Recurrent Subconj Heme Testing & attached letter to PCP

 Laboratory testing may be directed toward identifying blood dyscrasias, clotting disorders and other hematological abnormalities. Suggested testing may include (but is not limited to) the following: 

●      Complete blood count with platelets (CBC with differential and platelets)

●      CMB - comprehensive metabolic panel

●      Prothrombin time (PT)

●      Activated partial thromboplastin time (PTT)

●      Activated partial thromboplastin time (APTT) 

●      An international ratio (INR) to rule out over-anticoagulation in patients taking blood thinners

●      Antiphospholipid antibodies

●      Homocysteine level, particularly in young men

●      Assay for natural anticoagulants such as protein S and protein C, antithrombin III, factor V Leiden

●      Beta-glycoprotein

●      HIV Virus titers

●      Anticoagulation panel for lupus if suspected autoimmune condition

●      Sjogren’s testing panel

●      If African American, sickle cell panel

●      Patients taking warfarin (Coumadin, Bristol-Myers Squibb) or dabigatran (Pradaxa, Boehringer Ingelheim Pharmaceuticals) or aspirin should obtain international normalized ratio (INR) values to determine if therapy needs to be adjusted

TEMPLATE FOR LETTER TO PCP TO ORDER TESTING:

https://docs.google.com/document/d/1-CkmdfMOeBzh4qGOGghSFcwrNvyZOtklQv1JCwcBY3I/edit?usp=sharing