This post is in progress and will be finished on 10-17-2020.
First I will lay out the initial lab abnormality that led to the client’s million dollar workup*.
I will detail the timeline of her tests and consultations.
And I will discuss why she became understandably anxious about the abnormal test results.
And I will list my discussion points which led me to believe that she did not have a serious medical problem.
And finally I will discuss the understandable reasons her doctors performed the million dollar workup.
Initial post on ANA screen:
Links To And Excerpts From The Clinical Utility of a Positive Antinuclear Antibody Test Result
Posted on September 10, 2020 by Tom Wade MD
Other Resources Relevant To The Interpretation Of A Positive Antinuclear Antibody Test:
Links To And Excerpts From “How to Interpret and Pursue an Abnormal Complete Blood Cell Count in Adults” With Additional Resources
Posted on August 20, 2019 by Tom Wade MD
Links To And Excerpts From the 2018 “Guidelines on the management of abnormal liver blood tests” From The British Society of Gastroenterology
Posted on August 24, 2019 by Tom Wade MD
An Outstanding Approach To The Evaluation of Incidentally Discovered Liver Function Test Abnormalities From American Family Physician
Posted on July 4, 2016 by Tom Wade MD
Performance of Antinuclear Antibodies for Classifying Systemic Lupus Erythematosus: A Systematic Literature Review and Meta‐Regression of Diagnostic Data [PubMed Abstract] [Full Text HTML] [Full Text PDF]. Arthritis Care Res (Hoboken). 2018 Mar;70(3):428-438. doi: 10.1002/acr.23292. Epub 2018 Jan 30.