SlideShare a Scribd company logo

Overview of Medical Laboratory investigations and other investigations.pdf

Overview of Medical Laboratory investigations and other investigations

1 of 41
Download to read offline
Overview of Medical Laboratory
Investigations And other
Investigations
වෛද්‍ය රසායනාගාර පරීක්ෂණ සහ
අනනකුත් වෛද්‍ය පරීක්ෂණ
Dr. C V Karunarathna, MBBS (Kelaniya), MSc in Community Medicine(Colombo)
Medical Officer – Training
Provincial Health Training Centre North Central Province.
Objectives
 To understand what medical laboratory investigations/Medical
investigations are
 To know the types of medical laboratory investigations/other investigations
 To understand the importance of knowing about investigations as a
caregiver
 Getting familiar with some selected , basic and common investigations.
 Get to know the importance of preparation for some specific
investigations
Medical Investigations
වෛද්‍ය පරීක්ෂණ
 A medical procedure that involves testing a sample of blood, urine,
other body fluids, cells ,tissue or other procedures carried out on a
person which helps in diagnosis and management of a disease
condition.
 වෛද්‍ය පරීක්ෂණ යනු වෛද්‍ය ක්‍රියා පටිපාටියකට අනුෛ යම් පුද්ගලයයකුයේ රුධිරය
,මුත්‍රා ,යෛනත් ශරීර තරල, වෛල ය ෝ පටක යයාද්‍ායගන සිදු කරනු ලබන පරීක්ෂාෛක්
ය ෝ කිසියම් යරෝග විනිශ්ෛයකට ය ෝ යරෝග තත්ත්ෛ ෛඳ ා ප්‍රතිකාර කිරීයම්දී තීරණ
ගැනීමට උපකාරී ෛන වෛද්‍ය ක්‍රියාපටිපටියකට අනුෛ පුද්ගලයයකුයේ සිදු කරනු ලබන
අයනකුත් ඕනෑම පරීක්ෂාෛක් යේ.
Types of Medical Investigations
 Biochemical Ix (වෛෛ වෛද්‍ය පරීක්ෂණ )
 Blood Ix (LFT/RFT/LIPID Profile/FBS/PPBS/HbA1C/Trop I/ Na/K)
 Urine Ix (UFR)
 Body fluids( Peritoneal fluid/CSF/Plural fluid/Sputum/Saliva)
 Hematological Ix (රක්තයේද්‍ පරීක්ෂණ )
 FBC/ Blood Picture/PT/INR
 Cytological/Histological Ix (වෛල ා පටක පරීක්ෂණ )
 Immunological Ix (ප්‍රතිශක්තිකරණය ෛම්බන්ධ පරීක්ෂණ)
 Microbiological Ix (ක්ුද්‍රජීෛ පරීක්ෂණ )
 Gram stain/Culture ABST/Viral/Fungal studies/Serology
 Radiological Ix (විකිරණයේද්‍ පරීක්ෂා )
 USS/MRI/CT/Angiogram
 Other procedures
 Endoscopy, ECG, Hearing tests, Vision tests
Overview of  Medical Laboratory investigations and other investigations.pdf
Types of
Investigations
Bed
side/Chair
side
Laboratory
Investigations
Other
medical
procedures

Recommended

Reporting and interpretation of laboratory results
Reporting and interpretation of laboratory resultsReporting and interpretation of laboratory results
Reporting and interpretation of laboratory resultsJoyce Mwatonoka
 
Laboratory tests in psychiatry
Laboratory tests in psychiatryLaboratory tests in psychiatry
Laboratory tests in psychiatryMonirul Islam
 
Labtest creatine text serun creatine
Labtest creatine text serun creatineLabtest creatine text serun creatine
Labtest creatine text serun creatineAlatabani Idris
 
ROJoson PEP Talk: Laboratory Tests - Reading & Interpretation
ROJoson PEP Talk: Laboratory Tests - Reading & InterpretationROJoson PEP Talk: Laboratory Tests - Reading & Interpretation
ROJoson PEP Talk: Laboratory Tests - Reading & InterpretationReynaldo Joson
 
Overview of the, clinicianb
Overview of the, clinicianbOverview of the, clinicianb
Overview of the, clinicianbNwankwo Henry
 

More Related Content

Similar to Overview of Medical Laboratory investigations and other investigations.pdf

