Western Diagnosis Quiz 4 Review

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Author:
son850
ID:
164003
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Western Diagnosis Quiz 4 Review
Updated:
2012-07-26 00:20:37
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Western Diagnosis
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Blood Work
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  1. What is found in urine / urinanalysis that is NOT found normally in urine?
    • Glucose - think Diabetes
    • Ketones - think poorly controlled Diabetes
    • Protein / Albumins - think Kidney Disease
    • RBCs / WBCs - think UTI
    • Elevated Bilirubin levels - think Gallstones
  2. What are the characteristics of a patients stool in cases of Upper GI Bleeding?
    Black and Tarry (Melena)
  3. What are the characteristics of a patients stool in cases of Lower GI Bleeding?
    Bright Red
  4. If a patient has pencil thin stools, what should you consider?
    Colon Cancer - mass partially obstructing colon
  5. What is the term for Elevated WBC count?
    Leukocytosis
  6. What is the term for Decreased WBC count?
    Leukopenia
  7. What is the term for Elevated RBC count?
    Erythrocytosis
  8. What is the term for Decreased RBC count?
    Erythropenia
  9. What is the term for Elevated Platelet count?
    Thrombocytosis
  10. What is the term for Decreased Platelet count?
    Thrombocytopenia
  11. If a CBC indicates an elevated level of PMNs / Neutrophils, what does that indicate?
    Bacterial Infection
  12. If a CBC indicates an elevated level of Lymphocytes, what does that indicate?
    Viral Infection
  13. If a CBC indicates an excessive elevation of WBCs, what does that indicate?
    Leukemia (Bone Marrow Cancer)
  14. If a patient has ↑TSH and ↓T4, what condition does this patient have?
    Primary Hypothyroidism
  15. If a patient has ↑↑TSH and ↑↑T4, what condition does this patient have?
    Pituitary Adenoma
  16. If a patient has ↓TSH and ↑↑T4, what condition does this patient have?
    Hyperthyroidism
  17. If a patient has ↓↓TSH (near zero) and ↑↑T4, what condition does this patient have?
    Thyroid Tumor
  18. What is the condition where the liver enzyme SGOT is elevated?
    Alcoholic Hepatitis
  19. What is the condition where the liver enzyme SGPT is elevated?
    Viral Hepatitis
  20. What is checked when tesing PSA?
    • Prostate size - Prostate Specific Antigen
    • Normal: < 4
    • Borderline: 4-10
    • Abnormal: > 10
  21. What is checked when looking at HgbA1c?
    Measure how well blood glucose WAS controlled over past 3 months
  22. What can cause Hyperkalemia?
    • RBC Hemolysis - cells, when broken, release K+ in to blood
    • KI Failure - easiest way to release K+
    • *↑↑K+ can stop His-Purkinje System (cardiac arrest)
  23. What can cause Hypokalemia?
    • Excessive urination / People in Diuretics - releases more K+
    • *can alter EKG
  24. If a patient has elevated levels of amylase and lipase, what condition do they have?
    Pancreatitis
  25. What does ESR check?
    Rate of inflammatory reaction
  26. What can cause Hypercalcemia?
    • Dehydration - less water, higher mineral concentration
    • Cancer - Lung Cancer produces a PTH-like substance
    • Primary Hyperparathyroidism - ↑↑PTH
    • Secondary Hyperparathyroidism - ↑↑PTH
    • Renal Failure
  27. What can cause Hypocalcemia?
    • Starvation / chronic prolonged appetite
    • Hypoalbuminemia
  28. If a patient has ↑BUN and normal Creatinine, what condition does this patient have?
    Dehydration / GI Bleeding
  29. If a patient has ↑BUN and ↑Creatinine, what condition does this patient have?
    Kidney Disease
  30. If a patient has normal BUN and ↑Creatinine, what condition does this patient have?
    Kidney Disease

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