Introduction
Urinal human chorionic gonadotropin (HCG) test is possible to exclude in connection with the patient’s indications. It was stated that the patient has a regular menstrual cycle, the last period was three weeks ago, and there was also a noticeable IUD string, which reduces the importance of the test at the moment. The cost of one HCG test would be about $1.5.
Discussion
Despite the discrepancy between the symptoms and the potential diagnosis, it is worth ordering a Thyroid Functions Studies test due to the predisposition to liver diseases transmitted from the patient’s mother. Thyroid diseases have more than 50% risk of misdiagnosis, and therefore, with a hereditary predisposition, the test should not be excluded (Favresse, et al., 2018). The cost of the test will be about $50.
In a particular case, the test for CBC with Differential can reveal abnormalities in the blood. Even with the insufficient number of symptoms shown by the patient, the conduct is necessary for indicating further treatment methods. The cost of the test as a whole fits into $80.
The patient was not sufficiently interviewed about her stool condition and regularity or eating habits to identify liver disease. Nevertheless, the rest of the symptoms, as well as the relatively frequent use of alcoholic beverages, may indicate a violation of liver enzymes and a high level of AST activity, which is why a liver function test is necessary (Lala, et al., 2021). The cost of the test would be about $40.
The basic metabolic panel (BMP) test may be recommended to the patient to detect kidney, blood sugar, or acid-base balance problems. Due to the extensive field of research, testing may also be reserved for diagnosing renal dysfunction (Chaudhry, et al., 2021). There is no standard price for the BMP, but it can be assumed that it will cost $30 – $80.
A Sedimentation Rate test should be prescribed in connection with the patient’s complaint of back swelling and the statement that both her parents had cancer. It will help diagnose or track the progression of an inflammatory disease, which is indicated by symptoms. The cost of such a test will cost about $40.
Despite the need to draw constructive conclusions about the patient’s diagnosis, the Urine Drug Screening test may be ignored at the initial stage. The patient’s indications and family diseases themselves reduce the drug use as a possible cause of the disease. The test itself would have cost $50.
The copper toxicity test may be conducted, but its ordering is not necessary during the first examination. The patient does not focus on stomach diseases, diarrhea, and irregular feces, but possible anemia and fatigue show that the possibility of copper toxicity cannot be excluded. The cost of the test would be about $100 on average.
The MRI Brain test is necessary for the patient. Fatigue, difficulty with concentration, and speed of speech are the main reasons for the need for the test (Head MRI: Purpose, Preparation, and Procedure, n.d.). The cost of the test would be about $1,000.
A polysomnogram test may be ignored since the patient indicates that she sleeps well and easily changes her regime to improve her sleep quality. It reduces the possibility of unhealthy sleep as a cause of the disease. This test would also cost about $1,000.
Since the patient’s family has a fairly diverse medical history, it is also worth paying attention to hereditary diseases. A blood pressure test to detect hypertension and a carcinoembryonic antigen (CEA) test to see a predisposition to colon cancer should be recommended. The costs will be $60 and $40, respectively.
Conclusion
An upgrade differential diagnosis includes renal failure due to the symptoms and non-manifestation of thyroid problems and hypertension due to the symptoms and hereditary predisposition. When interviewing a patient, increased attention should be paid to the state of her secretions, including color, smell, and regularity.
References
Chaudhry, Y. P., Rao, S. S., Hasan, S. A., Oni, J. K., Khanuja, H. S., & Sterling, R. S. (2021). Routine Basic Metabolic Panels Are Not Needed in All Patients After Primary Total Joint Arthroplasty: An Opportunity for Cost Reduction. The Journal of Arthroplasty, 36(2), 462-466.
Favresse, J., Burlacu, M. C., Maiter, D., & Gruson, D. (2018). Interferences with thyroid function immunoassays: clinical implications and detection algorithm. Endocrine reviews, 39(5), 830-850.
Head MRI: Purpose, Preparation, and Procedure. (n.d.). Healthline.
Lala, V., Goyal, A., & Minter, D. A. (2021). Liver function tests. StatPearls Publishing.