This presentation deals with various clinical tests available and their significance

1. CLINICAL LABORATORY TESTS
AND
THEIR SIGNIFICANCE

2. Common laboratory tests
1. Tests performed on blood
2. Tests performed on urine
3. Tests performed on feces
4. Miscellaneous tests

3. 1. Tests performed on blood
1.1 Clinical chemistry tests
1.2 Hematologic tests
1.3 Miscellaneous tests

4. 1.1 Clinical chemistry tests
1.1.1 Albumin & globulin; total protein; A/G ratio
1.1.2 Acid phosphatase
1.1.3 Alkaline phosphatase
1.1.4 Ammonia
1.1.5 Bilirubin partition: direct & indirect
1.1.6 Bilirubin total
1.1.7 Blood sugar: Fasting & PP; (Glucose Tolerance Test: GTT)
1.1.8 Blood Urea Nitrogen (BUN)
1.1.9 CO2 content & combining power
1.1.10 Cholesterol

5. 1.1.11 Lactic Dehydrogenase (LDH)
1.1.12 Creatinine
1.1.13 Non Protein Nitrogen (NPN)
1.1.14 pH
1.1.15 Magnesium
1.1.16 Calcium
1.1.17 Chloride
1.1.18 Phosphorus, inorganic
1.1.19 Potassium
1.1.20 Sodium
1.1.21 Serum transaminases: SGOP, SGPT
1.1.22 Uric acid

6. 1.2 Hematologic tests
1.2.1 Bleeding time
1.2.2 Clotting time
1.2.3 Erythrocyte Sedimentation Rate (ESR)
1.2.4 Haematocrit (HCT)
1.2.5 Haemoglobin (HgB)
1.2.6 Prothrombin test
1.2.7 Iron-binding capacity
1.2.8 Lupus Erythematous cell test
1.2.9 Blood counts : Platelet counts, RBC count, Reticulocyte count, White cell differential count,
Neutrophils, Eosinophils, Basophils, Lymphocytes
1.2.10 Red Blood Cell Indices: Mean Corpuscular Hemoglobin (MCH)
1.2.11 Mean corpuscular hemoglobin concentration (MCHC)
1.2.12 Mean corpuscular volume (MCV)

7. 1.3 Miscellaneous tests
1.3.1 Amylase
1.3.2 Bromsulphalein test (BSP)
1.3.3 C-reactive protein (CRP)
1.3.4 Congo Red Retention test
1.3.5 Icterus index
1.3.6 Protein Bound Iodine (PBI)
1.3.7 Thymol Turbidity
1.3.8 Zinc sulphate trubidity

8. 2. Tests performed on Urine
2.1 Physical properties
2.2 Chemical tests for abnormal constituents
2.3 Microscopic examination of the urine sediment
2.4 Special tests

9. 2.1 Physical properties
2.1.1 Urine colour
2.1.2 Urine odour
2.1.3 Urine transparency
2.1.4 Specific gravity
2.1.5 pH

10. 2.2 Chemical tests for abnormal constituents
2.2.1 Acetoacetic acid
2.2.2 Acetone
2.2.3 Albumin
2.2.4 Beta Hydroxybutyric acid
2.2.5 Bilirubin
2.2.6 Chlorides, quantitative
2.2.7 Clearance tests: Renal Plasma Flow, Glomerular Filtration Rate, Tubular function
2.2.8 Concentration & dilution
2.2.9 Hemoglobin
2.2.10 Ketones: Acetone, acetoacetic acid, beta-hydroxy butyrate
2.2.11 Porphyrins
2.2.12 Sugar
2.2.13 Urobilinogen

11. 2.3 Microscopic examination of the urine sediment
2.3.1 Cells in urine sediment
Leucocytes, Erythrocytes, Epithelial cells
2.3.2 Casts in urine sediment
Noncellular casts, Hyaline casts, Granular casts, Waxy casts,
Fatty casts
2.3.3 Crystals in urine sediment

12. 2.4 Special tests
2.4.1 Ferric chloride test on urine
2.4.2 Immunologic test for Pregancy
2.4.3 17-Hydroxycorticosteroids
2.4.4 17-Ketosteroid excretion
2.4.5 Phenolsulfonphthalein (PSP) test
2.4.6 Phenylketonuria test

13. 3. Tests performed on feces
3.1 Blood
3.2 Fat determination
3.3 Cuaiac test (Blood Parasites)

14. 4. Miscellaneous tests
4.1 BMR
4.2 Chloride in sweat
4.3 Radioiodine uptake
4.4 Thorn test

15. 5. Liver Function Test
5.1 ALT / SGPT
5.2 AST / SGOT
5.3 ALP
5.4 Bilirubin
5.5 Albumin
5.6 Prothrombin time
5.7 Platelet count
5.8 Serum Protein Electrophoresis
5.9 Coagulation test
5.10 LDH

16. 6. Kidney Function tests
6.1 BUN/ Serum urea
6.2 Serum creatinine
6.3 Creatinine clearance
6.4 Urinalysis

17. 7. Pulmonary Function test
7.1 Spirometry
7.2 Gas diffusion test: arterial blood gases, carbon monoxide diffusing
capacity
7.3 Body plethysmoghraphy: total lung capacity, residual volume
7.4 Inhalation challenge test
7.5 Exercise stress test

18. 8. Thyroid Function test
8.1 Circulating levels of TSH, T4, T3
8.2 Free hormones: T4, T3
8.3 Carrier proteins: thyroid binding globulin,
albumin
8.4 Measures of protein binding of thyroid
hormones
• T uptake
• Thyroid hormone binding ratio (THBR)
• Thyroxine binding index (TBI)
8.5 Calculated indices of free hormones
• Free T4 index
• Free T3 index