealogical DNA test (for genetic genealogy purposes) presymptomatic testing for predicting adult-onset disorders such as Huntington's disease presymptomatic testing for estimating the risk of developing adult-onset cancers and Alzheimer's disease confirmational diagnosis of a symptomatic individual forensic/identity testing Genetic testing allows the genetic diagnosis of vulnerabilities to inherited diseases, and can also be used to determine a child's paternity (genetic father) or a person's ancestry...
Clinical testing - List of case studies
- spreading pancreatic cancer
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with no signs of enlarged adenoma, there is no clinical indication for intervention with respect to the suspected pituitary ... respect to the metastatic islet cell tumor, I recommend testing baseline gastrin and insulin . It appears that the patient's ...
- Axonal and Demyelinative Sensorimotor Neuropathy
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neurogenic changes in muscles. Follow-up nerve conduction testing that was performed 2 years later showed similar findings. ... looking for amyloidosis . I would follow-up on the clinical suggestion of claudication with peripheral vascular studies and an MRI ...
- Demyelinizing Disease
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a specialist examination performed by Dr. L. “ the clinical diagnosis of multiple sclerosis following a progressive course was ... ocular involvement ( visual acuity, fundoscopic and VER testing ).This data is essential because in the differential diagnosis of MS , ...
- Motor Neuron Disease – another opinion
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is no biologic marker for ALS, the expert suggests further testing that is focused on trying to rule out other disorders and show diffuse ... diagnosis. It is unclear if there are fluctuations in clinical symptoms during the course of the day which might suggest Myasthenia ...
- Multiple miscarriages
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including genetic, anatomic, immune and thrombophilic testing. Nothing of significance has emerged to justify 4 miscarriages. ... Database Syst Rev. 2000 Speroff and Fritz, Eds. Clinical Gynecologic Endocrinology and Infertility. Lipincott, Williams and ...
- List of Examinations
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ALP ALT ANA ANA and anti-phospholipids testing ANA screening test ANA serologies ANCA ANF ASA ... evaluation of neuroendocrine tumor of the lung Clinical assessment (of the abnormal posture of the neck) Clinical exam ...
- Neuropathic Pain with Neuralgic Features
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with diabetes and can be a possible explanation for the clinical picture. I would therefore suggest to perform quantitative sensory testing (QST) in order to assess the small nerve fibers. QST is a ...
- Multinodular goiter with thyroid lobe cysts
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1. What therapies do you suggest? My clinical impression is that patient had bleeding during procedure (FNA) ... evidence of hypothyroidism. I will check that by testing her thyroid function tests. As far as the ...
- Ischemic Heart Disease
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level of activity. The expert suggests additional testing in order to confirm or exclude a coronary artery obstruction, and to ... a yearly Ergometry Invitation for follow up: under clinical need 04/2009 - Heart Scan with TC-MIBI with strain G-SPECT ...
- Persistent Vertigo
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on September 2008 : “otoscope examination negative, clinical signs of left vestibular deficit (II-III° nystagmus to the ... studies (CT and MRI) or Auditory Brainstem Response testing to suggest a problem in the brain, to the blood supply to the brain or ...