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Mosby's Canadian Manual of Diagnostic and Laboratory Tests - E-Book

Mosby's Canadian Manual of Diagnostic and Laboratory Tests - E-Book

Kathleen Deska Pagana | Timothy J. Pagana | Sandra A. Pike-MacDonald

(2018)

Additional Information

Book Details

Abstract

Written exclusively for a Canadian market, Mosby’s Canadian Manual of Diagnostic and Laboratory Tests, Second Edition provides clear, concise coverage of more than 700 of the most commonly performed tests, with Canadian lab values, SI units, Canadian cultural considerations, and unique Canadian content. Its many features include an easy-to-understand writing style, full-colour illustrations, and a logical organization. Each test entry is presented in a consistent format to provide quick access to information on specimen collection, normal findings, indications, test explanation, procedure and patient care, and test results and clinical significance, as well as any applicable contraindications, potential complications, interfering factors, and related tests. The second edition has been updated to reflect the latest procedures, equipment, and techniques, along with 24 of the most current laboratory and diagnostics test. Plus, updated Canadian guidelines are highlighted by a maple leaf icon for easy reference!

  • UNIQUE! Cultural Considerations boxes highlight important aspects of working with patients from the diverse cultural and racial backgrounds of the Canadian population, such as Indigenous communities.
  • UNIQUE! SI units in the Normal Findings section of appropriate tests offer quick and easy reference (conventional units also included).
  • UNIQUE! Related Tests sections list tests that provide similar information or are used to evaluate the same body system, disease process, or symptom.
  • Addresses Canadian privacy laws and legislation (including PHIPA and PIPEDA), the Canadian Labour Code, and policies for DNA collection, reporting of infections such as Chlamydia, and much more.
  • Follows Canadian standard precautions and procedures such as those set forth by the Canadian Nuclear Safety Commission, as well as Canadian screening protocols such as those set out in the Canadian Cancer Society Screening Guidelines.
  • Necessary consideration given to the differences between provinces/territories (and institutions) in regards to privacy legislation, obtaining consent, agency guidelines, procedure protocols and the availability of tests.
  • Provides information on Canadian test-tube colouring classifications and guidelines for the correct order and process of collecting blood samples in Canada.
  • Up-to-date Canadian statistics are provided for topics such as STDs and C. difficile.
  • NEW! Updated Canadian guidelines are highlighted by a maple leaf icon in the text margin for easy identification and reference.
  • NEW! 24 of the most current laboratory and diagnostic tests added to this new edition.
  • NEW! A description of commonly performed laboratory methods, explains methods used to evaluate blood, urine, spinal fluid, and other specimens.
  • UNIQUE! Coverage of the clinical significance of test results explains why a given test result indicates specific diseases.
  • NEW! Updated photographs and illustrations clarify key concepts and reflect the latest procedures, equipment, and techniques.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Inside front Cover ES2
Mosby’s Canadian Manual of Diagnostic and Laboratory Tests iii
Copyright iv
Dedication v
Reviewers vii
Preface ix
Contents xiii
Chapter 1: Guidelines for Proper Test Preparation and Performance 1
Overview 1
Coding for Diagnostic and Laboratory Tests 1
Laboratory Methods 2
Latex Agglutination 2
Agglutination Inhibition 2
Hemagglutination 2
Electrophoresis 3
Immunoelectrophoresis 3
Immunofixation Electrophoresis 3
Immunoassay 3
