Bloods

Question 1

Name the tests done during a routine anaemia screen:

Answer 1

FBC
U&Es - CKD
TFTs - Hypothyroidism can cause macrocytic anaemia

Haematinics

• B12/ Folate
• Ferritin
• TIBC
• Serum Iron

Other investigations:
- colonoscopy
- Endoscopy
CT Chest/ Abdo/ Pelvis

Question 2

Name the tests done during a Sepsis screen:

Answer 2

Clinical screen:

• vital signs
• clinical examination

Bloods:

• FBC
• CRP
• U&Es - UKI is common
• Lactate
• Blood cultures

Orifices:

• urine sample
• Sputum sample
• Stool sample
• Skin swap

X-ray:
- CXR - if suspect pneumonia

Question 3

Name the investigations done into hyponatremia screen:

Answer 3

Body assessment:

• hypovolemia
• euvolemia
• Oedematous

Bloods:

• U&Es
• Serum osmolality
• TFTs - hypothyroidism can cause
• Cortisol - Addison’s

Orifices:

• Urine osmolality
• Urine Na2+

Question 4

Name the investigations done in a Hypocalcaemia screen:

Answer 4

Clinical assessment:

• Hydration levels
• Urine output

Bloods:

• U&Es - kidney function, CKD?
• Bone profile
• Free ionised Ca2+
• PTH
• Vitamin D levels
• LFTs - albumin level

Question 5

Name the investigations done into refeeding syndrome:

Answer 5

Clinical assessment:

• MUST score
• Urine output

Bloods:

• U&Es - electrolyte abnormalities
• Bone profile
• Magnesium

ECG - electrolyte disturbance

Question 6

Name the investigations done into a myeloma screen:

Answer 6

Bloods:

• FBC (anaemia, thrombocytopenia, neutropenia)
• U&Es - Kidney dysfunction
• Bone profile - Ca2+
• ESR - high - rouleaux formation

Orifices:
- Protein immunophoresis for Bence Jones proteins

Special tests:
- Serum protein immunophoresis - M spike

• *bone marrow biopsy would be done.
• 10% blasts