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Laboratory Tests
| Panel | Tests | Purpose | Department |
|---|---|---|---|
| BMP (Basic Metabolic Panel) | BUN Calcium Creatinine Electrolytes Glucose | general metabolic screen | chemistry |
| Coronary Risk or Lipid Panel | Cholesterol HDL (High-density lipoprotein) LDL (Low-density lipoprotein) Triglycerides BNP (B-type natriuretic Peptide) | assesses risk for heart disease | chemistry |
| Electrolytes | Bicarbonate Chloride Potassium Sodium | evaluates levels of ions in the blood | chemistry |
| General health or CMP (Comprehensive Metabolic Panel) | ALP (alkaline phosphatase) AST (aspartate aminotransferase) Bilirubin BMP Total protein or albumin | assesses overall health standard of patient | chemistry |
| Glucose | 2-hr PPBS FBS (fasting blood sugar) GTT (glucose tolerance testing) Hb A1c (glycosylated hemoglobin) | assesses risk for diabetes mellitus | chemistry |
| LFTs (Liver Function Panel) | ALT (alanine aminotransferase) Albumin ALP (alkaline phosphatase) AST (aspartate aminotransferase) Bilirubin-conjugated Bilirubin-total Globulin Total protein GGT (gamma-glutamyl transferase) | assesses liver function | chemistry |
| MI | CK total CK-MB fraction Myoglobin TnT (Troponin T) Troponin I | determines occurrence and timing of MI | chemistry |
| Renal Disease | Albumin Creatinine clearance Phosphorus | assesses kidney function | chemistry |
| Pancreas | Amylase Lipase | assessment of pancreatic function | chemistry |
| Drug tests | Drugs of abuse Alcohol | detection of drugs and their metabolites in urine | chemistry |
| CBC | WBC RBC Hb Hct MPV MCV MCH MCHC RCW Plt diff | self explanatory MPV - assesses platelet volume and size MCV - size of average RBC MCH - average amount of Hb in RBC MCHC - ratio of Hb to size of RBC RDW - range of sizes of RBCs diff - classifies and counts types of WBC, shape of RBC and platelets | hematology |
| - | Body fluid analysis | determines number and types of cells in body fluids | hematology |
| - | Bone marrow | determines number and types of cells in bone marrow | hematology |
| - | ESR (Erythrocyte Sedimentation Rate) | determines sedimentation rate of RBCs as test for inflammation | hematology |
| - | Reticulocyte count | evaluates bone marrow delivery of RBCs into the peripheral circulation | hematology |
| - | Sickle cell (solubility test) | determines if RBCs containing hemoglobin S are present to diagnose sickle cell anemia | hematology |
| Flow cytometry | CD4/CD8 CD34, CD33, CD41, CD19, CD2 Bone marrow cell markers | identifies cellular markers on surface of WBCs to determine lymphocyte subclasses in patients with AIDS and tracks health of patients with HIV | hematology |
| - | Gram stain | screens microorganisms for gram pos/neg | microbiology |
| - | C&S (Culture and Sensitivity) | bacteria or fungal infection | microbiology |
| - | AFB Stain (Acid Fast Bacillus) | identify TB-causing microorganisms | microbiology |
| - | O&P (Ova and Parasites) | identify parasitic organisms in feces | microbiology |
| - | Cultures | media is used to grow and isolate microorganisms | microbiology |
| - | KOH | verifies presence of fungal elements | microbiology |
| - | Wet prep | verifies presence of fungal elements | microbiology |
| - | GC Stain | verifies presence of gonorrhea-causing microorganisms | microbiology |
| - | Anti-Haemophilus influenzae B antibody | detects exposure to Haemophilus influenzae B | serology/immunology |
| - | ANA (antinuclear antibodies) | detects autoimmune disease | serology/immunology |
| - | C-reactive protein | detects inflammatory disease | serology/immunology |
| - | Hepatitis surface antigen | detects hep B infection | serology/immunology |
| - | hCG (human chorionic gonadotropin | detects pregnancy | serology/immunology |
| - | RPR (rapid plasma reagin) | detects syphilis infection | serology/immunology |
| - | Rheumatoid factor | detects rheumatoid arthritis | serology/immunology |
| Urinalysis | Clarity Color Specific gravity Bilirubin Blood Glucose Ketones Leukocyte esterase Nitrite pH Protein Urobilinogen Cells and other structures | high bilirubin = liver disease high glucose = DM high ketones = DM or starvation Nitrite = bacterial infection high protein = kidney disease high urobilinogen = liver disease or hemolytic disorder | urinalysis and clinical microscopy |