59229769 a-case-study-on-urinalysis-and-body-fluids
59229769 a-case-study-on-urinalysis-and-body-fluids59229769 a-case-study-on-urinalysis-and-body-fluids
59229769 a-case-study-on-urinalysis-and-body-fluidshomeworkping4
 
Pediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptxPediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptxAJAY MANDAL
 
MEDICAL TEST & DIAGNOSTIC PROCEDURES.pptx
MEDICAL TEST & DIAGNOSTIC PROCEDURES.pptxMEDICAL TEST & DIAGNOSTIC PROCEDURES.pptx
MEDICAL TEST & DIAGNOSTIC PROCEDURES.pptxLian-elin Atilano
 
Gastrointestinal Veterinary Talk, Part 1
Gastrointestinal Veterinary Talk, Part 1Gastrointestinal Veterinary Talk, Part 1
Gastrointestinal Veterinary Talk, Part 1NashvilleVetSpecialists
 
Stool occult blood test
Stool occult blood testStool occult blood test
Stool occult blood testAniah Marcelo
 
Biochemical tests in clinical medicine lect1
Biochemical tests in clinical medicine lect1Biochemical tests in clinical medicine lect1
Biochemical tests in clinical medicine lect1MUDASSAR ANWER
 
4.Hypertensive disorders in pregnancy-1634671194.pdf
4.Hypertensive disorders in pregnancy-1634671194.pdf4.Hypertensive disorders in pregnancy-1634671194.pdf
4.Hypertensive disorders in pregnancy-1634671194.pdfAzraAzmuna
 
NUCLEUS DIAGNOSTIC BROCHURE 2015
NUCLEUS DIAGNOSTIC BROCHURE 2015NUCLEUS DIAGNOSTIC BROCHURE 2015
NUCLEUS DIAGNOSTIC BROCHURE 2015Dr. Dipali Godghate
 
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptxHEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptxsnehavikhe
 
Interpretation of clinical laboratory test
Interpretation of clinical laboratory testInterpretation of clinical laboratory test
Interpretation of clinical laboratory testSmita Jain
 
02.03 adult art monitoring, changing gsn
02.03 adult art monitoring, changing gsn02.03 adult art monitoring, changing gsn
02.03 adult art monitoring, changing gsnDavid Ngogoyo
 
Check-up programs Acibadem City Clinic
Check-up programs Acibadem City ClinicCheck-up programs Acibadem City Clinic
Check-up programs Acibadem City ClinicTsvetelina Hristova
 
Bio chemical methods
Bio chemical methodsBio chemical methods
Bio chemical methodsSaikat Roy
 
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptxHEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptxLipanjali Badhei
 
03 laboratory tests part 1
03 laboratory tests part 103 laboratory tests part 1
03 laboratory tests part 1jhonee balmeo
 
1-Intro to Chemical Pathology-1.pptx
1-Intro to Chemical Pathology-1.pptx1-Intro to Chemical Pathology-1.pptx
1-Intro to Chemical Pathology-1.pptxEmmanuelNyarko6
 
PSA Blood Test
PSA Blood TestPSA Blood Test
PSA Blood TestDawn Jones
 
Liver Transplant in India | liver transplant in india cost
Liver Transplant in India | liver transplant in india costLiver Transplant in India | liver transplant in india cost
Liver Transplant in India | liver transplant in india costanan adisa
 

Similar to Overview of Medical Laboratory investigations and other investigations.pdf (20)

Pre operative care
Pre operative carePre operative care
Pre operative care
 
59229769 a-case-study-on-urinalysis-and-body-fluids
59229769 a-case-study-on-urinalysis-and-body-fluids59229769 a-case-study-on-urinalysis-and-body-fluids
59229769 a-case-study-on-urinalysis-and-body-fluids
 
Pediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptxPediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptx
 
disseminated TB
disseminated TBdisseminated TB
disseminated TB
 
MEDICAL TEST & DIAGNOSTIC PROCEDURES.pptx
MEDICAL TEST & DIAGNOSTIC PROCEDURES.pptxMEDICAL TEST & DIAGNOSTIC PROCEDURES.pptx
MEDICAL TEST & DIAGNOSTIC PROCEDURES.pptx
 
Gastrointestinal Veterinary Talk, Part 1
Gastrointestinal Veterinary Talk, Part 1Gastrointestinal Veterinary Talk, Part 1
Gastrointestinal Veterinary Talk, Part 1
 
