Lab Testing Flashcards
Sensitivity
Ability of test to give positive result when what entity is present
Specificity
Ability of test to give negative result if entity tested not present (lack of false positives)
Positive predictive value
Ratio of pts truly truly diagnosed as positive test results. Ratio shows how likely it is to get a true positive
Negative predictive value
Ratio of pts who do not have disease compared to those that tested negative
What is tested in CBC
Hemoglobin
Hematocrit
RBC
RBC indicies (mean corpuscular volume, hgb, hgb concentration)
RBC width
WBC differential
Platelet count
Hemoglobin makeup
mostly 2alpha and 2 beta chains
4 globin
4 heme
Iron in heme for O2 transportation
Hematocrit
Ratio of red cell volume to whole blood.
Expressed as percentage.
Indirect measure of RBC number and volume.
Found using centrifuge.
Rule of three
3 x hgb = hct
hgb/3 = rbc
RBC indicies
Mean corpuscular volume
Mean corpuscular hemoglobin
Mean corpuscular hemoglobin concentration
Mean corpuscular volume
Average volume of a cell.
MCV = hct x 10
Normocitic = 80-100
Anemia with low corpuscular volume cause
Iron deficeincy
Lead poisoning
Chronic
Anemia with normal mean corpuscular volume cause
Bleeding
Hemolysis
Marrow failure
From renal or liver disease
Anemia with high mean corpuscular volume
B12 deficiency
Folate deficiency
Drugs
Mean cell hemoglobin concentration
Measure of avg concentration or percentage of hemoglobin in single rbc
Hgbx100/hct
RBC distribution width (RDW)
Shows variation in RBC size
Useful in classifying anemia
Normal WBC count
4000-11000
Leukocytosis
High WBC
Leukopenia
Low WBC
Bacterial infection WBC
Increased neutrophils
Viral infection WBC
Increased lymphocytes
Allergies/parasites WBC
Increased eosinophils
TB WBC
Increased monocytes
Neutrophils
Most abundant granulocyte
3 lobed nucleus
Phagocytic
Bacterial infection
Band
Immature neutrophil
Lymphocytes
Second most abundant WBC
T and B cells
Chronic bacterial infections
Viral infections
Eosinophils
Bilobed nucleus
Release cytokines and histamine in allergic response, parasitic infection, and drug interactions
NO response in bacterial or virals
Phagocytic
Basophils (mast cells)
Allergic reaction
Phagocytic
IgE initiate degranulation
Monocyte
Largest WBC
Phagocytic
Removes debris