-
psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
January 01, 2022 - specimens for larvae, OR serum antibody testing.
– However, the sensitivity of a single stool test … in the stool. … on a blood
sample … Likewise, a stool test for Strongyloides larvae is
diagnostic if positive, but given its poor sensitivity … An antibody test is preferred for ruling out infection.
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - However, the
sensitivity of a single stool test for detecting larvae is only 30%, and even with multiple … Therefore, screening using an antibody test from a sample of blood is preferred because of
its greater … in the stool. … Screening in the United States should be done with an antibody test on a blood sample. … Likewise, a stool test for Strongyloides larvae is diagnostic if positive, but given its
poor sensitivity
-
psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - However, the sensitivity of a single stool test for detecting larvae is only 30%, and even with multiple … Therefore, screening using an antibody test from a sample of blood is preferred because of its greater … in the stool. … Screening in the United States should be done with an antibody test on a blood sample. … Likewise, a stool test for Strongyloides larvae is diagnostic if positive, but given its poor sensitivity
-
psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - An abdominal x-ray
confirmed a large amount of stool in the colon with no free air. … Her blood leukocyte count was 11,500 cells/?L with 31% bands. … load at presentation.1 Laboratory test values are nonspecific but may
demonstrate leukocytosis (i.e … The most sensitive test for diagnosis is
computed tomography (CT). … Had a CT scan been completed, it likely
would have demonstrated significant fecaloma and stool burden
-
psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - An abdominal x-ray confirmed a large amount of stool in the colon with no free air. … Her blood leukocyte count was 11,500 cells/μL with 31% bands. … load at presentation. 1 Laboratory test values are nonspecific but may demonstrate leukocytosis (i.e … The most sensitive test for diagnosis is computed tomography (CT). … Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - As part of the infectious workup performed in the emergency department (ED), blood cultures and stool … The following morning, her stool test returned positive for Clostridium difficile ( C. difficile ), … Before sending blood cultures, the pretest probability of bacteremia should be considered, and the test … Overdiagnosis of Clostridium difficile infection in the molecular test era. … Patient safety concerns arising from test results that return after hospital discharge.
-
psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - His white blood cell
count was elevated and imaging revealed a small bowel obstruction and ileitis consistent … GI recommended sending stool studies, including for Clostridium
difficile infection (CDI), and suggested … infliximab therapy should be initiated only after the stool studies
were negative for infection. … The next day, an hour into the infliximab infusion, a stool study returned and
confirmed CDI. … Volume resuscitation should be
performed when indicated, and basic electrolyte and peripheral blood
-
psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - As part of the infectious workup performed in the
emergency department (ED), blood cultures and stool … The following
morning, her stool test returned positive for Clostridium difficile (C. difficile), a … Before sending blood cultures, the pretest probability of bacteremia should be considered, and the
test … Overdiagnosis of Clostridium difficile infection in the
molecular test era. … Patient safety concerns arising from test results that return after
hospital discharge.
