Diagnostic Tests - Chapter 1 Flashcards
Autoimmune Disease
Increased Erythrocyte Sedimentation Rate (ESR), increased C-reactive protein (CRP), Positive Rheumatoid Factor (RF), positive anti-nuclear antibody (ANA)
Rheumatoid Arthritis
Increased Erythrocyte Sedimentation Rate (ESR), increased C-reactive protein (CRP), Positive Rheumatoid Factor (RF), positive anti-nuclear antibody (ANA), positive anti-citrullinated peptide antibody (ACPA)
Systemic Lupus Erythematosus
Increased Erythrocyte Sedimentation Rate (ESR), increased C-reactive protein (CRP), Positive Rheumatoid Factor (RF), positive anti-nuclear antibody (ANA), positive anti-dsDNA antibodies
Multiple Sclerosis
MRI
Anemia
Decrease Hgb/Hct/RBC
Microcytic Anemia
Decrease Hgb/Hct/RBC
Decrease MCV
Macrocytic Anemia
Decrease Hgb/Hct/RBC
Decrease MCV
Schilling test
DVT
D-dimer test
Ultrasound
Venography
MRI
PE
Pulmonary computed tomographic angiography
What is CHA2-DS2-VASc used for?
Stroke Prevention
HIT
Decreased platelets (50% or more of baseline) 5-14 days after starting Heparin
Arrythmias
EKG; holter monitor, heart rate
Chronic Heart Failure
Echo
Increased B-type natriuretic peptide (BNP);
Increased N-terminal proBNP
Cerebrovascular Accident
CT
MRI
Stable Angina
Cardiac Stress Test
Angiography
Dyslipidemia
Increased total cholesterol
Coronary Artery Calcium
Hypertension
Blood Pressure
Hypertensive Emergency
BP >180/120 WITH tissue damage
Hypertensive Urgency
BP >180/120 WITHOUT tissue damage
ASCVD risk
10-Year Risk Atherosclerosis Disease
Prediabetes and Diabetes
Fasting plasma glucose
Oral glucose tolerance test
Hemoglobin A1C
ACS
EKG
Creatine Kinase
Troponin
Hyperthyroidism
Decreased TSH
Increased T4
Hypothyroidism
Increased TSH
Decreased T4
Ovulation
Luteinizing Hormone (LH)
Pregnancy
Human Chorionic Gonadotropin (hCG)
Bacterial Vaginosis
Clear, white, or gray vaginal discharge
Fish Odor
pH >4.5
Candida Vaginosis
White, thick vaginal discharge
Puritis
Trichomoniasis
Yellow, green, frothy discharge
Foul Smelling discharge
pH >4.5
Soreness and pain with intercourse
Peptic Ulcer Disease
Upper Endoscopy
Duodenal ulcer Symptoms
Pain 2-3 hours after eating
Pain relief with antacids
Gastric Ulcers symptoms
Pain right after eating
Little to no pain relief with antacids
GERD
Esophageal pH monitoring
Endoscopy
H. Pylori
Urea breath test
Fecal Antigen test
Chron’s Disease
Endoscopy
Colonoscopy biopsy
CT
MRI
Ulcerative Colitis
Sigmoidoscopy
Colonoscopy biopsy
CT
MRI
Spirometry
FEV1 (how much air can be forcefully exhaled in one second)
FVC (the maximum amount of air that can be forcefully exhaled) FEV1/FVC (the percentage of total air capacity that can be forcefully exhaled in one second)
Asthma
FVC
FEV1
Peak Expiratory Flow Rate
Allergic asthma
Skin Test
COPD
Post-bronchodilator FEV1/FVC <0.7
Acid/Base Disorders
Arterial Blood Gas
Metabolic Acidosis
Decreased pH
Decreased HCO3
Compensation - respiratory alkalosis
Respiratory Acidosis
Decreased pH
Increased pCO2
Compensation - metabolic alkalosis
Metabolic Alkalosis
Increased pH
Increased HCO3
Compensation - respiratory acidosis
Respiratory Alkalosis
Increased pH
Decreased pCO2
Compensation - metabolic acidosis
Anion Gap Metabolic Acidosis
Anion gap >12 mEq/L
General Infection
Fever
Increased WBC
Left Shift
C Difficile
Positive C diff stool toxin or PCR
HIV
HIV antigen/antibody immunoassay
HIV-1/HIV-2 antibody differentiation immunoassay
HIV RNA viral load
nucleic acid test
Infective Endocarditis
Echo
Blood Culture
Lyme Disease
Round, red, bullseye rash
ELISA test
Meningitis
Lumbar Puncture (LP)
Severe Headache
Stiff Neck
AMS
Onychomycosis
20% KOH smear
Lice
Itching
Nits on the scalp
Pinworm
Tape test
Helminths in blood, feces, or urine
Pneumonia
Chest XRay with Infiltrates, opacities, or consolidations
Syphillis
Positive nontreponemal assay or Veneral Disease Research Laboratory Test and treponemal assay
Toxoplasma Gondii Encephalitis
Toxoplasma IgM and IgG test
Latent TB
Positive tuberculin skin test
Interferon Gamma Release Assay Blood Test
UTI
Urinalysis with WBC count
Breast Cancer
Mammogram
Ultrasound
MRI
Cervical Cancer
Pap smear
HPV test
Lung Cancer
CT of the chest
Skin Cancer
Skin Biopsy
Prostate Cancer
Digital Rectal Exam
Prostate Specific Antigen
General Cancer
Carcinoembryonic antigen (CEA)
Positron Emission Tomography Scan (PET)
Allergies
Skin Prick
IgE antibodies test
Bleeding
Decrease Hct or Hgb
Visible blood or bruising
Coffee ground emesis
Dark/tarry stool
Red blood in the stool
Cholestasis
Increased Alkaline phosphatase
Increased Bilirubin
Increased gamma-glutamyltransferase
Colon Cancer
Colonoscopy
Sigmoidoscopy Double contrast barium enema
CT
stool DNA
Fecal occult blood test
Fecal immunochemical test
Alzheimer’s Cognitive Impairment
Mini-mental State Exam (MMSE)
Cystic Fibrosis
Sweat Test
Glaucoma
Increased Intraocular Pressure
Visual Field Test
Gout
Increased uric acid
Active TB
Positive sputum acid-fast bacilli stain and culture
Chest xray with cavitation
Liver Disease
Increased AST/ALT Increased Alk Phos
Increased Tbili
Increased lactate dehydrogenase
Cirrhosis
Increased PT/INR
Decreased Albumin
Alcoholic Liver Disease
Increased AST Increased ALT
Increased GGT
Hepatic Encephalopathy
Increased ammonia levels
Movement Disorders (Tardive dyskinesia, Parkinson’s Disease, etc.)
Abnormal involuntary movement scale (AIMS)
Myopathy
Increased creatine kinase
Neuropathy
Sensation with 10-g monofilament, pin prick, temperature, and or vibration tests
Osteoarthritis
Xray
MRI
Osteoporosis
Bone Mineral density (BMD)
Dual energy Xray absorptiometry (DEXA)
T score </= 2.5
Osteopenia
T-score 1.5-2.4
Pain
Pain Scales
Pancreatitis
Increased amylase
Increased lipase
Psych Disorders
DSM-5
Depression
Ham-D
HDRS
Renal Disease
Increased BUN
Increase SCr Increased BUN/SCr
Increased CrCl
Increased eGFR
Increased urine albumin
Seizures
Electroencephalogram (EEG)
Obesity
BMI