Stool occult blood test
Stool occult blood testStool occult blood test
Stool occult blood test
 
Biochemical tests in clinical medicine lect1
Biochemical tests in clinical medicine lect1Biochemical tests in clinical medicine lect1
Biochemical tests in clinical medicine lect1
 
4.Hypertensive disorders in pregnancy-1634671194.pdf
4.Hypertensive disorders in pregnancy-1634671194.pdf4.Hypertensive disorders in pregnancy-1634671194.pdf
4.Hypertensive disorders in pregnancy-1634671194.pdf
 
NUCLEUS DIAGNOSTIC BROCHURE 2015
NUCLEUS DIAGNOSTIC BROCHURE 2015NUCLEUS DIAGNOSTIC BROCHURE 2015
NUCLEUS DIAGNOSTIC BROCHURE 2015
 
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptxHEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY.pptx
 
Interpretation of clinical laboratory test
Interpretation of clinical laboratory testInterpretation of clinical laboratory test
Interpretation of clinical laboratory test
 
02.03 adult art monitoring, changing gsn
02.03 adult art monitoring, changing gsn02.03 adult art monitoring, changing gsn
02.03 adult art monitoring, changing gsn
 
Check-up programs Acibadem City Clinic
Check-up programs Acibadem City ClinicCheck-up programs Acibadem City Clinic
Check-up programs Acibadem City Clinic
 
Bio chemical methods
Bio chemical methodsBio chemical methods
Bio chemical methods
 
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptxHEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptx
HEALTH SCREENING SERVICES IN COMMUNITY PHARMACY .pptx
 
03 laboratory tests part 1
03 laboratory tests part 103 laboratory tests part 1
03 laboratory tests part 1
 
1-Intro to Chemical Pathology-1.pptx
1-Intro to Chemical Pathology-1.pptx1-Intro to Chemical Pathology-1.pptx
1-Intro to Chemical Pathology-1.pptx
 
PSA Blood Test
PSA Blood TestPSA Blood Test
PSA Blood Test
 
Liver Transplant in India | liver transplant in india cost
Liver Transplant in India | liver transplant in india costLiver Transplant in India | liver transplant in india cost
Liver Transplant in India | liver transplant in india cost
 

More from Provincial Health Training Center , North Central Province

More from Provincial Health Training Center , North Central Province (20)

Caregiver .pdf
Caregiver .pdfCaregiver .pdf
Caregiver .pdf
 
Changing positions and giving exercises for bed ridden.pdf
Changing positions and giving exercises for bed ridden.pdfChanging positions and giving exercises for bed ridden.pdf
Changing positions and giving exercises for bed ridden.pdf
 
Basic Hebrew.pdf
Basic Hebrew.pdfBasic Hebrew.pdf
Basic Hebrew.pdf
 
Stress Management.pdf
Stress Management.pdfStress Management.pdf
Stress Management.pdf
 
NG FEEDING.pdf
NG FEEDING.pdfNG FEEDING.pdf
NG FEEDING.pdf
 
introduction to human body.pdf
introduction to human body.pdfintroduction to human body.pdf
introduction to human body.pdf
 
Meal preparation .pdf
Meal preparation .pdfMeal preparation .pdf
Meal preparation .pdf
 
maintaining the nutrition status of the client.pdf
maintaining the nutrition status of the client.pdfmaintaining the nutrition status of the client.pdf
maintaining the nutrition status of the client.pdf
 
Care giver introduction.pdf
Care giver introduction.pdfCare giver introduction.pdf
Care giver introduction.pdf
 
main food groups.pdf
main food groups.pdfmain food groups.pdf
main food groups.pdf
 
Maintaining a Care Plan .pdf
Maintaining a Care Plan .pdfMaintaining a Care Plan .pdf
Maintaining a Care Plan .pdf
 
communication presentation-cure.pdf
communication presentation-cure.pdfcommunication presentation-cure.pdf
communication presentation-cure.pdf
 
teeth names.pdf
teeth names.pdfteeth names.pdf
teeth names.pdf
 
Nutrition and client.pdf
Nutrition and client.pdfNutrition and client.pdf
Nutrition and client.pdf
 
client care for arthritis.pptx
client care for arthritis.pptxclient care for arthritis.pptx
client care for arthritis.pptx
 
