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Introduction to Pathophysiology Diagnostic Studies and Tests

front 1

endoscopic examination

back 1

used to visualize lesions or structures directly by inserting a tube into the body through an opening or through the body wall

may facilitate a diagnosis or be used to obtain a specimen for further examination and diagnosis or perform simple surgery

e.g. remove cartilage debris from a knee joint

front 2

imaging studies

back 2

X-Ray film

CT scan

ultrasound

MRI

PET

front 3

X-Ray film

back 3

ionizing radiation provides an image on film of bones and soft tissues that varies in density with absorption of the x-rays striking the tissues

front 4

plain x-ray films

back 4

used as a preliminary screen for problems such as fractures or pneumonia

front 5

contrast medium

back 5

may be used to illustrate digestive tract abnormalities in more detail

front 6

mammography

back 6

low-dose x-ray films are used to detect lesions in breast tissue

front 7

bone density scanning

back 7

two x-ray beams are used simultaneously to measure the thickness of bone

front 8

CT scan

back 8

a cross-section of tissues is provided by scanning machine taking x-ray films in a series of shots from all directions; these measure differences in tissue density

front 9

ultrasound

back 9

high-frequency sound waves that bounce off body structures are used to obtain images by ultrasonography

front 10

doppler ultrasound

back 10

assesses the blood flow in arteries and veins by measuring sound waves reflected from moving red blood cells

front 11

echocardiography

back 11

measures the efficiency of heart valves and heart function

front 12

MRI

back 12

use a magnetic field surrounding the body and the hydrogen content of the body. radio waves provide the energy source

front 13

nuclear scanning

back 13

nuclear machine tests involve tracking the distribution of radioactive tracer substance in the body

front 14

positron emission tomography (PET)

back 14

involves radioisotops used with a scanner and computer to provide a cross-sectional functional image of a tissue such as the brain

front 15

determinations of electrical activity

back 15

ECG, EKG

Stress tests

EEG

front 16

ECG, EKG

back 16

by attaching electrodes to the chest and limbs of a patient, the conduction system of the heart can be assessed

the rate, rhythm, and characteristics of the contractions can be recorded by the machine

front 17

stress test

back 17

exercise electrocardiography

electrocardiographic measurements and blood pressure are monitored during a period of controlled exercise on a treadmill or stationary bicycle to determine the cardiac response to increased workload

front 18

EEG

back 18

electroencephalogram

the electrical activity of the neurons in the brain is determined by electrodes attached to the scalp; the activity is then recorded as waves by the machine

front 19

pulmonary function tests

back 19

both pulmonary volumes and capacities

can be measured using a spirometer, a machine into which the patient breathes through a mouthpiece

front 20

Blood tests

back 20

hematology testing

blood chemistry tests

front 21

hematology testing

back 21

blood is checked for its components and its blood clotting capability

depending on the particular test, blood may be procured from a vein or a small puncture on the fingertip

front 22

complete blood count

back 22

is used to check the count and characteristics of all formed elements or cells as well as hemoglobin and hematocrit

front 23

hemoglobin

back 23

indicates the amount of hemoglobin in the blood for oxygen transport, independent of the number of red blood cells

front 24

glycosylated hemoglobin

back 24

measures the amount of glucose bound to hemoglobin

reflects the blood glucose levels over a period of time

it is used to monitor control of diabetes mellitus over the past 90 to 120 days

front 25

hematocrit

back 25

indicates the percentage of erythrocytes in a specific volume of blood

the number of white blood cells is not significant in measuring the cell volume

hematocrit can indicate fluid imbalance or anemia

front 26

white blood cell differential count

back 26

often referred to as a "differential count" determines whether there has may provide a clue to the cause of a problem

front 27

bone marrow aspiration

back 27

may be used to confirm abnormalities related to the production of blood cells such as megaloblastic anemia or leukemia

front 28

blood culture and sensitivity

back 28

may be performed if bacteremia or unknown infection is present

front 29

blood clotting tests

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evaluate various clotting times and serum levels of the clotting factors

these tests may be used to determine deficits of individual factors or monitor anticoagulant treatment

front 30

hemoglobin electrophoresis

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is used to detect the presence of abnormal hemoglobin

front 31

serum-ferritin

back 31

level indicates the level of iron storage

front 32

blood chemistry tests

back 32

automated electronic systems are now in widespread use

make use of computerized multiple analyzers that can run a number of tests rapidly

front 33

blood chemistry tests evaluate

back 33

arterial blood gases for acid-base balance

serum hormone

lipid levels

serum electrolytes

glucose

serum enzymes and isoenzymes

serum levels of bilirubin

urea or ammonia

front 34

immunodiagnostic tests

back 34

major changes are occurring in the area of immunodiagnostic testing as improved methods are developed to assess serum antigen and antibody levels

front 35

chromosomal and genetic analysis

back 35

chromosome analysis, including techniques used in cytogenetics and molecular biology, is used to examine the chromosomes and/or DNA to determine chromosome or genetic abnormalities in affected individuals or carriers to determine paternity or in forensic science

front 36

therapeutic drug monitoring

back 36

serum drug levels are checked in patients in whom there is a narrow therapeutic range of a drug and risk of toxicity or who have severe renal or liver disease or potenital drug interactions

front 37

urine tests

back 37

routine urinalysis is used to check the physical and chemical characteristics of a freshly collected urine specimen physical examination of the specimen includes its appearance of specific gravity

front 38

cerebrospinal fluid tests

back 38

collected by means of a lumbar puncture

the pressure is measured, and the fluid is examined for appearance, protein and glucose levels, and the presence of cells or microorganisms

front 39

fecal tests or stool analysis

back 39

a fecal specimen is checked for its physical characteristics such as color and consistency

presence of occult blood is determined by the guaiac test

stool cultures are used to check for parasites as well as other microbial content

front 40

microbiologic tests

back 40

any body fluids or exudates from lesions may be examined for the presence of microorganisms. which then may be identified