Enzyme-Linked Immunosorbent Assay 3
Autoimmune Enzyme Immunoassay 3
Chemiluminescent Immunoassays 4
Fluorescent Immunoassays 4
Polymerase Chain Reaction 4
Fluorescence in Situ Hybridization (FISH) 5
Routine Practices 5
Proper Sequencing and Scheduling of Tests 7
Procedure and Patient Care 8
Before the Test 8
Patient Identification 8
Patient Education 8
Variables Affecting Test Results 9
Age 9
Gender 9
Race 9
Pregnancy 9
Cultural Considerations 9
Food Ingestion 10
Posture 10
During Testing 10
Specimen Collection 10
Transport and Processing of the Specimen 10
A Note About Système Internationale d’Unités 10
After the Test 10
Reporting Test Results 11
Guidelines on Disclosing Laboratory Test Results 11
Conclusion 12
Chapter 2: Blood Studies 13
Overview 17
Reasons for Obtaining Blood Studies 17
Methods of Blood Collection 17
Venous Puncture 17
Background Information 17
Collection Tubes 17
Technique 20
Before 20
During 20
After 21
Potential Complications 22
Bleeding 22
Hematoma 22
Infection 22
Dizziness and Fainting 22
Preventing Interfering Factors 22
Collecting Blood From an Indwelling Venous Catheter 23
Collecting Multiple Blood Studies 23
Arterial Puncture 23
Background Information 23
Technique 23
Before 23
During 24
After 25
Potential Complications 25
Arterial Thrombosis 25
Hematoma Formation 25
Bleeding 25
Arterial Occlusion 25
Capillary Blood Collection 25
Background Information 25
Technique 26
Before 26
During 26
After 26
Potential Complications 26
Infection 26
Hematoma and Bruising 26
Artificially High or Artificially Low Blood Glucose Readings 26
Timing of Blood Collection 27
Transport and Processing of Blood Specimens 27
Reporting of Results 28
Acetylcholine Receptor Antibody (AChR Ab, Anti–Acetylcholine Receptor Antibody) 28
Normal Findings 28
Indications 28
Test Explanation 29
Interfering Factors 29
Procedure and Patient Care 29
Before 29
During 29
After 29
Test Results and Clinical Significance 30
Increased Levels 30
Related Tests 30
Acid Phosphatase (Prostatic Acid Phosphatase [PAP], Tartrate-Resistant Acid Phosphatase [TRAP]) 30
Normal Findings 30
Indications 30
Test Explanation 30
Interfering Factors 31
Procedure and Patient Care 31
Before 31
During 31
After 31
Test Results and Clinical Significance 32
Increased Levels 32
Related Tests 32
Activated Clotting Time (ACT, Activated Coagulation Time) 32
Normal Findings 32
Indications 32
Test Explanation 32
Interfering Factors 33
Procedure and Patient Care 33
Before 33
During 33
After 34
Test Results and Clinical Significance 34
Increased Levels 34
Decreased Levels 34
Related Tests 34
Adrenocorticotropic Hormone \n(ACTH, Corticotropin) 34
Normal Findings 34
Indications 35
Test Explanation 35
Interfering Factors 36
Procedure and Patient Care 36
Before 36
During 36
After 36
Test Results and Clinical Significance 37
Increased Levels 37
Decreased Levels 37
Related Tests 37
Adrenocorticotropic Hormone Stimulation \n(ACTH Stimulation With Cosyntropin, Cortisol Stimulation) 37
Normal Findings 37
Indications 38
Test Explanation 38
Interfering Factors 38
Procedure and Patient Care 38
Before 38
During 38
Rapid Test 38
24-Hour Test 39
3-Day Test 39
After 39
Test Results and Clinical Significance 39
Exaggerated Response 39
Normal or Below-Normal Response 39
Related Tests 39
Adrenocorticotropic Hormone Stimulation \nWith Metyrapone (Metyrapone, ACTH Stimulation With Metyrapone) 40
Normal Findings 40
Blood 40
24-Hour Urine 40
Indications 40
Test Explanation 40
Contraindications 40
Potential Complications 41
Interfering Factors 41
Procedure and Patient Care 41
Before 41
During 41
Blood 41
Urine 41
After 41
Test Results and Clinical Significance 42
Increased Levels 42
Related Tests 42
Age-Related Macular Degeneration Risk Analysis (Y402H and A69S) 42
Normal Findings 42
Indications 42
Test Explanation 42
Procedure and Patient Care 42
Before 42
During 43
After 43
Abnormal Findings 43
