INDICATION DEPENDENT LABS

The following labs and tests are indicated if the appropriate history and/or physical exam findings would lead to the indication: 

Examples of history/physical findings that would indicate use of the test:

HISTORY  PHYSICAL INDICATION DEPENDENT LABS
Multiple sexual partners Peripheral neuropathy VDRL
Appropriate sexual/IV drug use history   Manifestations of AID’s   HIV  
Rapid onset cognitive decline

temp.,  attention

Lumbar Puncture
Exposure in endemic area Peripheral neuropathy, rash Lymes Titer  
  Vasculitis signs, facial rash ANA  
Atyp. Seizure sx’s, post-ictal     EEG  
Liver disease   asterixis   Ammonia
    Neuropsychological testing
    CT/MRI (if neuro sx. present)