Care giving.pdf
Care giving.pdfCare giving.pdf
Care giving.pdf
 
Public relations
Public relations Public relations
Public relations
 
Introduction to Portfolio
Introduction to PortfolioIntroduction to Portfolio
Introduction to Portfolio
 
Principles of care .pptx
Principles of care .pptxPrinciples of care .pptx
Principles of care .pptx
 
asses and identify the condition of the client
asses and identify the condition of the clientasses and identify the condition of the client
asses and identify the condition of the client
 

Recently uploaded

Tuberculosis .pptx Department of Physiotherapy, SHUATS, Prayagraj
Tuberculosis .pptx Department of Physiotherapy, SHUATS, PrayagrajTuberculosis .pptx Department of Physiotherapy, SHUATS, Prayagraj
Tuberculosis .pptx Department of Physiotherapy, SHUATS, PrayagrajSurabhi Srivastava
 
Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]
Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]
Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]Brian Peacock
 
Role of vitamin D supplements in prevention of hungry bone syndrome for prima...
Role of vitamin D supplements in prevention of hungry bone syndrome for prima...Role of vitamin D supplements in prevention of hungry bone syndrome for prima...
Role of vitamin D supplements in prevention of hungry bone syndrome for prima...Nguyễn đình Đức
 
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptx
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptxArtificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptx
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptxDr. Dheeraj Kumar
 
Seminario biología molecular Kevin Duque
Seminario biología molecular Kevin DuqueSeminario biología molecular Kevin Duque
Seminario biología molecular Kevin Duquekevinestebanduque
 
Seminario Biología Molecular Manuela Álvarez Ramírez
Seminario Biología Molecular Manuela Álvarez RamírezSeminario Biología Molecular Manuela Álvarez Ramírez
Seminario Biología Molecular Manuela Álvarez Ramírezmanuelaalvarezr
 
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...Dr. Madduru Muni Haritha
 
Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.JULIANA BENAVIDES GUERRERO
 
Best neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab IndiaBest neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab IndiaNHS Hospital
 
Poliomyelitis.pptx Department of Physiotherapy, SHUATS, Prayagraj
Poliomyelitis.pptx Department of Physiotherapy, SHUATS, PrayagrajPoliomyelitis.pptx Department of Physiotherapy, SHUATS, Prayagraj
Poliomyelitis.pptx Department of Physiotherapy, SHUATS, PrayagrajSurabhi Srivastava
 
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...Subrata Roy
 
PTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptxPTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptxvideosfildr
 
Hepatitis A.pptx Department of Physiotherapy, SHUATS, Prayagraj
Hepatitis A.pptx Department of Physiotherapy, SHUATS, PrayagrajHepatitis A.pptx Department of Physiotherapy, SHUATS, Prayagraj
Hepatitis A.pptx Department of Physiotherapy, SHUATS, PrayagrajSurabhi Srivastava
 
How to be a successful physician intrapreneur
How to be a successful physician intrapreneurHow to be a successful physician intrapreneur
How to be a successful physician intrapreneurArlen Meyers, MD, MBA
 
Autism and Savant Syndrome|Study|The Good doctor .pptx
Autism and Savant Syndrome|Study|The Good doctor .pptxAutism and Savant Syndrome|Study|The Good doctor .pptx
Autism and Savant Syndrome|Study|The Good doctor .pptxScripted Symptoms
 
PAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICS
PAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICSPAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICS
PAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICSDr.Shrikrushna Sobaji
 
Macquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPTMacquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPTMQ_Library
 
Introducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessIntroducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessFredrick Amos
 
Anesthesia Implications in cannabis Users.pptx
Anesthesia Implications in cannabis Users.pptxAnesthesia Implications in cannabis Users.pptx
Anesthesia Implications in cannabis Users.pptxhrowshan
 
KOSHTA CONCEPT IN AYURVEDA BY VIJAY R K
KOSHTA CONCEPT IN AYURVEDA  BY  VIJAY R KKOSHTA CONCEPT IN AYURVEDA  BY  VIJAY R K
KOSHTA CONCEPT IN AYURVEDA BY VIJAY R Kvinaykumarrkumabar
 

Recently uploaded (20)

Tuberculosis .pptx Department of Physiotherapy, SHUATS, Prayagraj
Tuberculosis .pptx Department of Physiotherapy, SHUATS, PrayagrajTuberculosis .pptx Department of Physiotherapy, SHUATS, Prayagraj
Tuberculosis .pptx Department of Physiotherapy, SHUATS, Prayagraj
 
Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]
Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]
Psychedelic Interventions for Neurological Conditions [NAN 2022 Poster]
 
Role of vitamin D supplements in prevention of hungry bone syndrome for prima...
Role of vitamin D supplements in prevention of hungry bone syndrome for prima...Role of vitamin D supplements in prevention of hungry bone syndrome for prima...
Role of vitamin D supplements in prevention of hungry bone syndrome for prima...
 
