Neurosyphilis Workup

“Further testing is warranted for persons with clinical signs of neurosyphilis (e.g., cranial nerve dysfunction, auditory or ophthalmic abnormalities, meningitis, stroke, acute or chronic altered mental status, and loss of vibration sense). Laboratory testing is...

Syphilis in patients with HIV

“For most persons with HIV infection, serologic tests are accurate and reliable for diagnosing syphilis and following a patient’s response to treatment. However, atypical nontreponemal serologic test results (i.e., unusually high, unusually low, or fluctuating...

Screening for syphilis with a treponemal test

Some labs are screening for syphilis using treponemal tests, (usually EIA or chemiluminescence immunoassays) instead of RPR and VRDL. “Most patients who have reactive treponemal tests will have reactive tests for the remainder of their lives, regardless of...

How White Blood Cells Work

How do white blood cells work to protect us? White blood cells (leukocytes) protect the body against both infectious disease and foreign invaders.  Broadly, WBCS are categorized by structure (granulocytes or agranulocytes) or by cell lineage (myeloid cells or lymphoid...

Diagnoses to help you order labs for patients

To order lab-work for a patient, insurance companies want to see an active diagnosis to justify the labs that they will pay for. You can’t just order labs for screening or with annual exam. Here are some diagnosis to look for in your patient that will allow you...