diagnostic test for common disease

Cardiac

diagnosis	investigation
MI	ECG, cardiac enzymes(troponin,CK-MB), CBC, ESR, CXR, electrolytes, angiography
Angina	ECG,Echo,cardiac enzymes,cardiac stress test,angiography
paricarditis	ECG,Echo,cardiac enzymes,percardiocentesis
Costochondritis	CBC,CXR
Aortic dissection	CXR,Echo-TEE
Rheumatic heart disease	CBC,ESR,CRP,ECG,ELEVATED OF ANTISTREPTOLYSIN O  TITRE/DNAase, ECHO
Valvular heart disease	echo,ECG,CXR
Arrhythmia	echo,ECG,Holter monitoring
Heart failure	echo,ECG,CBC,electrolytes,BNP,CXR
Endocarditis	CBC,ESR,CRP,Blood cultures,ECG,Echo
Hypertension	CBC,lipid profile,electrolytes,serum creatinine,BUN
Varicose Vein	Doppler  USG
peripheral artery disease(PAD)	ANKLE-BRACHIAL INDEX, Doppler US, angiography.
Pulmonary Hypertension	PFT,ABG,CXR,ECHo,ECG,cardiac cath,V/Q  scan
PULMONARY
Pneumonia	CBC,Pulse oximetry,electrolytes,CXR, sputum gram stain & culture
Bronchiolitis	CBC,spitum gram stain & culture
Sinusitis	Ct-sinus,Xray sinus
Pulmonary embolism	Spiral CT,CXR,D-dimer,CBC,blood type &cross match,V/Q scan
Asthma	pulse oximetry, PFT, DLCO, spirometry, Methacholine challenge, CXR, sputum analysis
COPD	pulse oximetry,PFT,Spirometry,DLCO
Bronchiectasis	Ct-chest,CBC,ESR,CXR,electrolytes,sputum analysis & culture
TB	CBC,ESR,Mantoux,CRP,electrolytes,CXR,Sputum AFP & culture
Pleural effusion	CXR,CBC,ESR, thoracocentesis & pleural fluid analysis & cytology
sarcoidosis	CXR,CBC,ESR,,CT-chest,LFT,PFT, endoscopic USG(EUS) with FNA of mediastinal LN
lung cancer	CXR,CBC,sputum analysis, Bronchoscopy &  biopsy
OSA	CBC, ESR, Lipid profile, Polysomnography
foreign body aspiration	SpO2, CXR ,bronchoscopy
GIT
GERD	EGD,24hour pH monitoring,barium swallow Xray
BArett esophagus	EGD & biopsy
Achalasia cardia	barium swallow, esophageal manometry
dyspepsia	cbc, EGD, H.pylori antibody
IBS	CBC, LFT, FOBT, stool analysis & culture,stool fat.
Cholecystitis	CBC, ESR, CRP, US-abdomen, AXR
Choledocholithiasis	CBC, ESR, CRP, US-abdomen, AXR, ERCP
Cholangitis	CBC, ESR, ALT,AST,GGT, bilirubin,ALP, US-abdomen,MRCP,ERCP
obstructive jaundice	CBC, Alt,AST,ALP,GGT,indirect & total bilirubin, MRCP,ERCP, US abdomen,CT abdomen, HIDA scan
liver cirrhosis	CBC,ALT,AST,ALP,GGT,bilirubin,ALP,blood cultures, US Abdomen, liver biopsy, paracentesis
ascites	CBC,ESR,CRP,TSH,paracentesis
appendicitis	CBC,ESR,blood type & cross match,CRP,PT/INR,US abd,Ct-abdominal
pancreatitis	amylase, lipase, ct-abdomen, CBC, CRP, ESR, electrolytes, Ca, lipid profile,  LFT
IBD	FOBT,CBC,ESR,colonoscopy,stool analysis & culture, fecal fat studies
upper Gi bleed	upper endoscopy, LFT, blood type & cross match, PT/INR, CBC, electrolytes
lowe Gi bleed	colonoscopy, bloody typing & cross match, CBC, PT/INR, elctrolytes
Colon Carcinoma	FOBT,sigmoidoscopy,colonoscopy,CBC
constipation	CBC, FOBT, TSH, Enema