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptx
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptxArtificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptx
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptx
 
Seminario biología molecular Kevin Duque
Seminario biología molecular Kevin DuqueSeminario biología molecular Kevin Duque
Seminario biología molecular Kevin Duque
 
Seminario Biología Molecular Manuela Álvarez Ramírez
Seminario Biología Molecular Manuela Álvarez RamírezSeminario Biología Molecular Manuela Álvarez Ramírez
Seminario Biología Molecular Manuela Álvarez Ramírez
 
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
 
Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.
 
Best neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab IndiaBest neurologist in jalandhar Punjab India
Best neurologist in jalandhar Punjab India
 
Poliomyelitis.pptx Department of Physiotherapy, SHUATS, Prayagraj
Poliomyelitis.pptx Department of Physiotherapy, SHUATS, PrayagrajPoliomyelitis.pptx Department of Physiotherapy, SHUATS, Prayagraj
Poliomyelitis.pptx Department of Physiotherapy, SHUATS, Prayagraj
 
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
 
PTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptxPTERYGIUM ,clinical picture and its management.pptx
PTERYGIUM ,clinical picture and its management.pptx
 
Hepatitis A.pptx Department of Physiotherapy, SHUATS, Prayagraj
Hepatitis A.pptx Department of Physiotherapy, SHUATS, PrayagrajHepatitis A.pptx Department of Physiotherapy, SHUATS, Prayagraj
Hepatitis A.pptx Department of Physiotherapy, SHUATS, Prayagraj
 
How to be a successful physician intrapreneur
How to be a successful physician intrapreneurHow to be a successful physician intrapreneur
How to be a successful physician intrapreneur
 
Autism and Savant Syndrome|Study|The Good doctor .pptx
Autism and Savant Syndrome|Study|The Good doctor .pptxAutism and Savant Syndrome|Study|The Good doctor .pptx
Autism and Savant Syndrome|Study|The Good doctor .pptx
 
PAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICS
PAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICSPAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICS
PAEDIATRICS RHEMATOLOGY PROTOCOLS SHEET FOR PEDIATRICS ORTHOPAEDICS
 
Macquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPTMacquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPT
 
Introducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessIntroducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitness
 
Anesthesia Implications in cannabis Users.pptx
Anesthesia Implications in cannabis Users.pptxAnesthesia Implications in cannabis Users.pptx
Anesthesia Implications in cannabis Users.pptx
 
KOSHTA CONCEPT IN AYURVEDA BY VIJAY R K
KOSHTA CONCEPT IN AYURVEDA  BY  VIJAY R KKOSHTA CONCEPT IN AYURVEDA  BY  VIJAY R K
KOSHTA CONCEPT IN AYURVEDA BY VIJAY R K
 

