Diagnostics Flashcards

1
Q

Tests for kidney disorders

A

Culture and urinalysis
Renal function tests
Ultrasonography
CT and MRI
Endoscopy
Biopsies
IV urography
Retrograde pyelography
Cystography
Renal angiography

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2
Q

Normal urine specific gravity

A

1.005 - 1.025

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3
Q

Normal urine osmolality

A

200 - 800

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4
Q

Normal 24 hour urine

A

300 - 900

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5
Q

GFR CKD

A

< 90

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6
Q

GFR irreversible kidney damage

A

< 60

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7
Q

AKI tests

A

Ultrasound
CBC for Hgb
CMP for BUN/creatinine, phosphate/Ca, potassium
VBG for decreased CO2 and pH levels
UOP

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8
Q

Normal GFR

A

125

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9
Q

ESRD test results

A

Low GFR, high Cr and BUN, potassium imbalance, sodium and water imbalance
Metabolic acidosis, low calcium, high phosphorus
Anemia

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10
Q

MI

A

Health hx, 12 lead, echo
Cardiac biomarkers: creatine kinase (CK-MB), troponin, and myoglobin

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11
Q

Aortic stenosis

A

ECG, TEE (echo), CT, MRI

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12
Q

Cardiomyopathy

A

Echoes

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13
Q

Infection of heart (Peri/myo/endo carditis)

A

Echoes, ECG, cardiac catheterization, CT
Cultures, CBC, rheumatoid factor, ESR, C reactive protein

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14
Q

Cardiac biomarkers for MI

A

Troponin (T <0.1, I <0.35)
Creatine kinase (CK-MB positive)
Myoglobin (negative can rule out MI)

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15
Q

Normal hba1c

A

2.5-6%

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16
Q

Lower UTI

A

Urinalysis and cultures

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17
Q

Acute pyelonephritis

A

Urinalysis, cultures, US to show enlargement of kidney, CT

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18
Q

Urolithiasis

A

CT or CTA, BMP, 24 h urine, strain urine to look at stone

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19
Q

Bladder cancer

A

Cytologic urinalysis
Ureteroscopy
IV pyelogram (with contrast)
CT with contrast, MRI, US for size and location
Cystoscopy and biopsy

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20
Q

BPH

A

DRE, prostate specific antigen (PSA), cystoscopy (endoscopy for urethra), US, MRI

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21
Q

Prostate cancer

A

DRE, PSA prostate specific antigen
US biopsy with histologic exam
Gleason and staging with bone scan and biopsy to see how it has progressed

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22
Q

HF

A

Labs BNP, CMP, urinalysis
CXR
ECHO, ECG?

(Assessment will show ss L or R side etc before doing imaging)

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23
Q

PAD

A

US and doppler
Treadmill

(Assessment includes ankle brachial index ABI)

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24
Q

Aneurism

A

CXR
CTA
TEE

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25
Abdominal aortic aneurysm
US and CTA
26
Pulmonary embolism
CXR MDCTA D dimer ABG SpO2 VQ scan
27
Leg ulcer
Assessment will include looking for infection and asking about nutrition
28
Lower extremity venous thrombosis
Duplex ultrasound
29
Normal cholesterol
<200 total <150 tri <100 ldl >40 hdl
30
DVT
US D dimer aPTT
31
Heparin therapeutic range
aPTT 30-100 seconds
32
Warfarin therapeutic range
INR 2.0 - 3.5
33
Normal BNP
<100
34
CM assessment
Pulse pressure, pulsus paradoxus, s3 and s4, crackles, JVD, edema (Along with typical assessment stuff)
35
Normal TSH
< 4
36
DM dx findings
Casual glucose 200 Fasting 126 Glucose tolerance test 200 HbA1C 6.5% (5.7 - 6.4 preDM)
37
HHS
BG over 600 Osm over 320 Hypotension Tachycardia Low ketones (pH over 7.3 and bicarbonate over 18)
38
Pituitary tumors
Visual acuity CT MRI Serum levels of pituitary hormones
39
DI
Specific gravity, urine osmolality Increased serum osmolality Elevated serum sodium Low plasma ADH levels
40
Thyroid
TSH in labs Serum free T4 T3 and 4 T3 resin uptake Thyroid antibodies Radioactive iodine uptake Fine needle biopsy Scan Serum thyroglobulin Biopsy, US, CT, MRI for cancer
41
Meds that can alter thyroid test results
Amiodarone Aspirin Cimetidine Diazepam Estrogens Furosemide Glucocorticoids Heparin Lithium Phenytoin and other anticonvulsants Propranolol Methimazole
42
Hypoparathyroidism
Calcium under 8 High phosphorus (over 4.5)
43
Addison
Low ACTH levels Low glucose Low sodium High potassium
44
Cushing
Dexamethasone suppression test High sugar High sodium Low potassium
45
Casual non fasting glucose for DM
Over 200
46
Fasting glucose for DM
Over 126
47
Hba1c for DM
Over 6.5
48
Pre DM hba1c
5.7 - 6.4%
49
Normal FT4
0.7 - 2.0
50
Normal T4
5.4 - 11.5
51
Normal T3
260 - 480
52
Normal T3 uptake %
25 - 35%
53
PTT normal range
PTT 20-39 seconds
54
INR normal range
INR < 1
55
PR interval for normal sinus rhythm
0.12 to 0.20
56
QRS for normal sinus rhythm
0.06 to 0.10
57
QT for normal sinus rhythm
0.36 to 0.44
58
Normal PSA
0 to 4
59
Gleason
0 to 10 Higher means more aggressive cancer
60
Troponin T MI
>2.3 cardiac injury Normal <0.1
61
Troponin I normal
<0.5
62
Normal CK-MB
4-6% total CK
63
Normal myoglobin
11.1 to 91.2