{"id":925,"date":"2012-04-27T11:34:44","date_gmt":"2012-04-27T11:34:44","guid":{"rendered":"http:\/\/icaro.med.br\/?p=925"},"modified":"2025-06-23T04:36:59","modified_gmt":"2025-06-23T07:36:59","slug":"complementary-exams-what-is-important-to-consider","status":"publish","type":"post","link":"https:\/\/icaro.med.br\/en\/complementary-exams-what-is-important-to-consider\/","title":{"rendered":"COMPLEMENTARY EXAMS - What's important to consider"},"content":{"rendered":"

COMPLEMENTARY EXAMS - What's important to consider<\/h2>\n\n\n\n
<\/div>\n\n\n\n

This basic script was the one I recently used to teach a class on the subject in Clinical Analysis for the Medicine course at UNICEPLAC (formerly FLACIPLAC). I hope it helps everyone in some way!<\/p>\n\n\n\n

Without a basic knowledge of anatomy, physiology, biochemistry\/biophysics and pathology, they are of little use and can even lead to inappropriate behavior;<\/p>\n\n\n\n

Tests are like photos of patients at the time they were taken, meaning that \u201cold\u201d tests no longer reflect the individual today;<\/p>\n\n\n\n

Always correlate the tests requested with the patient's clinical history (their signs, symptoms and pathologies);<\/p>\n\n\n\n

\u2705 \u201cThe clinic is sovereign\u201d.<\/p>\n\n\n\n

As Paul Ling Tai would say, the examination is a piece of paper about the patient and not the patient to be treated! If complete and \u201cin-depth\u201d examinations contradict a very strong clinical suspicion, the ideal is to treat on that basis;<\/p>\n\n\n\n

Don't ask for what you don't know how to interpret - the results can be confusing;<\/p>\n\n\n\n

Bad lifestyle habits can lead to various alterations in the tests, which is often why medication is not necessary;<\/p>\n\n\n\n

\u2705 \u201cOrthomolecular\u201d parameters are different (less \u201cnice\u201d).<\/p>\n\n\n\n

In my daily practice, I generally use the \u201cRule of thumb above 50%\u201d between the conventional values reported;<\/p>\n\n\n\n

Guide your patient to choose good laboratories for their tests: after all, how reliable are tests done \u201canywhere\u201d?<\/p>\n\n\n\n

\u2705 When in doubt, it's better to sin by excess than by lack;<\/p>\n\n\n\n

Check that what is being requested is the most appropriate to assess what you want to investigate.<\/p>\n\n\n\n

For example, in a general examination, Magnesium is important even inside the cell: its high or normal dosage in the blood is not very informative; GH varies a lot during the day and so it is sometimes better to dose one of its more stable metabolites, such as IGF-1;<\/p>\n\n\n\n

Sometimes several tests are needed to assess a particular parameter:<\/p>\n\n\n\n

Iron is best assessed by its dosage, complete blood count, ferritin, transferrin and iron fixation capacity; the liver is best assessed by TGO, TGP, gamma-GT, complete coagulogram and lipidogram.<\/p>\n\n\n\n

Hormones act throughout the body and \u201con each other\u201d, so when they are the focus, the ideal assessment is more complete.<\/p>\n\n\n\n

For example, when a case doesn't progress, it may be a good idea to \u201crecall\u201d the thyroid and adrenals.<\/p>\n\n\n\n

Cheers!<\/p>\n\n\n\n

\u00cdcaro Alves Alc\u00e2ntara<\/p>","protected":false},"excerpt":{"rendered":"

EXAMES COMPLEMENTARES \u2013 O que \u00e9 importante levar em considera\u00e7\u00e3o Este roteiro b\u00e1sico foi o que utilizei recentemente para ministrar aula sobre o assunto na disciplina de An\u00e1lises Cl\u00ednicas para o curso de Medicina, na UNICEPLAC (antiga FLACIPLAC). Espero que ajude a todos, de alguma forma! \u2705 Sem conhecimentos b\u00e1sicos de Anatomia, Fisiologia, Bioqu\u00edmica\/Biof\u00edsica e […]<\/p>\n","protected":false},"author":1,"featured_media":24287,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[240,241],"tags":[],"class_list":["post-925","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exames","category-exames-complementares"],"acf":[],"_links":{"self":[{"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/posts\/925","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/comments?post=925"}],"version-history":[{"count":2,"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/posts\/925\/revisions"}],"predecessor-version":[{"id":24582,"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/posts\/925\/revisions\/24582"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/media\/24287"}],"wp:attachment":[{"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/media?parent=925"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/categories?post=925"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/icaro.med.br\/en\/wp-json\/wp\/v2\/tags?post=925"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}