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spreading pancreatic cancer

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

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 ...

Ischemic Heart Disease

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 ...

List of Examinations

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

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

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 ...

Persistent Vertigo

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 ...

Motor Neuron Disease – additional opinion

the present time, and there would be utility in repeating clinical and electrophysiologic testing. The expert also recommends to perform pulmonary function testing. ...

Demyelinizing Disease

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

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 ...