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Understanding Lab Studies Bryan E. Bledsoe, DO, FACEP Midlothian, Texas

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Page 1: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Understanding Lab Studies

Bryan E. Bledsoe, DO, FACEPMidlothian, Texas

Page 2: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Hematology Coagulation Tests Chemistries:

◦ Electrolytes◦ Renal Function Tests◦ Tests of Glucose Metabolism◦ Tests of Lipid Metabolism◦ Cardiac Enzymes and Markers◦ Tests of Liver Function

Common Emergency Lab Tests

Page 3: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Serologic Testing◦ Blood Banking◦ Micobiological

Endocrine Tests Microbiology Urinalysis Toxicology Arterial Blood Gas

Common Emergency Lab Tests

Page 4: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Each lab must set reference values for their patient population.

National standards published annually in the New England Journal of Medicine.

Normal values MAY be abnormal for the patient in question.

Establishing Reference Values

Page 5: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Gaussian Curve

Page 6: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Gaussian Curve

Page 7: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Gaussian Curve

Page 8: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Hematology

Page 9: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Hematology

Page 10: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

White Blood Cells

Page 11: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Neutrophils

Page 12: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Eosinophils

Page 13: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Basophil

Page 14: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Monocyte

Page 15: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Lymphocyte

Page 16: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Hematology (Differential)

Page 17: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

CBC Shorthand

Page 18: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Differential Interpretations

Page 19: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Coagulation Tests

Page 20: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Anion Gap Estimation

Page 21: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Milligrams to Milliequivalents

Page 22: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Electrolytes

Page 23: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Electrolytes

Page 24: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Renal Function

Page 25: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

BMP Shorthand

Page 26: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

BUN/Creatinine Rations

Page 27: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Blood/Plasme Glucose Levels

Page 28: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Lipids

Page 29: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Cardiac Enzymes

Page 30: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Cardiac Enzymes

Page 31: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Liver Function Tests

Page 32: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Liver Function Tests

Page 33: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Infectious Disease Serology

Page 34: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Endocrine Functions

Page 35: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Urinalysis

Page 36: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Urinalysis

Page 37: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Arterial Blood Gasses

Page 38: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

ABG Interpretation

Page 39: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Acid-Base Disorders

Page 40: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Acid-Base Disorders

Page 41: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Respiratory Gas Monitoring

Page 42: Bryan E. Bledsoe, DO, FACEP Midlothian, Texas. Hematology Coagulation Tests Chemistries: Electrolytes Renal Function Tests Tests of Glucose Metabolism

Powerpoint will be available at:

http://www.bryanbledsoe.com