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Tag: lab test

Vitamin B12 deficiency 

Posted on November 11, 2025 by admin

When the serum vitamin B12 level is borderline low, an elevated methylmalonic acid (MMA) level can be used to confirm a vitamin B12 deficiency.

Metformin may lead to a vitamin B12 level. 

Posted in Clinical PearlsTagged anemia, B12 deficiency, lab test

Diabetes type 1 – diagnosis

Posted on October 26, 2025 by admin

Positive Anti GAD and Low C peptide at the time of diagnosis is consistent with type 1 DM. 

Posted in Clinical PearlsTagged diabetes, lab test

False negative or normal BNP

Posted on October 23, 2025 by admin
  • Obesity
  • Heart failure meds 
  • Pure right heart failure
Posted in Clinical PearlsTagged bnp, heart failure, lab test

D dimer

Posted on October 22, 2025 by admin

A negative D-dimer assay has a high negative predictive value for DVT, so the diagnosis can be ruled out in a patient who has a low pretest probability and a negative D-dimer result. 

A negative D-dimer assay does not rule out DVT in a patient with a moderate to high pretest probability (SOR C).

Posted in Clinical PearlsTagged biostatistics, lab test, venous thromboembolism
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