Overview of Medical Laboratory investigations and other investigations.pdf

  • 1. Overview of Medical Laboratory Investigations And other Investigations වෛද්‍ය රසායනාගාර පරීක්ෂණ සහ අනනකුත් වෛද්‍ය පරීක්ෂණ Dr. C V Karunarathna, MBBS (Kelaniya), MSc in Community Medicine(Colombo) Medical Officer – Training Provincial Health Training Centre North Central Province.
  • 2. Objectives  To understand what medical laboratory investigations/Medical investigations are  To know the types of medical laboratory investigations/other investigations  To understand the importance of knowing about investigations as a caregiver  Getting familiar with some selected , basic and common investigations.  Get to know the importance of preparation for some specific investigations
  • 3. Medical Investigations වෛද්‍ය පරීක්ෂණ  A medical procedure that involves testing a sample of blood, urine, other body fluids, cells ,tissue or other procedures carried out on a person which helps in diagnosis and management of a disease condition.  වෛද්‍ය පරීක්ෂණ යනු වෛද්‍ය ක්‍රියා පටිපාටියකට අනුෛ යම් පුද්ගලයයකුයේ රුධිරය ,මුත්‍රා ,යෛනත් ශරීර තරල, වෛල ය ෝ පටක යයාද්‍ායගන සිදු කරනු ලබන පරීක්ෂාෛක් ය ෝ කිසියම් යරෝග විනිශ්ෛයකට ය ෝ යරෝග තත්ත්ෛ ෛඳ ා ප්‍රතිකාර කිරීයම්දී තීරණ ගැනීමට උපකාරී ෛන වෛද්‍ය ක්‍රියාපටිපටියකට අනුෛ පුද්ගලයයකුයේ සිදු කරනු ලබන අයනකුත් ඕනෑම පරීක්ෂාෛක් යේ.
  • 4. Types of Medical Investigations  Biochemical Ix (වෛෛ වෛද්‍ය පරීක්ෂණ )  Blood Ix (LFT/RFT/LIPID Profile/FBS/PPBS/HbA1C/Trop I/ Na/K)  Urine Ix (UFR)  Body fluids( Peritoneal fluid/CSF/Plural fluid/Sputum/Saliva)  Hematological Ix (රක්තයේද්‍ පරීක්ෂණ )  FBC/ Blood Picture/PT/INR  Cytological/Histological Ix (වෛල ා පටක පරීක්ෂණ )  Immunological Ix (ප්‍රතිශක්තිකරණය ෛම්බන්ධ පරීක්ෂණ)  Microbiological Ix (ක්ුද්‍රජීෛ පරීක්ෂණ )  Gram stain/Culture ABST/Viral/Fungal studies/Serology  Radiological Ix (විකිරණයේද්‍ පරීක්ෂා )  USS/MRI/CT/Angiogram  Other procedures  Endoscopy, ECG, Hearing tests, Vision tests
  • 7. Types of Investigations  Chair side/Bed side investigations  RAT  Urine HCG,  Urine dipstick tests for Protein, Sugar  CBS  ECG
  • 8. Types of investigations ctd….  Laboratory Investigations Urine Blood Other body fluids Tissue
  • 9. Types of investigations ctd….  Other Medical Procedures  Radiological investigations  Endoscopy
  • 10. Types ctd….. Types of Investigations Screening Tests Diagnostic tests Routine investigations Special Investigations
  • 11. Why you need to know about investigations as a Caregiver ?
  • 13. Investigations alone can not help in the management of the patient. In a hospital/Clinical setting- Doctors/Nurses  History  Examination  Investigations  Diagnosis  Management  Follow up At Home/Care Institution Caregiver  Patient Assessment(Physical, Mental, Medical conditions)  Preparing a Care plan  Maintain Nutrition of the client  Administering drugs  Appointments for tests  Preparation for investigations  Identify emergency situations  When to seek help for the client
  • 15. When you read an Lab investigation  Check for  Name  Age  Date  Compare with previous investigations.  Look who has referred  Check from where the investigation has done.  Reference range (There can be slight difference from lab to lab)  Units (May differ)
  • 16. Common Laboratory Investigations a caregiver should know  Some of bed side/Lab investigations  Content  Uses  Preparation  Values
  • 17. Full Blood Count (FBC)  White blood cells  Red blood cells  Hb (Haemoglobin)  Platelets  No need of special preparation
  • 18. ESR  Detection of inflammation in body.  Increase in Inflammation(Artherites)  Long-term illnesses/infections  Cancer No need of special preparation
  • 19. C reactive protein (CRP)  High in acute infections/injury  Or in chronic infections  No Special Preperation
  • 20. Blood Sugar evaluation  Capillary Blood Sugar (CBS)  Random Blood Sugar (RBS)  Fasting Blood Sugar (FBS)  Post Prandial Blood Sugar (PPBS)  HbA1C  Oral Glucose Tolerance Test(OGTT)
  • 21. Capillary Blood Sugar (CBS)  Bed side test  Glucometer  Need to know how to check (Skills)  Range  Low Level – 70 mg/dl  High level - >126 mg/dl (Fasting)  > 180/200 mg /dl (symptomatic)  HI  Look for the symptoms of hypoglycemia/Hyperglycemia  No need of special preparation
