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Glycosylated Hemoglobin :

This is a test of the RBCs that reveals the body's ability to utilize glucose over a period of 2 - ____________________ months . It is used only to evaluate the ____________________ of insulin when controlling the blood sugar level .



HCG :

Human chorionic gonadotropin can be detected in the blood of a pregnant woman as early as 3 days following gimplantation with rare false positives . HCG is found in the urine 8 - 10 days after implantation . There is ____________________ HCG normally found in non - pregnant females .

Increase In : hydatidiform mole , ____________________ , seminoma , ovarian and testicular teratomas , multiple pregnancies

Decreased In : threatened abortion , ____________________ pregnancy



HLA B27 :

Human leukocyte antigen locus - B27is indicative of ____________________ ____________________ ( ____________________ of patients have it . ) It is found also in ____________________ syndrome , acute anterior uveitis , Graves Disease , juvenile rheumatoid arthritis , psoriatic arthritis , and enteropathic arthritis .



HDL ? Cholesterol :

A lipoprotein thought to play a role in ____________________ LDLs from the arteries . The HDL level , if high , indicates a ____________________ risk of coronary heart disease while the HDL level , if ____________________ , indicates a high risk . The levels in women are usually higher than the levels in men of comparable age . There is a correlation between low HDL levels , obesity , and diabetes mellitus . Physical exercise tends to increase the level of HDL .

Normals : ____________________ mg / dl

I - 131 Uptake :

This radioisotope ( ____________________ scan ) procedure is used to determine the ability of the thyroid to hold ____________________ . The iodine that is radioactive is treated the same way that regular iodine is treated .

Increased In : ____________________ , endemic goiter

Decreased In : ____________________ , thyroid cancer

Immunoelectro - Phoresis :

A blood test used to measure levels of ____________________ and registered monoclonal spikes . Monoclonal increase indicates a neoplastic process . 99 percent of those with multiple myeloma have this spike . Bence Jones protein in the urine further identifies the ____________________ spike . ____________________ is elevated most in ____________________ myeloma .



Iron :

Iron is necessary for ____________________ production . Iron absorption is regulated by ____________________ and beta globulin . High transferrin levels relate to the ability of the body to fight ____________________ . TIBC correlates with transferrin and it is necessary to determine iron transferrin and TIBC levels to differentiate between various anemias .

Increased In : ____________________ disease , acute liver problems

Decreased In : Iron ____________________ anemia , ____________________ blood loss



Ketones :

Ketones occur as a result of incomplete ____________________ oxidation . They appear in the serum and urine when fat is being used as the primary fuel rather than carbohydrates , as in diabetic ____________________ and ____________________ .



LDH ( Lactic Dehydrogenase ) :

This is an enzyme found in the tissues of the kidney , heart , pancreas , skeletal muscle , spleen , brain , and lungs . It is associated with ____________________ and active in the Kreb's cycle of the liver and muscle . LDH level is ____________________ times normal when one has an ____________________ .

- onset is 2 days after an MI

- peaks 36 - 55 hours after an MI

- falls in 7 - 8 days

- 10 - 14 days returns to normal

Normals : 85 - 255 mu / ml

Increased In : myocardial infarction , CHF , alcoholism , cancer , pulmonary infarction , muscular dystrophy , and strenuous exercise

Decreased In : ____________________ response to cancer therapy

Isoenzymes : There are 5 isoenzymes to evaluate specific conditions . All of these isoenzymes are increased in systemic disease . If LDH1 is greater than LDH2 and the CK - MB is also elevated it is diagnostic of an MI within ____________________ hours of initial onset of pain .





Lipase :

This is an enzyme involved in changing fats to fatty acids and ____________________ . The pancreas is the main source of this enzyme .

Increased In : Acute ____________________ 3 - 6 hours after onset of pain , acute exacerbation of acute pancreatitis , alcoholic poisoning , acute cholecystitis , and peritonitis



Lipids :

Lipids are used by the body for energy . They are precursors to steroid hormones and bile acids . Total lipids are cholesterol , trigycerides , phospholipids which all circulate as lipoprotein . The upper limit for all three is about 800 mg / dl .

Cholesterol : This is a fat - soluble steroid alcohol needed to make bile acids , cell membranes , and sex hormones . It is a major risk factor for coreonary heart disease .

Normals : 140 - ____________________ mg% .

Increased In : early starvation , hypothyroidism , diabetes mellitis , Thype II familial ____________________ , atherosclerotic tendencies

Decreased In : late starvation , malabsorption , cirrhosis , ____________________

Triglycerides : These are esters of glycerol and fatty acids , synthesized by the liver and stored in fat tissues .

Normals : 30 - ____________________ mg%

Increased In : ____________________ , diabetes mellitus , atherosclerotic tendencies , alcoholism , hypothyroidism

Decreased In : cirrhosis , malabsorption



LE Cell :

Microscopic identification of a neutrophil that has ingested a modified nucleus from another neutrophil . This occurrence requires the presence of the LE factor probably an antibody in the patient . 50 - 70% of the active cases of Systemic Lupus Erythematosus can be detected from this test . A false positive may result if the patient has a collagen disease .



Phosphorus ( Inorganic ) :

Phosphorus is needed to generate ____________________ tissue and to metabolize glucose and lipids for acid - based balance and to store and transfer energy . Phosphorus enters the cell with glucose and decreases with carbohydrate ingestion . Eighty - eight percent is combined with calcium in bone and the rest is in the cells . Phosphorus is the ____________________ of calcium in the blood .

Normals : 2 . 5 - ____________________ . 5 mg%

Increased In : Kidney disease , hypervitaminosis D .

Decreased In : rickets , ____________________ , hypovitaminosis D , hyperparathyroidism , and severe malnutrition

Potassium :

This is the main element is ____________________ activity . It is exchanged for sodium in the kidney . Potassium is important for ____________________ conduction , muscle function , acid - base balance and osmotic pressure . Along with calcium and magnesium , it controls the force of heart contraction . Abnormalities produce a U Wave on an EKG .

Normals : 3 . 5 - ____________________ . 0 mEq / 1

Increased In : Addison's disease , renal failure

Decreased In : chronic ____________________ disease , use of insulin , diuretics



Prothrombin Time :

Prothrombin is a protein produced by the liver and utilized for blood clotting . Adequate vitamin K is essential during the clotting process to convert prothrombin to thrombin . Prothrombin time indirectly measures the ability of the blood to clot and directly measures a defect in stage II of the clotting mechanism . This test is useful in the ____________________ of anticoagulant therapy .

Normals : 11 . 5 - ____________________ . 0 seconds

Increased In : Vitamin ____________________ deficiency ( often seen with obstructive jaundice ) , hepatocellular diseas e