Root Cause Assessment in Primary Care
You'll be able to systematically evaluate patients with chronic, multi-system complaints by mapping contributing factors across gut, hormonal, metabolic, and environmental domains before selecting an intervention.
What this track covers
This track covers a structured approach to chronic disease presentations that don't resolve with standard first-line management — including persistent GI symptoms, fatigue, and hormonal irregularities. You'll practice organizing a patient's history, labs, and exposures into a coherent picture, then prioritizing which findings warrant further workup versus lifestyle-focused intervention. The focus is on clinical reasoning and test interpretation, not on any single protocol or product.
What you will practice
- Build a timeline linking a patient's symptom onset to diet, stress, sleep, and exposure history
- Interpret a stool or GI panel and decide whether findings change management
- Differentiate primary thyroid dysfunction from non-thyroidal illness using more than TSH alone
- Evaluate a nutrient deficiency pattern and decide which findings need confirmatory testing
- Sequence a workup for fatigue that considers adrenal, thyroid, and sleep contributors before ordering specialty labs
Simulator scenario
A patient presents with six months of bloating, fatigue, and irregular cycles, and the clinician must decide which labs to order and what to address first.
Board question topics
- Interpreting thyroid panels beyond TSH
- Distinguishing IBS from SIBO on clinical grounds
- Recognizing red flags that require referral versus conservative management
- Nutrient deficiency workup in patients with GI symptoms
Ask the tutor
The tutor only answers from licensed sources (FDA prescribing information, public guidelines and our own material) and says when it has none. Educational use only, never patient-specific advice.
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