Increased 43
Agglutinin, Febrile/Cold 43
Normal Findings 43
Indications 43
Test Explanation 43
Interfering Factors 44
Procedure and Patient Care 44
Before 44
During 44
After 44
Test Results and Clinical Significance 44
Increased Cold Agglutinins 44
Increased Febrile Agglutinins 44
Alanine Aminotransferase (ALT; formerly Serum Glutamic-Pyruvic Transaminase [SGPT]) 45
Normal Findings 45
Indications 45
Test Explanation 45
Interfering Factors 45
Procedure and Patient Care 46
Before 46
During 46
After 46
Test Results and Clinical Significance 46
Significantly Increased Levels 46
Moderately Increased Levels 46
Mildly Increased Levels 46
Related Tests 46
Aldolase 47
Normal Findings 47
Indications 47
Test Explanation 47
Interfering Factors 47
Procedure and Patient Care 47
Before 47
During 48
After 48
Test Results and Clinical Significance 48
Increased Levels 48
Muscular Diseases 48
Muscle Injury 48
Hepatocellular Diseases 48
Myocardial Infarction 48
Decreased Levels 48
Related Test 48
Aldosterone 48
Normal Findings 48
Blood 48
Urine 49
Indications 49
Test Explanation 49
Interfering Factors 50
Procedure and Patient Care 51
Before 51
During 51
Blood Collection 51
Urine Collection 51
After 52
Blood Collection 52
Urine Collection 52
Test Results and Clinical Significance 52
Increased Levels 52
Primary Aldosteronism 52
Secondary Aldosteronism 52
Decreased Levels 52
Related Tests 53
Alkaline Phosphatase (ALP) 53
Normal Findings 53
Indications 53
Test Explanation 53
Interfering Factors 54
Procedure and Patient Care 54
Before 54
During 54
After 54
Test Results and Clinical Significance 55
Increased Levels 55
Decreased Levels 55
Related Tests 55
Allergy Blood Testing (IgE Antibody Test, Radioallergosorbent Test) 56
Normal Findings 56
Indications 56
Test Explanation 56
Contraindications 57
Interfering Factors 57
Procedure and Patient Care 57
Before 57
During 57
After 57
Test Results and Clinical Significance 57
Allergy-Related Diseases 57
Related Tests 58
Alpha1-Antitrypsin (AAT, A1AT, AAT Phenotyping) 58
Normal Findings 58
Indications 58
Test Explanation 58
Interfering Factors 59
Procedure and Patient Care 59
Before 59
During 59
After 59
Test Results and Clinical Significance 59
Increased Levels 59
Decreased Levels 59
Related Tests 60
Alpha-Fetoprotein (AFP, Alpha1-Fetoprotein) 60
Normal Findings 60
Indications 60
Test Explanation 60
Interfering Factors 61
Procedure and Patient Care 61
Before 61
During 61
After 61
Test Results and Clinical Significance 61
Increased Maternal Serum Levels 61
Increased Nonmaternal Serum Levels 62
Decreased Maternal Levels 62
Related Tests 62
Aluminum (Chromium and Other Heavy Metals) 62
Normal Findings 62
Indications 62
Test Explanation 62
Interfering Factors 63
Procedure and Patient Care 63
Before 63
During 63
After 63
Abnormal Findings 63
Increased Levels 63
Amino Acid Profiles (Amino Acid Screen) 63
Normal Findings 63
Indications 64
Test Explanation 64
Interfering Factors 64
Procedure and Patient Care 64
Before 64
During 65
After 65
Test Results and Clinical Significance 65
Increased Blood Levels 65
Decreased Blood Levels 65
Increased Urine Levels 65
Related Test 65
Ammonia 65
Normal Findings 65
Indications 65
Test Explanation 66
Interfering Factors 66
Procedure and Patient Care 66
Before 66
During 66
After 66
Test Results and Clinical Significance 66
Increased Levels 66
Decreased Levels 67
Related Tests 67
Amylase, Blood 67
Normal Findings 67
Critical Values 67
Indications 67
Test Explanation 67
Interfering Factors 68
Procedure and Patient Care 68
Before 68
During 68
After 68
Test Results and Clinical Significance 68
Increased Levels 68
Related Tests 69
Androstenediones (Androstenedione, \nDehydroepiandrosterone [DHEA], Dehydroepiandrosterone Sulphate [DHEA S]) 69
Normal Findings 69
Indications 69
Test Explanation 69
Interfering Factors 70
Procedure and Patient Care 70
Before 70
During 70
After 70
