Regional Laboratory Alliance

 

 

 

June 20, 2003

 

 

 

Dear Colleagues:

 

Please find enclosed a new and updated Cascade and Newsletter topical index and alphabetical listing.  The index represents an attempt to classify the Cascades and Newsletters on a topical basis with the following categories:  General Medical and Preventative Health, Endocrine Disease, Blood and Coagulation Disorders, Infectious Disease, Genitourinary Disease, Metabolic Disease, Cancer Testing, Cardiac and Lipid Disorders, and Pediatric Disease.

 

Alphabetical Listing is classified according to the general topic of the cascade such as D for Diabetes Mellitus.  These cascades have been written in the attempt to assist you in your current diagnosis and management of patients.  They are updated on a regular ongoing basis.  As always, should you have any feedback or additional information which would make these cascades more helpful or informative, please feel free to contact us at the Regional Laboratory Alliance, c/o Carla Orner, General Manager, at
913-831-2098, or any of the pathologists directly.

 

Most sincerely your colleague,

 

 

 

Spencer W. Kerley, M.D.

Chief Executive Officer

Physicians Reference Laboratory

Chairman, Department of Pathology

Saint Joseph Health Center

Chairman

Regional Laboratory Alliance

 

 

 

 

General Medical and Preventive Health:

·         1 – Routine Health Screening

·         2 – Preadmission Testing

·         3 – Chemistry Profile

·         23 – Sputum Cascade

·         29 – Liver Function Studies

·         31 – Nutritional Cascade

·         32 – Occult Blood in Adults

·         34 – Triage Rapid On-Site Drug Testing

·         35 – Preventive Pediatric Health Care

 

Endocrine Disease:

·         4 – Thyroid Function Testing

·         10 – Diagnosis of Diabetes Mellitus

·         11 – Screening for Diabetes Mellitus

·         12 – Hypercalcemia

·         13 – Thyroid Function Tests for Monitoring Treatment of Hypothyroidism & Hyperthyroidism

·         36 – Thyroid Nodule Management

 

Blood and Coagulation Disorders:

·         5 – Microcytic/Hypochromic Anemia

·         14 – Hemoglobin Electrophoresis

·         15 – Algorithm for Laboratory Investigation of Anemia

·         19 – Transfusion Therapy Guidelines

·         24 – Coagulation Cascade

·         28 – Hypercoagulabilty State

·         37 – Pernicious Anemia

·         38 – Laboratory Evaluation of Polycythemia

·         40 – Monoclonal Gammopathies

 

Cardiac and Lipid Disorders:

·         20 – Lipid Cascade

·         30 – Pediatric Lipids

 

Infectious Disease:

·         7 – Tick Bourne Disease Cascade

·         9 – Pediatric Infectious Disease

·         18 – Urinary Tract Infections in Children

·         22 – Syphilis Serology

·         25 – Lyme Disease

·         27 – EBV & Other Mono Like Symptoms

·         33 – Inpatient Adult Diarrhea

·         39 – Hepatitis C

 

Genitourinary Disease:

·         6 – PSA Testing

·         16 – Guidelines for Adult Female UTI

·         17 – Pap Smear Screening and Follow-Up

·         21 – Male UTI Cascade

 

Metabolic Disease:

·         8 – Hemochromatosis/Iron Overload Disease

·         26 – Liver Cascade

 

Cancer Testing:

·         6 – PSA Testing

·         32 – Occult Blood in Adults

·         40 – Monoclonal Gammopathies

 

Pediatric Disease:

·         9 – Pediatric Infectious Disease

·         18 – Urinary Tract Infections in Children

·         30 – Pediatric Lipids

·         35 – Preventive Pediatric Health Care

 

 

 

General Medical and Preventive Health:

·         9/96 – Ordering of Profiles in regards to Medicare

·         3/97 – Medicare/Medicaid Test Ordering & Medical Necessity

·         5-6/97 – Atherogenic Dyslipidemia

·         1/98 – Laboratory CPT Code Changes for 1998

·         5/98 – Fraud and Abuse in Today’s Clinical Laboratory Environment

·         7-8/98 – Malnutrition in Hospitalized Patients

·         9/98 – Fecal Occult Blood Testing

·         11/98 – Drug Testing to be Impacted by Recent Federal Rule Changes

·         3/00 – Chemistry Panel Changes

·         8/00 – Inpatient Screening Tests

·         9/00 – How Much Can a Laboratory Test Change and Still Be the Same?

·         11-12/01 – Biological Terrorism

·         3-4/02 – Value of Community-Based Medicine

·         5-6/02 – Advance Beneficiary Notices (ABNs)

 

Endocrine Disease:

·         10/97 – Management of Patients with Diabetes Mellitus

·         11/97 – Gene Test Available for Hemochromatosis

·         3/98 – Thyroid Function Tests

·         2-3/99 – New Thyroid Function Test Cascade

 

Blood and Coagulation Disorders:

·         8/96 – Automated Differential White Blood Cell Counts in the Pediatric Population

·         8/96 – Potpourri of Special Notes on Peripheral Blood Smears

·         10/96 – Update on Preoperative Testing of Hemostasis

·         5-6/97 – Guidelines for Assessing Risk of Coronary Heart Disease and Lipid Testing

·         5/99 – Approach to the Lab Investigation of Vitamin B12 Deficiency

·         6-7/99 – Blood Component Summary

·         2/00 – Laboratory Evaluation of Polycythemia

·         3/01 – Trends in Blood Collection and Utilization

·         4/01 – Post-Transfusion Hemoglobin Levels

·         9/01 – New Lipid Guidelines

·         1-2/02 – Monoclonal Gammopathies

 

