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Diagnostic PP study notes
| Question | Answer |
|---|---|
| Why is diagnostic testing a useful tool for physicians | -establish diagnosis-monitor treatment progress-health promotoion-disease prevention-detect problem early-prompt treatment-establish baseline results-legal purpose-validate initial diagnosis-adjust/change treatment plan-provide info that pt is healthy |
| homeostasis | a healthy body in the state of equilibrium or balance |
| reference range | normal range; values expected for a particular test |
| hematology | the science/study of blood/blood forming tissues; in a laboratory hematology deals with the processing and evaluation of blood and blood components |
| hematologist | specializes in the diagnosis, treatment, prevention, and/or investigation of disorders primarily of the blood and lymphatic |
| pathologist | examines tissue samples and interprets results; performs autopsies |
| radiologist | specializes in the interpretation of the study of images of the human body |
| critical values | need immediate attention, you need to be aware of critical values and how to read reports and note abnormal results |
| CBC test typically includes | -RBC (red blood cells) -Hct (hematocrit) -Hb/Hgb (hemoglobin) -WBC (white blood cell) -Diff (differential blood count) -Platelet count |
| process of matching blood is called | blood typing, crossmatching, or cross-typing |
| What duties must an MOA perform to ensure pt understands everything they need to know about a dignostic test that has been ordered | -What will happen -What to expect -Where to go -How to prepare -How long will it take -How much discomfort is involved -Should anyone go with them -If any sedation is required -If they can drive after -any special aftercare instructions |
| What information should a requisition include | -demographics -physician -health card number -any additional info -names of Dr.'s who should receive results -test required -indicate date/time of surgury (if booked) -specific reporting instructions -medications (if any, dose/frequency) |
| What is the standard protocol when taking results over the phone | -repeat all recorded info back to caller -repeat pts name -test type and values -do not rush -read the values back -get name/number of caller -abnormal/critcal values, report to Dr. immediately |
| What are positioning and draping used for | -facilitate an exam -allows access to a specific area -protects pts from embarrassment -modesty |
| What are MOA's duties in diagnostic testing | -give out requisitions -educate clients -reporting/filing results -recognize/understand common ordered lab tests |
| CPE mayo tray includes | -gloves -glass slides -CTA's -gauze -lab requisition -urine specimen container -stethoscope -sphgmomanometer |
| Gynecological mayo tray includes | -gloves -2 glass slides -CTA's -gauze -laboratory requisition -biopsy bottle -stethoscope -sphygmomanometer -K-Y jelly/lubricant |
| Protological mayo tray includes | -gloves -glass slides -rectal CTA's -gauze -labroatory requisition -specimen bottle -K-Y jelly -anoscope -proctoscope -sigmoidoscope |
| CT | computed tomography |
| MRI | magnetic resonance imaging |
| US | ultrasound |
| CBC | complete blood count |
| Hb/Hgb | hemoglobin |
| Hct | hematocrit |
| RBC | red blood cell |
| WBC | white blood cell |
| Diff | differential blood count |
| ESR/sed rate | erythrocyte sedimentation rate |
| PTT | partial thromboplastin time |
| INR | international normalized ratio |
| BUN | blood urea nitrogen |
| FBS | fasting blood sugar |
| GTT | glucose tolerance test |
| HDL | high-density lipoprotein |
| LDL | low-density lipoprotein |
| MSU | mid-stream urine (test) |
| OB | occult blood; obstetrics |
| CXR | chest x-ray |
| ERCP | endoscopic retrograde cholangiopancreatography |
| BE | barium enema |
| BMD | bone mineral density test |
| ECG/EKG | electrocardiogram; electrocardiography |
| positions...flat on back | supine position |
| positions...sitting at 45 degree angle | semi-Fowler position |
| positions... sitting at 90 degree angle | Fowlers position |
| positions... on back, knees up | dorsal recumbent position |
| positions... on stomach/chest, butt up | knee-chest position |
| positions... on front, one leg/arm bent other straight out | Sims' position |
| two methods of filing reports | source-oriented filing integrated format |
| urinalysis | |
| microscopic |