The following tests should not be routinely performed in asymptomatic patients. They should however be considered if the clinical picture warrants it or if additional risk factors are present:
- Chagas disease
- screen children of infected mothers, family members of infected individuals, and pregnant women / childbearing age if from endemic area (see Map)
- Chest X-ray
- only if positive latent TB screening or if symptoms suggesting active TB
- Creatinine, electrolytes, liver enzymes
- Lead levels
- consider in children age <6 who have lived in poverty or who are iron deficient
- Malaria screening
- stay alert for any potential malaria symptom if from endemic country (see Map1 and Map2), especially during first 3 months post-arrival
- Pregnancy test
- consider in sexually active women of childbearing age who are not using a contraceptive method
- Stool Ova & Parasites and Protozoal Screen (PCR)
- consider in children from sub-Saharan Africa or Asia, especially those who have lived in poverty or in refugee camps
- TSH
- consider in pregnant patients, women of childbearing age and children from countries known for iodine deficiency (see Map)
- Urinalysis
- Vitamin B12 levels
- screen in pregnant patients and consider in vegetarians and patients who have lived in poverty or refugee camps
- Vitamin D levels
- offer routine supplementation without testing |