  • 22. Random Blood Sugar (RBS)  Venous blood sample  A blood sugar level less than 140 mg/dL is normal.  A reading of more than 200 mg/dL after two hours means you have diabetes.  A reading between 140 and 199 mg/dL prediabetes.  > 200 mg/dl consider as high  No need of special preparation
  • 23. Fasting blood sugar (FBS)  Venous Blood sample  Diagnosis  100-125mg/dl Pre-diabetic  =/> 126 mg/dl with symptoms diabetes +  =/> 126 mg/dl without symptoms repeat test  Treatment  126-200 mg/dl –one drug  >200 mg/dl –start with two drugs  >300 mg/dl / complications/severe symptoms - 2/3 drugs with insulin.  Maintenance  Diabetic patient- Glycemic target (FBS- 80- 130 mg/dl )
  • 24. FBS ctd  Preparation  8-10 hour overnight fasting  Avoid caloric food drink  Can take water
  • 25. Post Prandial Blood Sugar (PPBS)  Venous Blood  2 hours after meal  Timing stats from the start of the meal  Usual antidiabetic drugs should be taken in regular intervals Range < 140 mg/dl for normal person < 180 mg/dl for a diabetic patient (glycemic control)
  • 26. HbA1C  Venous blood  No need preparation  Long term control of blood sugar  Over past 3 months  =/> 6.5% cut off for diagnosis  Control – 7%  Individualized glycemic targets  HbA1C level will high with advanced aging and other diseases
  • 27. Lipid Profile  Venous Blood  Cholesterol levels  Need 12 Hour Overnight fasting  Can take small amount of water  Total Cholesterol - <200 mg/dl  Triglycerides -,150 mg/dl  LDL - < 100 mg/dl  HDL - > 60 mg/dl  VLDL
  • 28. TSH/T3/T4  TSH - thyroid stimulating hormone  Blood test that measures this hormone.  TSH levels that are too high or too low may be a sign of a thyroid problem.  T3/T4 Thyroid hormone levels
  • 29. B.Urea,S.Cr,eGFR  Blood investigations  Kidney function  Venous Blood samples  To test the renal (kidney)functions  eGFR < 60 –Kidney damage  No need fasting  Hydrate well before test
  • 30. Liver Function Tests (LFT)  Liver function tests  Liver function  Liver profile  Venous blood  No need preparation  AST  ALT  ALP  GGT  Bilirubin  Protein(Albumin/Globulin)
  • 31. ECG  Check your heart's rhythm and electrical activity.  Heart rate  Rhythm  Wall function abnormalities(Heart attacks/Heart failure)  Abnormal electrical activity
  • 32. Other Cardiac investigations  Troponin I  Echocardiogram  Angiogram
  • 33. Urine Full Report (UFR) Done in a laboratory.  Color, cloudiness and concentration of the urine.  Chemical composition -Using a test strip.  Examination of the urine Under a microscope to look for bacteria, cells and parts of cells. No need special preparation Collect to UFR normal bottle
  • 34. Urine Culture  A urine culture is a lab test to check for bacteria or other germs in a urine sample.  How to collects  sterile urine bag,  urethral catheterization (CATH), suprapubic aspiration (SPA),  Clean-catch (CC)
  • 35. Urine culture  Clean catch/Midstream urine sample  Wash your hands  Clean the surrounding area – tip of penis (push back foreskin if needed) for men and in between the labia for women  Start to urinate, stop if possible or wait until the first part of urine has passed, then using your container capture a midstream urine sample.  Void the rest of urine  close the container ,wipe the specimen container and wash your hands.
  • 37. USS Abdomen/Pelvis  Full bladder  Fasting  Don't give /eat solid food for 6 hours before the ultrasound.  Drink 4 to 6 cups of water 1 hour before your ultrasound.  Don't urinate (pee) before the ultrasound.
  • 38. Ctd..  Chest X-ray  Abdominal x-ray  X-ray head, neck, limbs, Spine
  • 39. X ray KUB  Fasting  Bowel preparation
  • 40. Summery  Always clarify your doubts. Ask from Doctor and Nurse  Prepare for investigations(Fasting, Premedication, Bladder bowel preparations, Pre-investigations, Pre-consultations, Need admission)  Get the investigations timely and get the opinion.  Always check the name, date, relaent details to confirm.  Things to consider after the investigations  Know the basics  Maintain Confidentiality