1) BW: CBC, CMP, ESR, Calcium, B12, Folate, Vitmain B6, TSH, T4, Fasting glucose, Hb A1c, OGTT 2-hr, SPEP w/ immunofixation, Lyme serologies, ACE
2) BW: ENA, SSa, SSb, ANA, ANCA panel, CK, Copper, Hepatitis panel, HIV, Lipid screen, Methylmalonic acid, homocysteine, rheumatiod factor, Zinc, paraneoplastic panel, cryoglobulins, Cold agglutinins, Vitamin E, Antigliadin IgA antibodies, Anti-endomysial IgA antibodies, anti-tissue transglutaminase antibodies (tTG)
3) BW: anti-MAG antibodies, anti-GM1, ganglioside antibody panel, alpha-galactosidase, phytanic acid, arylsulfatase A
4) Urine: urine protein electrophoresis, 24-hour urine heavy metal screen
5) CSF; EMG, MRI spine; fat aspirate
1) BW: CBC; CMP; ESR; Vitamins A,D,E,K; Lyme; SPEP w/ immunofixation;
TSH, T4, Vitamin B12, folate, Fasting blood glucose, Immunoglobulins IgA, IgG, IgM; Alphafetoprotein, Anti-GAD antibodies, Anti-gliadin antibodies IgG and IgA, Paraneoplastic antibodies
2) BW: ANA, ENA, Sjogrens antibodies, SSa, SSb, ANCA, ESR, anti-ds DNA, betalipoproteins, Lipid profile, Very Long Chain Fatty acids
3) Urine: 24 hour urine heavy metal screen
4) Ophthalmology eval: indication r/o optic atrophy
5) Other: MRI head, cervical spine, Tilt test
1) BW: CBC, ESR, CMP, Lipid panel, Homocysteine, B12, folate, fasting blood glucose, Hemoglobin A1c, Prothrombin time, INR, PTT, bleeding time
2) BW: antiphospholipid antibodies (anti-cardiolipin antibodies, lupus anticoagulant, anti-B2 glycoprotein 1 antibodies), ANA, ANCA, RF, pregnancy (B-HCG), Protein C, Protein S, Factor V, Prothrombin/ factor II G20210A mutation, Protein C/Factor VII ratio, Protein S/Factor VII ratio, Antithrombin III
3) CT head, MRI head (w/ gad, DWI, gradient echo), MRA head, MRA head with gad bolus, MRVenogram, carotid ultrasound, conventional 4-6 vessel angiogram, TEE, CSF
4) Dermatology: skin biopsy for CADASIL
5) ATHENA complete CADASIL eval.
Mayo Stroke order set and dysphagia screen
SWR TPA orders
Mayo IVIG order set
Comprehensive blood work
Comprehensive urine tests