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Reasoning in mental health 1 > Lab tests > Flashcards

Lab tests Flashcards

1
Q

Common lab investigations

A

tsh, cortisol, cbc, nakcl, glu, creatinine, bicarbonate

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2
Q

Tsh abnormal do

A

t3, t4

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3
Q

high white count =

A

infection, inflammation

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4
Q

platelets up

A

stressors

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5
Q

Low hemoglobin

A

anemia, tachycardia, shortness of breath

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6
Q

history of cancer

A

ca, mg, phosphate

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7
Q

Drug intox

A

T69 ,roh, acetaminophen (mucomyst), asa.

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8
Q

Problem with T69

A

recently, doesn’t tell you when

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9
Q

What’s included in T69

A

cannabis, benzo, cocaine, amphet, opioids

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10
Q

Stimulant intox

A

wbc high, high temp, pupils dilated, high hc, high lactate, chest pain, palpitations

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11
Q

Lactate

A

mismatch between oxygen you need vs how much is circulating sepsis, eschemic bowel, hypotensive, severe stress on the body.

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12
Q

Heroine

A

small pupils, comatose, breathing slowly

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13
Q

25 year old on the pill, 9 h flight, palpitations, shortness of breath

A

PE/ DVT

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14
Q

Suspicion of PE

A

gas, chest xray, ddimer

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15
Q

ddimer

A

sensitive, negative reassuring that they don’t have a blood clot, not specific so if + = chest xray

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16
Q

PERC rule

A

age over 50, heart rate above 100, sat under 95%, unilateral leg swelling, recent surgery/trauma, prior PE/DVT, hormone use, hemoptysis

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17
Q

EKG young woman

A

psvt

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18
Q

when to do Trop

A

for heart attack, family history, big smoker

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19
Q

Palpit, gittery rx

A

salbutamol, caffeine, synthroid too high, decongestants

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20
Q

severe episode of palipitations, sweating, anxiety, hta, sudden shots of epin, ne, dopamine, can look like a panic attack

A

pohechromocytoma

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21
Q

high creat

A

acute kidney injury, dehyrdrated

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22
Q

Why order lab in psychiatry

A

Side effects of Rx, physical cause underlying the sx

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23
Q

First presentation of psychosis labs

A

T69,cbc, nakcl tsh, mg, ph, ca, creat, hiv (encephalitis), vdrl (syphilis).

24
Q

Atypical presentation, formerly not mentally ill, recent infection, low grade fever

A

herpes encephalitis (inflammation around lining of the brain)

25
Q

Herpes encephalitis what to test

A

lumbar puncture, head ct, viral culture

26
Q

Zyprexa:

A

HDL, CBC, prl, liver function tests, nakcl

27
Q

Liver function tests include

A

ast, alp, bilt

28
Q

high ast alt

A

hepatitis

29
Q

high alcaline phosphatase

A

bilirubine problem, blockage

30
Q

high creatinine and K

A

kidney failure

31
Q

Urine analysis no symptoms

A

only when old, bad historians, psychotic, unresponsive

32
Q

Urine culture

A

only when analysis is positive

33
Q

New anxiety medical conditions old man

A

adrenal disease, dementia, polypharmacie, parkinson, ms, stroke, epilepsy, tutors, hypoglycaemia, cancer, hyper or hypocalcémie, liver and kidney failure, pheochromocytoma

34
Q

arythmmia older person

A

mitrial fibrillation

35
Q

what to do shortness of breath, chest pain

A

tropo, EKG, ddmimer, chest xray

36
Q

CT head scan

A

tumor, stroke, bleed

37
Q

Suspect bleed if

A

anticoagulants, recent head trauma

38
Q

New seizure

A

head scan

39
Q

bradycardia

A

Rx (bblocker + ca channel blocker).

40
Q

Personality changes

A

= multi infarct dementia, brain tumor

41
Q

cushings

A

high cortisol, anxiety

42
Q

addisons

A

low cortisol

43
Q

clozapine

A

Glu, HDL, CBC, (leukopenia, white blood cells, especially neutrophils= increased risk for sever infection), lft

44
Q

elevated mean corpuscular volume

A

ROH

45
Q

Val

A

risk of hepatotoxicity, leucopenia, thrombocytopenia, high ammonia level

46
Q

Li

A

tremors, sudation, confusion, seizure, coma

47
Q

MAOI

A

liver fn test, hepatotoxicity

48
Q

tricyclic antidepressants

A

CBC, NAKCl, liver fn, ekg

49
Q

neuroleptic malignant syndrome

A

CBC (high WBC), NAKCl, BUNm creatinine, ck (high)

50
Q

Eating disorder

A

NaK (low purge, vo)Cl (low vo), Ph (low purge, hyperparathyroidism), Glu, TSH, ALT, AST, Prot, Albun, Bun, Cr, CBC, ECG, bicarb (high, purge low hyperventilate)

51
Q

Renal

A

Bun, Cr

52
Q

Low Mg

A

ROH

53
Q

Dementia

A

CBC, NakCl, liver fn, BUn, Creat, thyr, b12, folate, vddl, urine, Ct, EEG

54
Q

Hypoglycemia

A

anxiety

55
Q

Hypocalcemia

A

anxiety

Reasoning in mental health 1 (8 decks)

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