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() and the. National Diabetes . testing strips (BC Ministry of Health, , http://www. ). “Although 70% of all BC’s health care dollars are currently being invested in chronic disease (CHD) in the primary care setting through the National Primary Care 3. This is the BC Chronic Disease Management Website / CHD ten year risk: Use UK prospective diabetes (UKPDS) risk calculator or table provided .. Web site: HDL-C.

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Best practice in primary care pathology: review 6

Br J Hosp Med 53 — We are currently working to fix this high priority accessibility issue. RhF is useful in the diagnosis of rheumatoid arthritis when inflammatory arthropathy is present but cannot be healthservicez as a screening test. HealthyFamilies BC is aimed at improving the health and wellbeing of British Columbians at every stage of life.

Systemic diseases such as thyrotoxicosis, parathyroid disease, diabetes mellitus and adrenal disease may also be a cause of chronic diarrhoea via a variety of mechanisms including endocrine effects, autonomic dysfunction, bacterial overgrowth or the helthservices of concomitant drug treatment. J Fam Pract 53 — Laboratory investigation of chronic diarrhoea GH, DGW, PJG These questions divide the investigation of chronic diarrhoea simplistically between causes in adults and those in children.

One fifth of these patients who survive for 10 years develop proteinuria. Other antibody subtypes IgG and IgA have not found a place in the routine investigation of rheumatoid arthritis.

The role of regular microalbuminuria assessment after the designation of persistent microalbuminuria and the beginning of treatment has not been fully dealt with by healthservicew trials and thus is not specifically considered by the various guidelines. UK and American guidelines recommend annual microalbumin measurements in adult patients with diabetes. Hyperkalaemia is asymptomatic and potentially dangerous. What tests should I carry out if a pregnant woman has been in contact with chickenpox or shingles?

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It is therefore advisable in these instances to review volume status.

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Clin Chem 48 — Studies since the publication of the Randomized Aldactone Evaluation Study have shown that cohorts of patients treated with spironolactone for heart failure have shown higher rates of hyperkalaemia than those in the original trial.

Diuretics should be used in the lowest possible doses to control symptoms of fluid overload, 6 but patients often run into problems with deteriorating renal function or deranged electrolytes at these doses. Clinical relevance to elderly patients. Although the glycosylation kinetics, in theory, allow for frequent HbA 1c monitoring, small changes in values during a short time period may reflect biological variation or imprecision of assay.

B27 testing not be requested in primary care.

Answers to the first two question—answer sets can be found in Smellie et al. This resource provides a centralized, current, and evidence-based source of current information about the emerging health issues in BC. N Engl J Med — Patients can have thrombotic problems even when the platelet count is in, or just above, the normal range. Endocr Pract 8 40— These questions consider two common clinical scenarios in primary care: Puntis J W L.

Clin Rheumatol 6 This review series examines series of clinical scenarios and summarises available guidance on test use and interpretation.

We recommend, once chronic diarrhoea has been confirmed, if the cause is not clinically apparent from a clinical filter: For reasons outlined earlier, it is therefore important to confirm a clinical diagnosis of mumps virus infection by sending appropriate specimens for laboratory confirmation. Jsp J Haematol 97 — J Infect 36 Suppl 1 59— HbA 1c is not a diagnostic criterion for diabetes; no msl or international guideline recommends that HbA 1c be used in the diagnosis of diabetes or in patients without diabetes.

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When should I test for mumps, and should I notify mumps infection? Widespread consensus exists about which investigations to perform to screen for the causes of secondary hyperlipidaemia, 454647485455 although the International Task Force also recommends specialised tests eg, to diagnose polycystic ovary syndrome in specific situations. Managing Your Health There are a lot of choices that you can make to maintain or improve the physical and mental health of you and your family.

We do not recommend use of RhF in monitoring rheumatoid disease. A separate question will examine the utility of faecal occult blood testing. In which patients with anaemia should iron deficiency be assessed and what tests should be used?

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Eur Heart J 19 — What information does rheumatoid factor RhF measurement provide in the investigation of multiple small joint diseases and in whom should I measure heqlthservices Messinezy M, Pearson T C.

Triglyceride metabolism in diabetes mellitus. Gut 52 1—