haemorrhoids	CBC,sigmoidoscopy,anoscopy
diverticular disease	CBC,ESR, blood culture, US abdomen,Ct abdomen
meckel’s diverticulum	CBC, US abdomen,FOBT, Stool analysis, Meckel scan(technetium-99 pertechnate scan)
pheochromocytoma	24 hour urine metanephrine & VMA, serum Metanephrine, CT/MRI Abd, MIBG scintigraphy
gastroparesis	Xray,manometry,Gastric emptying scan
mesenteric ischemia	CBC, serum lactate level, CT-abdomen,Mesenteric angiography
ruptured aortic aneurysm	CBC, blood group & typing, PT/INR, US-abdominal
diarrhea	CBC,ESR,stool fat, stool for ova cyst,stool gram stain and culture
malabsorption eg.celiac disease	Stool for ova/cyst, Stool 72hr test, jejunal biopsy , antitransglutaminase Ab levels, Iron studies, Vitamin B12 level
dysuria	UA,urine gram stain&culture,US abdomen
BPH/prostatitis	UA,prostatic fluid UA & culture, transrectal US&biopsy
testicular torsion	Doppler US
musculoskeletal system
fracture/dislocation		Xray, CBC, CT/MRI, DEXA
Osteoarthritis		Xray,CBC,ESR, arthrocentesis, MRI
Cervical spondylosis		Xray-neck
carpal tunnel syndrome		nerve conduction studies ,EMG
Rheumatoid arthritis		ANA, anti ds-DNA, ESR, RF, Anti CCP, Xray
SLE		ANA, anti ds-DNA, ESR, C3/C4, xray
Plantar fasciitis		X-ray heel, bone scan
gout/pseudogout		Xray, synovial fluid analysis, Sr uric acid, Bun/Cr,CBC, ESR
Disc herniation		Xray/ Mri-L-spine
lumbar spinal stenosis		Xray/ Mri-L-spine, CT-lower spine
fibromyalgia		CBC,ESR, aldolase,CPK,TSH
temporal arteritis		CBC,ESR,aldolase,CPK, fundoscopy,temporal artery biopsy
Neurology
Stroke/TIA		CBC, PT/INR, CT HEAD, FUNDOSCOPY, ECG,ECHO
hearing loss/deafnesS		AUDIOMETRY, TYMPANOGRAPHY, BRAIN STEM EVOKED POTENTIALS, CT-HEAD,VDRL/RPR
Parkinson ds/tremor		TSH, HEAVY METAL SCREEN, MRI BRAIN, CERULOPLASMIN
headache		CBC,LP,CT-HEAD,CT-SINUS
meningitis/encephalitis		CBC,ESR,BLOOD CULTURE,LP,CSF ANALYSIS &CULTURE,CT HEAD,FUNDOSCOPY
dementia		CBC, ELECTROLYTES,CA,GLUCOSE, BUN/CR,SR B 12, TSH, VDRL/RPR, CT/MRI BRAIN, EEB/SPECT
MS		MRI-BRAIN, CSF ANALYSIS,SR ELECTROPHORESIS,BRAIN SENSORY & VISUAL EVOKED POTENTIALS
MYASTHENIA GRAVIS		CXR, PFT,CT/MRI THYMUS, ANTI ACH AB, SFEMG, EDROPHONIUM TEST
GUILLAN BARRE SYNDROME		CSF ANALYSIS,EMG &NERVE CONDUCTION STUDIES,SPIROMETRY
NORMAL PRESURE HYDROCEPHALUS		UA, CT/MRI BRAIN, CSF ANALYSIS
SUBDURAL HEMATOMA		CT-Head,ELECTROLYTES, abg
OBS/GYN
VAGINAL DISCHARGE IE GONORHEA		WET MOUNT,CERVICAL GRAM STAIM & CULTURE,HIV AB,KOH PREP,VAGINAL FLUID PH,CERVICAL GC DNA TEST
VAGINAL BLEED		CBC,ESR,PT/INR,FACTOR STUDY,COLPOSCOPY,PAP SMEAR,HYSTEROSCOPY
ENDOMETRIOSIS		CBC,COLPOSCOPY,PAP SMEAR,HYSTEROSCOPY,LAPROSCOPY,US ABDOMEN
CERVICAL CANCER		PAP SMEAR, COLPOSCOPY & BIOPSY
PREGNANCY		URINE HCG,UA,US-PELVIS,CBC,SR GLUCOSE,BLOOD TYPE &CROSS MATCH,PAP SMEAR,CERVICAL GN DNA TEST,VDRL/RPR,RUBELLA IgG,HBsAG, HIV AB,TSH
