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Laboratory Exams
| Question | Answer |
|---|---|
| ASO Titre | Strep antibodies (rapid strep test) |
| Acid Phosphatase | Prostate Disease |
| A/G Ratio | Albumin/Globulin ratio reversed in Multiple Myeloma |
| Alkaline phosphate | elevated in blastic bone disease/liver disease |
| Amylase/Lapase | Acute Pancreatitis |
| ANA | Collagen Diseases (all Sero +) SLE; butterfly rash Scleroderma tight shiny skin systemic; Polyarteritis Nodasa Sjogren; dry eye; difficulty swallowing RA; ulnar deviation |
| Bilirubin | Direct- Liver, GB, pancrease Indiret - Liver, spleen, drugs, fever |
| BUN | Increase -Kidney disease Decrease - Liver disease |
| Calcium | 9-11mg Increase - Hypercalcemia (Hyperparathyroid/hyper D)(Bone Cancer) Decrease - Hypocalcemia (Hypoparathyroid/hypo D) |
| Cholesterol | 120-200mg/dl 200-239 Borderline 240 + Higher risk Increase - DM, pregnancy, atherosclerosis Decrease - Liver disease, malnutritioin, anemia |
| CEA | Cancer |
| CPK (creatine) | Tissue destruction |
| Creatinine | Best kidney test |
| CRP C-Reactive Protein | Inflammation (acute, arterial inflammaion) |
| ESR aka Westergrin ESR | 90 100 110; Inflammation (0-20 normal) (Temporal Art, MM, Pyogenic Osteomyelitis |
| Flu Swab | Influenza |
| FBS | DM |
| GGT/GTT | GGT = Liver cirrhosis/GTT = Diabetes Mellitus, Hypoglycemia |
| HCG | Pregnancy |
| HLA B-27 | Enteropathic arthropathies (sero -) Uc, Crohn's, Reiter's, As, Psoriatic |
| Ketones | Increase with DM |
| LDH | Lactate dehydrogenase; which is present with tissue destruction |
| Lipids | Atherosclerosis |
| LE Prep | SLE |
| Mono Test | EBV; Mono test will show atypical lymphocytes such as downey cells, and Paul Bunnell cells |
| Phosphorus | Is where calcium isn't |
| Potassium (electrolytes) | Increase -Addison's renal failure Decrease -Diuretics, vomit, diarrhea |
| Protein Electrophoresis | MM; (5 albumin groups, see gamma globulins) |
| Protein (Blood) | Increase - Hyperproteinemia (MM); Decrease - Hypoproteinemia (kidney) |
| PSA | Prostrate |
| RA Latex | RA |
| SGOT (AST) | Heart destruction/liver disease |
| SGPT (ALT) | Liver disease |
| Tine | TB (Mantoux and PPD) |
| T3/T4/TSH | Thyroid disease |
| Triglycerides | Increase - liver disease, alcoholism, MI pancreatitis, renal disease (males 40-60) (females 35-135) |
| Uric Acid | Gout, kidney |
| ELISA/Western Blot | AIDS (T-Cell count) |
| Bone Panel consist of: | first patient presents with Deep Boring Pain; Panel consist of: calcium, phosphorous, alk. phos. (acid phos) |
| Arthritis Panel Consist of: | RA latex, uric acid, HLA -B27, ANA, ESR and decrease ROM |
| Kidney Panel Consist of: | U/A, BUN creatinine, albumin, globulin, uric acid |
| Cardiac-Ischemia (CRP) Panel Consist of: | CPK-MB, SGOT,(AST), LDH, Patient presents with PAIN |
| Cardiac- Risk (CRP) Panel Cosist of: | Cholesterol, triglycerides, glucose and Patient presents with FATIGUE; here you want to be thing fats and sugars |
| Hepatic Panel Consist of: | SGPT, SGOT, LDH, bilirubin, GGT albumin/globulin, GTT, triglycerides |
| Rigid Abdomen Consist of: | (pancreatitis, appendicitis) and paralytic illeus; with CBC with diff, amylase/lipase |
| SMAC/Metabolic Panel | Serological Multiphasic Analyzer Computerized; the panel is a series of test; (blood chemistries) from the sample of blood. The selection of tests is pre-programed into the machine and the results are plotted on a graph against the normal values. |