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