ECTOPIC PREGNANCY		URINE HCG, QUANTITATIVE URINE HCG, TVS,BLOOD TYPING& CROSS MATCH
DYSPARENUNIA		WET MOUNT,KOH PREP,CERVICAL CULTURES, LAPAROSCOPY,US-PELVIS
AMENORHEA EG HYPERPROLACTINOMA/PCOS		URINE Hcg, LH/FSH, TSH, PROLACTIN, MRI-BRAIN,ELECTROLYTES, TESTOSTERONE,DHEAS,US PELVIS
PREMATURE OVARIAN FAILURE		GnRH,FSH, LH/FSH,PROLACTIN,TSH,MRI-BRAIN
ASHERMAN SYNDOMRE		COLPOSCOPY,HYSTEROSALPINGOGRAPHY
DUB/FIBROID		CBC,hcg, tsh,US ABD,LH/FSH, GnRH
PID		CBC,ESR,US ABD.HYSTEROSALPINGOGRAPHY,CERVICAL GRAM STAIN & CULTURE,BLOOD CULTURE,GC DNA PROBE
GENERAL
FEVER OF UNKNOWN ORIGIN		CBC,ELECTROLYTES, ESR,CRP,UA,URINE CULTURE,BLOOD CULTURE,CXR,CSF ANALYSIS
ABUSE		CBC,SKELETAL SURVEY, TOXICOLOGY SCREEN, WET MOUNT,KOH PREP,URINE HCG,HIV AB, HEPATITIS SEROLOGY,VDRL/RPR
DM FOLLOW UP		FBS,SR,GLUCOSE,HBA1C,CBC,LIPID PROFILE,UA,URINE MICROALBUMIN, BUN/CR, FUNDOSCOPY
HTN F/U		BUN/CR, ELECTROLYTES,FUNDOSCOPY,LIPID PROFILE,UA,ECG
HIV POSITIVE/IMMUNODEFICIENCY		CBC,ESR,HIV AB,HEPATITIS PANEL,VDRL/RPR,CD4 COUNT,VIRAL LOAD, UA
INFECTIOUS MONONUCLEOSIS		CBC,ESR,US-ABD
HOARSENESS		CBC,TSH ,LARYNGOSCOPY,CT NECK
ANEMIA		CBC,IRON STUDIES,TIBC,IRON SAT,FERITIN,TRANSFERIN,VIT B12 LEVEL,BONE MARROW BIOPSY,SICKLING TEST,HBA2 LEVEL,HB ELECTROPHERESIS
HYPERTHYROIDISM		TSH,T 3 T4 ,RAIU,THYROID SCAN,FNAC,ANTI TSH RECEPTOR AB,M THYROID SCINTIGRAPHY, CKMB
HYPOGLYCEMIA		RBS,ELECTROLYTES
PANIC ATTACK		ECG,CBC,TSH,TOXICOLOGY SCREEN,SR VMA TO R/O PHEOCHROMOCYTOMA , CAFFEINE LEVEL
CHRONIC FATIGUE SYNDROME		CBC,TSH,CKMB,IRON STUDIES,DEPRESSION INDEX,ELECTROLYTES,BUN/CR, FBS, SR CORTISOL LEVEL,CXR,US ABD
DEPRESSION		DEPRESSION INDEX,CBC,TSH,FBS,SR CORTISOL LEVEL,MENTAL STATUS EXAM
NEPHROTIC SYNDROME		UA,CMP,LIPID PROFILE,ELEVTROLYTES,BUN/CR,US ABDOMEN,C3 LEVEL,SR CRYGLOBULIN, KIDNEY BIOPSY
CELLULITIS		CBC,ESR,CRP,DOPPLER ,BIOPSY & CULTURE
HEAT EXHAUSTION		EBE,ELECTROLYTES, UA, RBS,CKMB
ADDISON DISEASE		CBC,ELECTROLYTES, RBS, CA ,UA, BUN/CR, ABG,ACTH STIMULATION TEST, CT/MRI ABD
ERECTILE DYSFUNCTION		FBS, SR PROLACTIN ,TESTOSTERONE, LH/FSH, DUPLEX US,PENILE NERVOUS FUNCTION, NOCTURNAL PENILE TUMESCENCE
DKA		RBS,SR KETONES ,ELECTROLYTES, ABG, CBC, CRP, BUN/CR, ECG
PEDIATRIC
NEONATAL SEPSIS			CBC,ESR,CRP,BLOOD CULTURE,UA & CULTURE,CXR,LP,CSF ANALYSIS
VIRAL EXANTHEM			CBC, VIRAL ANTIBODY TITRE,THROAT SWAB
ADHD			MENTAL STATUS EXAM, URINE TOXICOLOGY
AUTISM			CBC,AUDIOMETRY, TYMPANOGRAPHY, CT/MRI-BRAIN, HEAVY METAL SCREEN, COMPLETE METABOLIC PANEL.AUTISM DIAGNOSTIC OBSERVATION SCHEDULE
DOWN SYNDROME			CBC,CXR,KARYOTYPE, ECHO,RENAL US/DOPPLER,AUDIOMETRY/TYMPANOMETRY
NEONATAL JAUNDICE			CBC,TOTAL & INDIRECT BILIRUBIN,BLOOD TYPING,DIRECT COOMBS TEST, CRP,TITRES FRO CMV, TOXOPLASMA, RUBELLA
BED WETTING			GENITAL EXAM,UA&CULTURES, US-RENAL,FIRST MORNING URINE SPECIFIC GRAVITY,FBS
SEIZURE			CBC,ESR,CRP,LP,ELECTROLYTES,SR,GLUCOSE,CSF ANALYSIS,UA,URINE CULTURE, CT HEAD,BLOOD CULTURE