Test Results and Clinical Significance 70
Increased Levels 70
Decreased Levels 71
Related Tests 71
Angiotensin 71
Normal Findings 71
Indications 71
Test Explanation 71
Interfering Factors 71
Procedure and Patient Care 72
Before 72
During 72
After 72
Test Results and Clinical Significance 72
Increased Levels 72
Decreased Levels 72
Related Tests 72
Angiotensin-Converting Enzyme (ACE, Serum Angiotensin-Converting Enzyme [SACE]) 73
Normal Findings 73
Indications 73
Test Explanation 73
Interfering Factors 73
Procedure and Patient Care 73
Before 73
During 73
After 73
Test Results and Clinical Significance 74
Increased Levels 74
Anion Gap (AG, R factor) 74
Normal Findings 74
Indications 74
Test Explanation 74
Interfering Factors 75
Procedure and Patient Care 75
Before 75
During 75
After 75
Test Results and Clinical Significance 75
Increased Levels 75
Decreased Levels 76
Related Tests 76
Anticardiolipin Antibody (ACA, aCL Antibodies) 76
Normal Findings 76
Indications 76
Test Explanation 76
Interfering Factors 77
Procedure and Patient Care 77
Before 77
During 77
After 77
Test Results and Clinical Significance 77
Increased Levels 77
Related Tests 77
Anticentromere Antibody (Centromere Antibody) 78
Normal Findings 78
Indications 78
Test Explanation 78
Procedure and Patient Care 78
Before 78
During 78
After 78
Test Results and Clinical Significance 78
Positive 78
Related Test 78
Antichromatin Antibody (Antinucleosome \nAntibodies [Anti-NCS], Antihistone Antibody [Anti-HST, AHA]) 79
Normal Findings 79
Indications 79
Test Explanation 79
Procedure and Patient Care 79
Before 79
During 80
After 80
Test Results and Clinical Significance 80
Increased Levels 80
Related Tests 80
Anti–Cyclic Citrullinated Peptide \nAntibody (Cyclic Citrullinated Peptide Antibody, CCP IgG, Anti-CCP) 80
Normal Findings 80
Indications 80
Test Explanation 80
Procedure and Patient Care 81
Before 81
During 81
After 81
Test Results and Clinical Significance 81
Increased Levels 81
Related Tests 81
Anti–Deoxyribonuclease-B Titre (Anti–DNase-B [ADB], ADNase-B) 82
Normal Findings 82
Indications 82
Test Explanation 82
Interfering Factors 82
Procedure and Patient Care 82
Before 82
During 82
After 82
Test Results and Clinical Significance 83
Increased Levels 83
Related Test 83
Antidiuretic Hormone (ADH, Vasopressin, Arginine Vasopressin [AVP]) 83
Normal Findings 83
Indications 83
Test Explanation 83
Interfering Factors 84
Procedure and Patient Care 84
Before 84
During 84
After 84
Test Results and Clinical Significance 84
Increased Levels 84
Decreased Levels 85
Related Tests 85
Antidiuretic Hormone Suppression (ADH Suppression, Water Load) 85
Normal Findings 85
Indications 86
Test Explanation 86
Contraindications 86
Potential Complications 86
Interfering Factors 86
Procedure and Patient Care 87
Before 87
During 87
After 87
Test Results and Clinical Significance 87
SIADH 87
Other Hyponatremic or Edematous States (see Box 2-2) 87
Related Tests 87
Anti-DNA Antibody (Anti–Deoxyribonucleic Acid Antibodies, Antibody to Double-Stranded DNA, Anti–Double-Stranded DNA [Anti–d... 88
Normal Findings 88
Indications 88
Test Explanation 88
Interfering Factors 88
Procedure and Patient Care 89
Before 89
During 89
After 89
Test Results and Clinical Significance 89
Increased Levels 89
Related Test 89
Anti–Extractable Nuclear Antigen (Anti-ENA, Antibodies to Extractable Nuclear Antigens, Anti–Jo-1 [Antihistidyl Transfer Sy... 89
Normal Findings 89
Indications 89
Test Explanation 89
Procedure and Patient Care 90
Before 90
During 90
After 90
Test Results and Clinical Significance 90
Increased Anti-Smith Antibodies 90
Increased Antiribonucleoprotein Antibodies 90
Increased Anti-Jo Antibodies 90
Related Tests 90
Anti–Glomerular Basement Membrane Antibody (Anti-GBM Antibody, AGBM, Glomerular Basement Antibody, Goodpasture’s Antibody) 91
Normal Findings 91
Tissue 91
Blood (by Enzyme Immunoassay) 91
