Investigation panels Flashcards

1
Q

What lab tests are included in a confusion screen?

A

FBC, CRP, U&Es Bone profile, B12 & folate, TFTs, glucose, LFTs and coagulation profile.

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2
Q

Why is a bone profile included in a confusion screen?

A

Hypercalcemia and hypocalcemia can also cause neurological symptoms, such as depression, memory loss, and irritability. Severe cases can cause confusion and coma

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3
Q

When a patient presents with confusion, what do you look for In the vital signs?

A

Hypotension and signs of sepsis

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4
Q

What lab tests are included in an anaemia screen?

A

FBC, U&Es, TFTS. B12 & folate, ferritin and serum iron as well as total iron binding capacity.

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5
Q

What lab tests are included in an sepsis screen?

A

FBC, CRP, Lactate, U&Es, blood culture. urine dip and any other culture like a wound swab.

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6
Q

What lab tests are included in an hypocalcemia screen?

A

U&Es, bone profile, ionised calcium, PTH level, vitamin D and LFTs

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7
Q

Why are LFTs included in a hypocalcemia screen?

A

To look at albumin, as albumin reduces it causes calcium to decrease as well, but this will not effect the ionised calcium levels.

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8
Q

what 3 lab tests and 1 other investigation is included in a refeeding syndrome screen?

A

U&Es, bone profile, magnesium and a ECG

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9
Q

What lab tests are included in an myeloma screen?

A

FBC, ESR, blood film, U&Es, Protein electrophoresis of blood and urine, Immunoglobulins.

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10
Q

why is rotein electrophoresis of blood and urine included in a myeloma screen?

A

Raised levels of Bence Jones protein are typical (appearing as a paraprotein band)

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11
Q

In a liver screen what 3 viruses should be screened?

A

Hepatitis serology (A/B/C)
Epstein-Barr Virus (EBV)
Cytomegalovirus

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12
Q

what two lab tests are specific for Wilsons disease in a liver screen?

A

Serum Copper and Ceruloplasmin

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