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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Monitoring disease activity in sarcoidosis

Monitoring disease activity in sarcoidosis
Patients with active disease
Every 3 to 6 months
ROS including fever, fatigue, weight loss, visual disturbance, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope
PE including skin examination, palpation of lymph nodes, lung exam
Laboratory tests based on sites of disease activity and medications
Spirometry, diffusing capacity
Every 12 months
CBC and differential
Creatinine
Calcium
AST, ALT, Alkaline phosphatase
25 hydroxy vitamin D
1,25 dihydroxy vitamin D
EKG; sooner if palpitations, lightheadedness, syncope

Ophthalmologic exam (slit lamp, fundoscopic, tonometric), if on hydrocychloroquine

Chest radiograph
As indicated by symptoms or other tests
HRCT
Echocardiogram
Holter monitoring
Urinalysis
TSH (association of thyroid autoimmunity and sarcoidosis)
Bone density when glucocorticoid therapy initiated and then every 3 years
MRI with gadolinium if neurologic symptoms (unless diabetic)
Patients with inactive disease for 2 or more years
Every 12 to 18 months
ROS including fever, fatigue, weight loss, visual disturbance, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope
PE including skin examination, palpation of lymph nodes, lung exam
Spirometry, diffusing capacity
CBC and differential
Creatinine
Calcium
Liver enzymes
1,25 dihydroxy vitamin D
EKG; sooner if palpitations, lightheadedness, syncope
ROS: review of systems; PE: physical exam; CBC: complete blood count; AST: aspartate aminotransferase; ALT: alanine aminotransferase; EKG: electrocardiogram; HRCT: high-resolution computed tomography; TSH: thyroid stimulating hormone; MRI: magnetic resonance imaging.
Graphic 67386 Version 7.0

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