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A physician calls the lab wanting to order a Hep A IgG test but cannot find the code, what do you tell the physician?

User Pppery
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Final answer:

Physicians should consult the lab's directory or contact the lab for the correct code of a Hep A IgG test. It's also important for them to know that an initial positive result may require confirmatory testing due to the potential for false positives or negatives with antibody-based tests.

Step-by-step explanation:

If a physician is seeking to order a Hep A IgG test but cannot find the code, the appropriate response would be to provide them with the specific test code for Hepatitis A IgG, if you have it. However, if you are unfamiliar with the lab codes, you might suggest that they consult their lab's directory of services or contact the laboratory directly for assistance in finding the correct test code. It's crucial to emphasize the importance of the correct test, since immunoglobulin G (IgG) testing for Hepatitis A is different from tests for other types of hepatitis viruses or other assays like hepatitis C virus RNA testing.

Moreover, since antibody-based tests for viruses like Hep A and Hep C can sometimes yield false positives or false negatives, the physician should be aware that patients who test positive with an initial antibody test like Hep A IgG may need a confirmatory test. This is especially relevant for Hepatitis C, where a confirmatory test for viral RNA is necessary to establish a definitive diagnosis. In the case of Hepatitis A, IgG antibodies typically signify past exposure and immunity rather than active infection, which would require different management.

User Observablerxjs
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