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Lactate + Procalcitonin

Rick Pescatore, DO and Matthieu DeClerck, MD
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Rick and Matt review the benefits and pitfalls of diagnostic testing with lactate and procalcitonin.

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James L. -

Great discussion. Any thoughts on getting lactates on abdominal pain patients? I had an attending who insisted on getting in on elderly patients especially, specifically for mesenteric ischemia.

Mike W., MD -

Agree it's important to consider, but once lactate rises, you are super far advanced in the process. In the UC, esp if it is a send out lab, if you are truly considering mesenteric ischemia, the pt should be transferred for more definitive testing (for ex CTA abd/pelvis). Thx for the comments and question!! --M

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Urgent Care August 2020 Written Summary 865 KB - PDF

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