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Old 06-18-2012
Dr_Laura's Avatar
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Default Confusion/Memory Loss

I have a question for those of you that already took the test or those of you that are far along in your prep....

I'm looking over the FA mini cases on confusion and I see that they ask for a CBC, VDRL first in a Vascular dementia case and in the Alzheimer's case too... What do you guys think about this? Wouldn't you want to see an MRI before seeing VDRL, B12 etc..

Thanks in advance!
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Old 06-18-2012
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Default Let me see If I can help

Hi laura,

In the page # 78 of FA 3rd edition as you can see:

Specifying the initial diagnostic workup. In summarizing your workup, list a maximum of five tests. It is best to start with the “forbidden physical exam maneuvers” (e.g., rectal exam, pelvic exam) if you feel such procedures are indicated. Then state the required laboratory and radiologic tests, starting with the most simple and straightforward tests and ending with the most complex. Do not include referrals, treatments, hospitalizations, or consults, as these will not be scored.

So in those cases for alzheimer, confusion they put CBC ( to look for macrocytic anemia in Vit. B12 deficiency), Serum B12 ( as a possible cause of reversible dementia) or , RPR ( in case of neurosyphilis)

I hope this can help you !

Good luck
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Old 06-18-2012
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Default That was perfect!

Thanks! That was EXACTly what I needed to hear... Thanks a ton
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Old 06-20-2012
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Default I am glad to help you !

Hi Dr_ Laura,

I am so happy I could help you !
If you have any other question, please let me know.

Thanks

Good luck
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