Data Trace Editor – Rheumatoid Factor: – present in most RA patients (80% of affected pts); – associated w/ increased morbidity; – Anti-CCP antibodies: (anti-cyclic citrullinated peptide) – serological marker that is highly sensitive and specific for dx of early RA – associated with bone erosions of RA – Synovial Fluid: … Read more
hypercalcemia; hypophosphatemia (borderline low); increased PTH level; increased alkaline phosphatase (because bone formation occurs in response to the destruction); increase in chloride-phosphorus ratio (ratio > 33 is c/w hpt) Misc Labs increase in the urinary PO4 concentration; increase in urinary Ca excretion
– CPK: – normal CPK is approximately 200 units; – in DMD, CPK can be elevated 10-20 fold, but may be as high as 10,000 IU/L; – serum CPK may also be elevated in limb girdle dystrophy, dermatomyositis, type IV spinal muscular atrophy, but will not be elevated as … Read more
– See Laboratory work up for Infected Total Knee: – Culture Specimen: – in the report by Levine BR and Evans BG, the authors studied 3 different intraoperative culture techniques and their diagnostic value in determining clinical infection in patients after a total joint replacement; – 24 patients (34 … Read more
– Discussion: – combined alpha & beta blocking agent that may be given IV w/o intrarterial monitoring; – for HTN, for HTN emergencies w/ IV therapy; – may also be used for aortic dissection; – for myocardial infarction: – reduces mortality … Read more
– See: – Lab Aspects of RA – Lab Studies for Gout – Discussion: – synovial fluid from osteoarthritis is transparent & of good viscosity, and contains less than 3000 white cells per mm3
– Upper Extremity Amputations – Discussion: – this procedure transforms below-elbow amputation stump into radial & ulnar pincers; – functionally pt will be capable of prehension and will improve quality of the grasping mechanism; – main indication: for blind bilateral below-elbow amputee; – disadvantage: arm may appear cosmetically unacceptable; – requirements: – it should not … Read more
Musculoskeletal Labs Alkaline Phosphatase Antinuclear AB (ANA) C-Reative Protein Erythrocyte Sedimentation Rate Hypercalcemia Rheumatoid Factor Hyperuricemia Serum Electrophoresis Synovial Fluid Analysis Misc Lab Studies: Chemistry Panel Liver Panel Complete Blood Count w/ Diff ABG Urinanalysis Coagulation Studies Anemia w/u Studies Thyroid Panel Cardiac Enzymes Misc Lab Tests Lactic Acid Outside Links: Cornell Laboratory Manual The … Read more
– Studies: – sed rate: is usually > 100 mm per hour; – serum electrophoresis: – finding of abnormal protein peak migrating w/ IgA or IgG fraction is diagnostic; – an protein migrating w/ IgG or IgA bond in … Read more