-
psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - His white blood cell count was elevated and imaging revealed a small bowel obstruction and ileitis consistent … infliximab therapy should be initiated only after the stool studies were negative for infection. … However, while an order was placed for stool studies, the primary team did not discontinue the infliximab … The next day, an hour into the infliximab infusion, a stool study returned and confirmed CDI. … Volume resuscitation should be performed when indicated, and basic electrolyte and peripheral blood count
-
psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - The treatment plan was for regular blood draws to assess the ongoing stability of hemoglobin and bilirubin … Noting the reduction in hemoglobin from the last visit, a repeat hemoglobin test was ordered that came … recognized that the infant had active Rh hemolytic disease, and he was admitted to the hospital for blood … Prenatally, fetal bilirubin crosses the placenta and is conjugated by the mother's liver and excreted in her stool … Care Providers
Pathology and Laboratory Medicine
Neonatology and Intensive Care
Diagnostic Test
-
psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - He also received two blood
transfusions and two doses of intravenous immunoglobulin in the neonatal … The treatment plan was for regular blood draws to
assess the ongoing stability of hemoglobin and bilirubin … Noting the reduction in hemoglobin from the last visit, a repeat hemoglobin
test was ordered that came … , fetal bilirubin crosses the placenta and is conjugated by the mother's liver and excreted in her
stool … First, maternal blood typing and use of Rho(D)
immunoglobulin have made maternal Rh isoimmunization
-
psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - First, the physician ordered a C. difficile test but failed to look up the test result. … in delivering appropriate treatment.( 13 )
For microbiology, most institutions consider positive blood … applicable
>=12.0 mg/dL
High value could have higher threshold (eg, >15 mg/dL)
White Blood … seconds) or may be specified relative to the normal range (eg, >3 times upper limit of normal)
Blood … WebM&M Cases
Delayed Recognition of a Positive Blood
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - Blood pressure was 117/75, pulse 112 (regular). … Stool was negative for occult blood. … Case C: Part 1—Initial Test Results
Test Result
WBC [white blood cell count] 2100/L
band forms 40% … Results
Test Result
BUN 56 mg/dL
Bilirubin 4.2 mg/dL
AST/GGT (liver function tests) elevated
Blood … malignancy, or systemic vasculitis
When Diagnosis is Unclear
In absence of infection, appropriate to test
-
psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - A fecal
occult blood test was not performed. … looking at 438
patients who presented with visit codes of rectal bleeding, hemorrhoids, or bloody stool … Either a fecal
occult blood test or a fecal immunochemical test could have been performed to confirm … Fecal occult blood test in patients on low-dose
aspirin, warfarin, clopidogrel, or non-steroidal anti-inflammatory … Fecal occult blood test performance indicators in
warfarin-treated patients.
-
psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - That night, the test result came back positive. … First, the physician ordered a C. difficile test but failed to look up the test result. … delays in delivering appropriate treatment.(
13)
For microbiology, most institutions consider positive blood … cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8563258
White Blood Cell
Count
-9/L >50 x 10-9/L
Low … 120
seconds) or may be specified relative to the normal
range (eg, >3 times upper limit of normal)
Blood
-
psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - On hospital day 14, the patient's hemoglobin dropped by 2 g/dL, and dark red liquid stool was noted in … The heparin infusion was stopped, and the patient was transfused with two units of packed red blood cells … the Flexi-Seal fecal management system (ConvaTec); Bowel Management System (Hollister); and DigniCare Stool … anticoagulation, one wonders whether asking the patient about rectal pain or early signs of heme-positive stool … Fecal management systems, which involve rectal tubes that divert stool to an external collection bag,
-
psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - A fecal occult blood test was not performed. … study looking at 438 patients who presented with visit codes of rectal bleeding, hemorrhoids, or bloody stool … Either a fecal occult blood test or a fecal immunochemical test could have been performed to confirm … Fecal occult blood test in patients on low-dose aspirin, warfarin, clopidogrel, or non-steroidal anti-inflammatory … Fecal occult blood test performance indicators in warfarin-treated patients.
-
psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Urinalysis revealed 2+ protein, +nitrite, 3+ leukocyte
esterase, 3+ blood, 10-25 white blood cells, … and 10-25 red blood cells. … patient had a rectal examination in the emergency
department or by some previous examiner, and the stool … Skilled clinicians test the candidate at the bedside on real patients to see if they can sort
out valvular … ://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
based on conversations with recent test
-
psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - Blood pressure
was 117/75, pulse was 112 (regular). … Stool was negative for
occult blood. … Smear exam showed multiple fragmented red blood cells (RBCs). Hemoglobin was 8.3
g/dL. … Indeed, in the absence of infection, it
often is appropriate to test the hypothesis that the problem … Pediatr Blood Cancer. 2008;50:1127-1235.
-
psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Urinalysis revealed 2+ protein, +nitrite, 3+ leukocyte esterase, 3+ blood, 10-25 white blood cells, and … 10-25 red blood cells. … patient had a rectal examination in the emergency department or by some previous examiner, and the stool … Skilled clinicians test the candidate at the bedside on real patients to see if they can sort out valvular … clinical skills exam' for medical students, which in our opinion, based on conversations with recent test