The POTS Workup: What Should We Screen For- Brent Goodman, MD

Dr. Brent Goodman provides an extensive overview of the diagnostic evaluation for POTS patients. He emphasizes that once POTS is diagnosed, evaluation should continue due to evolving symptoms and comorbidities. The diagnostic process involves ruling out mimic conditions and identifying subtypes such as neuropathic or hyperadrenergic POTS. Comorbidities like Sjogren's syndrome, mast cell activation, headaches, and gastrointestinal dysmotility are crucial to consider in the evaluation process, as they can significantly impact the management of POTS. Dr. Goodman discusses various diagnostic tools, including autonomic testing, skin biopsies, and specific lab tests for ruling out systemic conditions and recognizing potential autoimmune involvements. He stresses the importance of ongoing evaluation and the potential for conditions like Sjogren's syndrome to be underlying or complicating POTS presentations. His presentation highlights the need for a thorough and individualized approach to each POTS patient, considering the complex web of symptoms and possible underlying causes.