 

 

 

 

Infectious Disease:

·         2/97 – Urinary Tract Infections in Children

·         2/97 – Urinary Culture Turnaround Time

·         2/97 – New Developments in Testing for Chlamydia Trachomatis

·         4/97 – Rotavirus Testing and Positive Predictive Value Seasonally Appropriate Testing

·         7/97 – Sexually Transmitted Diseases: Gonorrhea

·         8/97 – Update on Lab Testing for Human Immunodeficiency Virus

·         9/97 – Sexually Transmitted Diseases: Trichomonas

·         11/97 – HIV Diagnosis in the Newborn

·         2/98 – CMV PCR

·         4/98 – Enteroviral Meningitis

·         9/98 – Helicobacter Pylori Highlights

·         5/00 – Hepatitis C

·         5/00 – Epstein Barr Virus (EBV) PCR

 

Genitourinary Disease:

·         11/96 – Guidelines for Adult Female Urinary Tract Infections

·         1/97 – Pap Smear Introduction

·         2/97 – Urinary Tract Infections in Children

·         7/97 – Sexually Transmitted Diseases: Gonorrhea

·         9/97 – Sexually Transmitted Diseases: Trichomonas

·         6/98 – ThinPrep Pap Test

·         7/00 – ThinPrep Pap Test Update

 

Cancer Testing:

·         6/98 – ThinPrep Pap Test

·         9/98 – Fecal Occult Blood Testing

·         10/98 – New Developments in Breast Cancer Markers

·         7/00 – ThinPrep Pap Test Update

·         1-2/02 – Monoclonal Gammopathies

 

Pediatric Disease:

·         8/96 – Automated Differential White Blood Cell Counts in the Pediatric Population

·         2/97 – Urinary Tract Infections in Children

·         4/97 – Rotavirus Testing and Positive Predictive Value Seasonally Appropriate Testing

·         11/97 – HIV Diagnosis in the Newborn

·         6/00 – Laboratory Testing in Internationally Adopted Children

·         1/01 – Laboratory Testing in Children with Suspected Sexual Abuse

·         7-8/02 – Newborn Screening by Tandem Mass Spectrometry (MS/MS)

 

 

 

A         5-6/02 – Advance Beneficiary Notices (ABNs)

            5/99 – Approach to the Lab Investigation of Vitamin B12 Deficiency

            5-6/97 – Atherogenic Dyslipidemia

 

B         11-12/01 – Biological Terrorism

            3/01 – Trends in Blood Collection and Utilization

            6-7/99 – Blood Component Summary

10/98 – New Developments in Breast Cancer Markers

 

C         2/98 – CMV PCR

3/00 – Chemistry Panel Changes

2/97 – New Developments in Testing for Chlamydia Trachomatis

3-4/02 – Value of Community-Based Medicine

 

D         10/97 – Management of Patients with Diabetes Mellitus

8/96 – Automated Differential White Blood Cell Counts in the Pediatric Population

11/98 – Drug Testing to be Impacted by Recent Federal Rule Changes

 

E          4/98 – Enteroviral Meningitis

            5/00 – Epstein Barr Virus (EBV)

 

F          5/98 – Fraud and Abuse in Today’s Clinical Laboratory Environment

 

G         7/97 – Sexually Transmitted Diseases: Gonorrhea

 

H         9/98 – Helicobacter Pylori Highlights

11/97 – Gene Test Available for Hemochromatosis

4/01 – Post-Transfusion Hemoglobin Levels

10/96 – Update on Preoperative Testing of Hemostasis

5/00 – Hepatitis C

            11/97 – HIV Diagnosis in the Newborn

            8/97 – Update on Lab Testing for Human Immunodeficiency Virus

 

L          9/00 – How Much Can a Laboratory Test Change and Still Be the Same?

            1/01 – Laboratory Testing in Children with Suspected Sexual Abuse

            6/00 – Laboratory Testing in Internationally Adopted Children

            9/01 – New Lipid Guidelines

            5-6/97 – Guidelines for Assessing Risk of Coronary Heart Disease and Lipid Testing

 

M        7-8/98 – Malnutrition in Hospitalized Patients

            1/98 – Medicare Laboratory CPT Code Changes for 1998

3/97 – Medicare/Medicaid Test Ordering & Medical Necessity

1-2/02 – Monoclonal Gammopathies

 

N         7-8/02 – Newborn Screening by Tandem Mass Spectrometry (MS/MS)

 

O         9/98 – Fecal Occult Blood Testing

 

 

 

P          1/97 – Pap Smear Introduction

8/96 – Potpourri of Special Notes on Peripheral Blood Smears

            9/96 – Ordering of Profiles in regards to Medicare

            6/98 – ThinPrep Pap Test

            7/00 – ThinPrep Pap Test Update

            2/00 – Laboratory Evaluation of Polycythemia

 

R         4/97 – Rotavirus Testing and Positive Predictive Value Seasonally Appropriate Testing

 

S          8/00 – Inpatient Screening Tests

 

T          2-3/99 – New Thyroid Function Test Cascade

            3/98 – Thyroid Function Tests

            9/97 – Sexually Transmitted Diseases: Trichomonas

 

U         2/97 – Urinary Culture Turnaround Time

            11/96 – Guidelines for Adult Female Urinary Tract Infections

            2/97 – Urinary Tract Infections in Children