Acute Bleed RBC HB HCT MCV MCH MCHC RDW Morphology ret count Type of anemia
RBC=decreased Hb=decreased HCT=decreased MCV=normal MCH=normal MCHC=normal RDW=normal Morph=normal Ret count= increased Anemia=normocytic/normochromic
Iron Def WBC RBC HB HCT MCV MCH MCHC RDW PLT morph ret count serum iron TIBC transferrin ferritn anemia
WBC=normal RBC=decreased HB=decreased HCT=decreased MCV=decreased MCH=decreased MCHC=decreased RDW=increased PLT=variable morph=hypocrhomia, micrsocytosis, ansiocytosis ret count=normal serum iron=decreased TIBC=increased Transferrin=decreased Ferritin=decreased Anemia=Microcytic/hypochromic
Megaloblastic Anemia WBC RBC HCT Hemoglobin MCH MCV MCHC RDW ret count morph neutrophils PLT serum iron inconjugated bilirubin LD serum b12 folic acid serum homocysteine urine urobilinogen urine bilirubin Anemia
WBC= normal RBC=decreased HCT=decreased Hemoglobin=decreased MCH=normal MCV=increased MCHC=normal RDW=increased ret count= decreased morph=megaloblasts neutrophils=hypersegmented and enlarged PLT=normal to decreased serum iron=increased unconjugated bilirubin=increased LD=increased Serum B12=decreased Folic acid=decreased Serum homocysteine=increased urine urobilinogen=increased urine bilrubin=negative Anemia=Macrocytic/normochromic
What type anemia is aplastic anemia?
normochromic/normocytic
What type of anemia is sickle cell anemia?
normocytic/normochromic
What type of anemia is Thalassemia?
microcytic/hypochromic
What type of anemia is hemolytic disease of newborn?
normocytic/normochromic
What type of anemia is immune hemolytic anemia?
normochromic/ normocytic
Hemochromatosis HB serum iron and ferriton Transferrin saturation TIBC genetic tests
HB-increased serum iron and ferritin=increased transferrin sat=increased TIBC=decreased gentic tests=positive
Mono WBC Lymph RBC platelets LD,AST,ALT, bilirubin heterophile antibody test EBV IgM IgG
WBC=decreased Lymph=increased RBC=normal Platelets=normal LD,AST,ALT, bilirubin=increased heterophile antibody test=positive EBV=positive IgM=increased early IgG=increased later
multiple myeloma Blood: Pancytopenia ESR anion gap calcium uric acid urea,creatinine total protein Albumin monoclonal immunoglobin B2 microglobulin Urine: bence jones Albumin Microscpoic
Pancytopenia=normocytic normochromic ESR=increased Anion gap=decreased Calcium=increased Uric acid=increased Urea,creatinine=increased Total protien=increased Albumin=decreased Monoclonal=increased B2=increased Urine; bence jones=positive Albumin:increased Micrscopic: hyaline casts tubular epithelial casts
Hemo A and B PT APTT PLT count Bleeding time Factor VIII Factor IX
PT=normal APTT=prolonged PLT=normal Bleeding time=normal Factor 8/9= decreased
Von Willebrands PT PTT PLT count PLT function Bleeding time
PT=normal PTT= normal or prolonged PLT= normal PLT function= variable Bleeding time= prolonged
DIC PT PTT Platelets D-Dimer Fibrinogen RBC LD inconjugated bilirubin Free haptoglobin
PT=prolonged PTT=prolonged Platelets=decreased D-Dimer=postive Fibrinogen= decreased RBC=decreased -schisocytes LD=increased -intravascular hemolysis unconjugated bilrubin=increased Free haptoglobin=decreased
Gomerulonephritis: Nepthritic Blood: WBC RBC ESR NA,K,Cl, HCO3 total calcium ionized calcium urea creatinine lipids albumin Urine: GFR volume osmolality urea/creatinine MIcroscpoic exam: RBC WBC Casts Appearance
Blood: WBC= normal increased RBC=decreased ESR=increased Lytes=normal total calcium=normal ionized calcium=normal Urea,creatinine=increased lipids=normal albumin=decreased Urine: GFR= decreased volume=decreased osmolatlity=increased urea/creatinine=decreased microscopic=dysmorphic WBC=increased Casts= RBC appearance= murky brown
Gomerulonephritis: Nepthrotic Blood: WBC RBC ESR NA,K,Cl, HCO3 total calcium ionized calcium urea creatinine lipids albumin Urine: GFR volume osmolality urea/creatinine MIcroscpoic exam: RBC WBC Casts Appearance
WBC=increased RBC=decreaed ESR=increased lytes=normal total calcium=normal ionized calcium=normal urea, creatinine=increased lipids=increased Albumin=decreased urine: GFR=decreased volume=decreased Protein=increased osmolity=increased urea/creatinine=decreased WBC=increased Casts=fatty casts Oval fat bodies fat droplets
Renal Tubular acidosis Blood: Na, K Cl pH Urine: Na, K pH Microscopic
Blood: Na, K=decreased Cl= increased pH=decreased Urine: Na,K= increased pH=increased microscopic= RBC, WBC, renal tubular cells
Cystitis Blood Protein Leukocyte Nitrites
Blood= negative
Protein= negative
Leukocyte=postive
nitrites = positive
Plyelonephritis Blood Protein leukovyte nitirtes SG
Blood= positive Protein=present Leukocyte=positive Nirtites=positive SG=decreased
Renal Failure WBC RBC Na K Cl pH Mg Ca Albumin urea,creatinine
WBC= increased RBC=normal or decreased Na=normal or decreased K=increased Cl=increased pH=decreased Mg=increased Ca=decreased Albumin=decreased Urea,creatinine, uric acid=increased
Renal Failure GFR Volume Na SG Albumin
GFR decreased Volume=decreased Na=increased SG=decreased Albumin=increased
Heart failure WBC RBC Na, Cl, Protein, albumin AST, CK, LD GGT pO2 pCO2 Creatine, urea Urine Na, total volume BNP
WBC=increased RBC=increased Na, Cl, Protein, Albumin=decrease AST, CK,LD= increased GGT=increased pO2=decreased pCO2=decreased Creatinine, urea=increased Urine Na, Total volume= decreased BNP=increased
Order of markers from forst etected to last
Myoglobin, troponin, CK, AST, LD
Malabsorption Albumin/total protein Calcium Vit A,D,K,E Prothrombin time
Albumin=decreased
Calcium=decreased
Vit A,D,K,E= decreased
Prothrombin time=prolonged