Transcript RADIOLOGY

ANCILLARY PROCEDURES
Hgb
RBC
Hct
MCV
MCH
MCHC
RDW
Platelet
WBC
Neutrophils
Segmenters
Bands
Metamyelocytes
Lymphocytes
Monocytes
Eosinophils
Basophils
Myelocytes
11/23/09
96
2.93
0.28
94.3
32.6
34.6
13.40
481
11/28/09
118
3.73
0.35
94.60
31.50
33.30
14.10
830
Unit
g/L
X10^12/L
17.70
0.75
0.74
0.01
X10^9/L
0.24
15.39
0.75
0.72
0.01
0.01
0.23
0.01
0.02
U^3
pg
g/dL
X10^9/L
NV
120-170
4.0-6.0
0.37-0.54
87 + -5
29 + -2
34 + -2
11.6 – 14.6
150-450
4.5-10.0
0.50-0.70
0.50-0.70
0-0.05
0.20-0.40
0.00-0.07
0.00-0.05
Complete Blood Count
• Anemia
– Low RBC, Hgb, Hct
– Due to insufficient production of EPO by the
diseased kidneys (CKD stage 3)
• Thrombocytosis
– Occurs as an acute phase response to infection
• Leukocytosis
– With predominance of neutrophils connotes
active bacterial infection
Biochemical Blood Test
SGPT-ALT
SGOT-AST
Creatinine
Sodium
Potassium
11/23/09
37.8
55.3
5.2
130
5.4
11/28/09
3.5
Unit
U/L
U/L
mgl/dL
mmol/L
mmol/L
N.V.
0-31
0-38
0.5-1.2
137-147
3.8 - 5
• AST/ ALT - Active liver insult probably drug induced
(aspirin)
• Creatinine - Impaired Filtering Capacity of the kidneys
due to CKD
• Sodium/Potassium - Most probably due to impaired
kidney function
ECG
• Sinus rhythm
• Left ventricular hypertrophy
– pathological reaction to cardiovascular disease, or high
blood pressure
– increase afterload that the heart has to contract against
– causes of increased afterload that can cause LVH include
aortic stenosis, aortic insufficiency, and hypertension
• Peak T-waves
– Due to hyperkalemia
Other lab exams
Test
Rationale for requesting
Expected result
iCa
Decreased
iPO
Increased
Asses for Kidney injury
BUN
Increased
Uric acid
Increased
Lipid Profile
Asses risk of Heart disease
ABG
determination of pH, partial pressure of carbon dioxide Metabolic
and oxygen, and the bicarbonate level
acidosis
U/S of KUBP Assess the size, location, and shape of the kidneys and
related structures, such as the ureters bladder, and
prostate
Sputum GS,
culture
Identify certain pathogens by their characteristic
appearance
Sputum AFB Screening for TB