Indications 91
Test Explanation 91
Procedure and Patient Care 91
Before 91
During 91
After 92
Test Results and Clinical Significance 92
Positive 92
Related Tests 92
Anti-Glycan Antibodies (Crohn’s Disease Prognostic Panel, Multiple Sclerosis Antibody Panel) 92
Normal Findings 92
Indications 92
Test Explanation 92
Procedure and Patient Care 92
Before 92
During 93
After 93
Test Results and Clinical Significance 93
Increased Levels 93
Anti–Liver/Kidney Microsomal Antibody (Anti-LKM Antibody) 93
Normal Findings 93
Indications 93
Test Explanation 93
Procedure and Patient Care 93
Before 93
During 94
After 94
Test Results and Clinical Significance 94
Increased Levels 94
Related Tests 94
Antimitochondrial Antibody (AMA) 94
Normal Findings 94
Indications 94
Test Explanation 94
Procedure and Patient Care 95
Before 95
During 95
After 95
Test Results and Clinical Significance 95
Increased Levels 95
Related Tests 95
Antimyocardial Antibody 95
Normal Findings 95
Indications 95
Test Explanation 96
Procedure and Patient Care 96
Before 96
During 96
After 96
Test Results and Clinical Significance 96
Increased Levels 96
Anti–Neutrophil Cytoplasmic Antibody (ANCA) 97
Normal Findings 97
Indications 97
Test Explanation 97
Procedure and Patient Care 97
Before 97
During 97
After 97
Test Results and Clinical Significance 98
Increased Levels 98
Antinuclear Antibody (ANA) 98
Normal Findings 98
Indications 98
Test Explanation 98
Interfering Factors 101
Procedure and Patient Care 101
Before 101
During 101
After 101
Test Results and Clinical Significance 101
Increased Levels 101
Related Tests 102
Anti–Parietal Cell Antibody (APCA) 102
Normal Findings 102
Indications 102
Test Explanation 102
Procedure and Patient Care 102
Before 102
During 102
After 102
Test Results and Clinical Significance 103
Increased Levels 103
Related Test 103
Antiscleroderma Antibody (Scl-70 Antibody, Scleroderma Antibody) 103
Normal Findings 103
Indications 103
Test Explanation 103
Interfering Factors 103
Procedure and Patient Care 104
Before 104
During 104
After 104
Test Results and Clinical Significance 104
Positive 104
Related Test 104
Anti–Smooth Muscle Antibody (ASMA) 104
Normal Findings 104
Indications 104
Test Explanation 104
Procedure and Patient Care 105
Before 105
During 105
After 105
Test Results and Clinical Significance 105
Increased Levels 105
Related Tests 105
Antispermatozoal Antibody (Sperm Agglutination and Inhibition, Sperm Antibodies, Antisperm Antibodies, Infertility Screen) 106
Normal Findings 106
Indications 106
Test Explanation 106
Procedure and Patient Care 106
Before 106
Chapter 3: Electrodiagnostic Tests 559
Overview 559
Reasons for Performing Electrodiagnostic Studies 559
Procedural Care for Electrodiagnostic Studies 560
Before 560
During 560
After 560
Potential Complications of Electrodiagnostic Studies 560
Cardiac Stress Testing 561
Contraction Stress Test 561
Reporting of Results 561
Caloric Study (Oculovestibular Reflex Study) 561
Normal Findings 561
Indications 561
Test Explanation 561
Contraindications 561
Interfering Factors 562
Procedure and Patient Care 562
Before 562
During 562
After 562
Test Results and Clinical Significance 563
Related Test 563
Cardiac Stress Testing (Stress Testing, Exercise Testing, Electrocardiographic Stress Testing, Nuclear Stress Testing, Ech ... 563
Normal Findings 563
Indications 563
Test Explanation 563
Contraindications 566
Potential Complications 566
Interfering Factors 567
Procedure and Patient Care (for Exercise Stress Testing and Electrodiagnostic Monitoring) 567
Before 567
During 567
After 567
Test Results and Clinical Significance 568
Related Tests 568
Electrocardiography (Electrocardiogram [ECG]) 568
Normal Findings 568
Indications 568
Test Explanation 568
Interfering Factors 571
Procedure and Patient Care 571
Before 571
During 571
After 572
Test Results and Clinical Significance 572
Related Tests 573
