Acid
Phos
.
.
.
.
.
.
.
.
____________________
Carcinoma
A
/
G
Ratio
.
.
.
.
.
.
.
.
.
Reversal
?
Multiple
myeloma
,
____________________
,
Hepatitis
Albumin
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
____________________
,
Decreased
:
Nephrosis
ALK
Phos
.
.
.
.
.
.
.
.
.
Increased
:
____________________
lesions
(
bone
)
,
Hepatic
disease
(
liver
)
Amylase
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Acute
____________________
ANA
/
FANA
.
.
.
.
.
.
.
.
.
.
.
Collagen
disease
(
____________________
,
Scleroderma
)
ASO
Titre
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Rheumatic
fever
,
Acute
____________________
Billirubin
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
direct
:
____________________
disease
,
Duct
obstruction
Increased
indirect
:
____________________
disease
,
Draseugs
,
Spleen
Note
:
Increased
unconjugated
(
indirect
bilirubin
)
in
the
blood
causes
increased
____________________
in
the
urine
.
Increased
conjugated
(
direct
bilirubin
)
in
the
blood
causes
increased
____________________
in
the
urine
.
In
normal
urine
there
is
a
trace
of
urobilinogen
but
no
____________________
.
____________________
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Kidney
disease
,
Decreased
:
Liver
disease
CA
(
9
-
11
mg%
)
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
(
muscle
weakness
)
____________________
,
hyperparathyroidism
,
increased
vitamin
D
,
metastatic
bone
disease
____________________
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Heomolytic
disease
,
Rh
factor
CPK
(
Creatine
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Muscle
necrosis
(
skeletal
,
heart
,
brain
)
C
-
Reactive
Protein
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Tissue
necrosis
,
____________________
Downey
Cell
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
____________________
(
atypical
lymphocyte
)
____________________
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
acidosis
:
Infection
,
RA
,
TB
,
acute
Infection
:
temporal
arteritis
,
Multiple
myeloma
Decreased
:
Sickle
cell
,
polycythemia
Glucose
(
Blood
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
DM
,
Cushings
,
emotional
;
Decreased
:
Overdose
,
insulin
,
____________________
(
normal
80
-
120
)
(
spillover
in
urine
170
)
Glucose
(
CSF
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Decreased
:
____________________
(
bacterial
)
Heterphile
(
Paul
Bunnel
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
____________________
HCG
(
pregnancy
only
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Hydatidiform
mole
,
____________________
,
seminoma
,
testicular
cancer
,
multiple
pregnancy
Decreased
:
Ectopic
pregnancies
Cholesterol
(
200
average
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Heart
disease
,
Hyperchoesterolemia
also
associated
with
____________________
Ketones
(
fat
metabolism
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Diabetic
acidosis
/
____________________
LDH
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
MI
,
muscular
dystrophy
Lipids
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Atherosclerosis
Increased
:
Early
starvation
,
____________________
Decreased
:
Late
starvation
,
Liver
disease
LE
Prep
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
____________________
(
most
specific
test
)
Mono
Test
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Mono
____________________
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
acromegaly
,
kidney
,
hyper
D
Decreased
:
Rickets
,
hypo
D
,
hyperparathyroidism
____________________
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Addison's
kidney
failure
Decreased
:
Renal
disease
,
insulin
,
diuretics
Protein
(
CSF
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
meningitis
(
viral
)
Protein
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
MM
/
diabetics
acidosis
Decreased
:
Liver
disease
/
kidney
syndrome
RA
latex
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Rheumatoid
arthritis
,
negative
in
____________________
SGOT
(
AST
)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
MI
Liver
SGPT
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
Liver
T3
/
T4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
____________________
Decreased
:
Hypothyroidism
Uric
Acid
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Increased
:
____________________
/
kidne
y
