Lab Interpretation Flashcards

1
Q

What color cap tube is used to collect a CBC?

A

Lavender

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2
Q

Decreased WBC counts could indicate?

A
  • Malignancy
  • Immunocompression
  • Autoimmune deficiency
  • Sepsis
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3
Q

When are Neutrophils increased?

What is the lifespan of neutrophils?

A
  • Infections - immature bands
  • Trauma
  • Stress
  • RA
  • Melocytic leukemia
  • Gout
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4
Q

When are you likely to see left shift?

A

“Bands”

Immature WBC usually in the setting of acute and/or severe infection

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5
Q

What is the absolute neutrophil count?

A
  • ANC = (%neutrophils + %bands) * WBC over 100
  • Used to determine severity
  • < 1500 is neutropenia
  • < 500 is severe neutropenia
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6
Q

Increased lymphocytes are highly indicative of what kind of infection?

When can you see decreased lymphocytes?

A

Viral

HIV, leukemia, sepsis, steriods, chemo

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7
Q

What are the causes for elevated monocytes?

A
  • Leukemia
  • Viral infection (EBV)
  • Chronic inflammatory disease
  • Parasitic infection
  • TB
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8
Q

What is the most common reason for increased eosinophils?

What are some other reasons?

A

Allergies

Addisons disease, Parasitic infections

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9
Q

What WBC counts are increased in the setting of allergies?

A

Basophils

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10
Q

Does altitude increase or decrease RBC counts?

A

Increased

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11
Q

What are the causes for increased mean corpuscular volume (MCV)?

Macrocytic Anemia

A
  • Folate or B12 deficiecy
  • Megaloblastic anemia
  • Liver disease
  • Hypothyroidism
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12
Q

What are the causes of decreased MCV?

Microcytic anemia

A
  • Iron deficiency
  • Lead poisoning
  • Thalassemia
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13
Q

A normal red cell distribution width (RDW) in presence of anemia suggests what diagnosis?

A

Thalassemia

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14
Q

What lab is used to rule in or out many metabolic concerns because it looks at electrolytes and renal function?

A

BMP

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15
Q

What does BUN measure?

A

Level of renal and liver function

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16
Q

What is creatinine used as an indicator for?

A

Kidney function

17
Q

What is a normal eGRF?

What level is indicative of mild decrease in kidney function?

A

> 90 mL/min

60-89

18
Q

Why is chloride essential?

A

For oxygen exchange

Also and indicator for hydration status

19
Q

What components are included in a CMP?

A
  • All BMP components plus:
  • Protein
  • Albumin
  • Calcium
  • Bilirubin
  • Alk Phos
  • AST
  • ALT
20
Q

What lab value measures clotting factors of the extrinsic pathway?

What about intrinsic pathway?

A

PT

PTT

21
Q

What lactate dehydrongenase (LD) is specific for the pancrease, kidney, and placenta?

A

LDH-4

22
Q

In order to be properly measured, do lipids need to be collected while fasting?

A

Yes, ideally 12 hours

23
Q

When should a BNP be ordered?

A
  • Used to detect, support, and evaluate heart failure
  • Levels decrease if patients are taking ACE, B-blockers, and/or diuretics
  • Level naturally increases with age
24
Q

What is the most common and relied upon test for management of both type I and type II DM?

A

A1C

25
Q

How long does it take for urine cultures to return?

A

2-3 days

26
Q

What is the best diagnostic method for diagnosing Babesia?

A

Blood smear