Laboratory Review Worksheet

Directions: This may be done in narrative, outline, or table format. See associated rubric for point assignment. APA format is required whichever format you choose. A title page, running head, page numbers and three references are required.

A. Identify the normal values for each of the following labs. Consider normal values across gender, race, and age, and pregnancy status, when applicable.

B. Identify clinical indications for obtaining the following labs.
1. List when indicated for routine screens if applicable (for example,the USPSTF recommends screening for chlamydia in sexually active women age 24 years and younger and in older women who are at increased risk for infection, or TSH screening is indicated for newborns. Indications for screening can also include risk factors. For example, ordering cholesterol levels on a patient with HTN or DM.
2. Besides screening, list 1-3 clinical indications for ordering the lab. For example, clinical indications of WBC include
Fever with associated symptoms, weight loss, bone pain with fever, etc.

C. Identify conditions associated with abnormal LOW levels of each of the following labs (if applicable)

D. Identify conditions associated with abnormal HIGH levels of each of the following labs (if applicable)

One good resources for screening recommendations is:
https://www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations

1. Components of a CBC
WBC, Hemoglobin, Hematocrit (Hgb/Hct), RBCs, MCV: Normocytic, Microcytic, Macrocytic, RDW, Reticulocyte count, Platelets, and differential
2. Components on a Comprehensive Metabolic Panel such as (but not limited to) sodium, chloride, potassium, glucose, CO2, Magnesium, Phosphorus, Calcium
3. GI labs/LFTs (ALT, AST, ALP, GGT), bilirubin (direct/indirect), albumin, protein, amylase, lipase
4. Hgb A1C
5. Renal Function Tests: Blood Urea Nitrogen (BUN), Creatinine, BUN/Cr Ratio, Glomerular Filtration Rate (GFR)
6. Sexual/reproductive health/STI tests
Chlamydia, gonorrhea, syphilis, trichomoniasis, HPV, BV, genital herpes, urine and serum HCG
7. Lipid Panel
Total cholesterol, LDL, HDL, Triglycerides
8. Thyroid Function Tests
TSH, T3, T4, Free T4
9. Microbiology
Urinalysis: Specific gravity, pH, Nitrites, Leukocyte esterase, Protein, Ketones, Glucose. Urine culture, Stool studies/cultures, O&P, Fecal leukocytes, C-Dif
10. Toxicology
Salicylate toxicity, Acetaminophen, Urine Drug Screen, Blood Alcohol, Carbon Monoxide (CO)
11. Miscellaneous: Coags- PT/INR, PTT
12. Inflammatory Markers—CRP, ESR, Tumor Markers: PSA, CA 125, Lyme Titer, Digoxin Levels, D-Dimer, Lead, EBV, and Vitamin D
13. For your last category of tests, choose from only TWO of the following tests. Report screening indications for the two tests, and some clinical indications for ordering them, normal values/results, and S/Sx associated with high/low or abnormal values when applicable
CHOOSE TWO
a. Mammography
b. Pap Smear
c. TB testing
d. Colonoscopy
e. PFT tests
f. CT for lung cancer

Pleased do table format