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General and Optional Tests

General and Optional Tests

Many disorders may be detected by using general, nonspecific testing modalities. Preventive screening, counseling, and testing, which are routinely used in the general U.S. population, may identify people with or at risk for chronic disorders. In addition, the process of migration and adaptation to a new lifestyle in the United States generally predisposes refugees to disorders, such as hyperlipidemia and cardiovascular diseases, not commonly encountered in refugee populations on arrival. This document discusses guidelines (Table 1) for conditions commonly detected on arrival, including hematologic disorders, renal disease, and metabolic disorders of adults and children. In addition, medical screening routinely recommended in the United States for such conditions as cardiovascular diseases and cancers should be performed. This may be done at the new-arrival medical evaluation, or arrangements should be made for timely follow-up with primary care for testing.


Table 1. General and Optional Testing for Newly Arrived Refugees

Recommended for All Refugees
  • Complete blood count with a white blood cell differential and platelets
  • Urinalysis (if old enough to provide a clean-catch urine specimen)
  • Infant metabolic screening in newborn infants, according to state guidelines
Recommended for Specific Populations
  • Serum lipid profilea
  • Cancer screeningb
  • Uric acid (for Hmong refugees)
Optional
  • Serum chemistries and glucose
  • a See Discussion and Table 4 for population-specific information.
  • b See Discussion and Table 5 for population-specific information.
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