Electroencephalography (Electroencephalogram [EEG]) 574
Normal Findings 574
Indications 574
Test Explanation 574
Interfering Factors 574
Procedure and Patient Care 575
Before 575
During 575
After 577
Test Results and Clinical Significance 577
Related Tests 579
Electromyography (EMG) 579
Normal Findings 579
Indications 579
Test Explanation 579
Contraindications 579
Potential Complication 580
Interfering Factors 580
Procedure and Patient Care 580
Before 580
During 580
After 581
Test Results and Clinical Significance 581
Related Test 582
Electroneurography (Nerve Conduction Studies) 582
Normal Findings 582
Indications 582
Test Explanation 582
Interfering Factors 583
Procedure and Patient Care 583
Before 583
During 583
After 584
Test Results and Clinical Significance 584
Related Test 584
Electronystagmography (ENG, Electrooculography) 584
Normal Findings 584
Indications 584
Test Explanation 584
Contraindications 585
Interfering Factors 585
Procedure and Patient Care 585
Before 585
During 585
After 586
Test Results and Clinical Significance 586
Related Test 586
Electrophysiologic Study (EPS, Cardiac Mapping) 587
Normal Findings 587
Indications 587
Test Explanation 587
Contraindications 587
Potential Complications 587
Interfering Factors 587
Procedure and Patient Care 588
Before 588
During 588
After 589
Test Results and Clinical Significance 589
Related Test 589
Evoked Potential Studies (EP Studies, Evoked Brain Potentials, Evoked Responses, Visual-Evoked Responses [VERs], Auditory B... 589
Normal Findings 589
Indications 589
Test Explanation 590
Procedure and Patient Care 592
Before 592
During 593
After 593
Test Results and Clinical Significance 593
Prolonged Latency for Visual-Evoked Responses 593
Prolonged Latency for Auditory Brain Stem–Evoked Potentials 593
Abnormal Latency for Somatosensory-Evoked Responses 594
Related Test 594
Fetal Contraction Stress Test (CST, Oxytocin Challenge Test [OCT]) 594
Normal Findings 594
Indications 594
Test Explanation 594
Contraindications 595
Potential Complications 596
Interfering Factors 596
Procedure and Patient Care 596
Before 596
During 596
After 597
Test Results and Clinical Significance 597
Related Test 597
Fetal Nonstress Test (NST, Fetal Activity Determination) 597
Normal Findings 597
Indications 597
Test Explanation 597
Procedure and Patient Care 598
Before 598
During 598
After 598
Test Results and Clinical Significance 599
Related Test 599
Holter Monitoring (Ambulatory Monitoring, Ambulatory Electrocardiography, Event Recorder) 599
Normal Findings 599
Indications 599
Test Explanation 599
Contraindications 601
Interfering Factors 601
Procedure and Patient Care 601
Before 601
During 601
After 601
Test Results and Clinical Significance 602
Related Test 602
Pelvic Floor Sphincter Electromyography (Pelvic Floor Sphincter EMG, Rectal EMG Procedure) 602
Normal Findings 602
Indications 602
Test Explanation 602
Contraindications 602
Procedure and Patient Care 603
Before 603
During 603
After 603
Test Results and Clinical Significance 603
Related Tests 603
Chapter 4: Endoscopic Studies 604
Overview 604
Indications for Endoscopy 604
Instrumentation 606
Procedural Care for the Patient Undergoing Endoscopy 607
Pulmonary and Gastrointestinal Endoscopy 607
Before 607
During 608
After 608
Operative Endoscopy and Genitourinary Endoscopy 608
Before 608
During 609
After 609
Potential Complications of Endoscopy 609
Perforation of Organ or Cavity 609
Persistent Bleeding From a Biopsy Site 609
Respiratory Depression as a Result of Oversedation 609
Infections and Transient Bacteremia 609
Aspiration After Evaluation of Upper Airway or Upper Gastrointestinal Tract 609
Cardiovascular Problems 609
Reporting of Results 610
Arthroscopy 610
Normal Findings 610
Indications 610
Test Explanation 610
Contraindications 611
Potential Complications 611
Procedure and Patient Care 612
Before 612
During 612
After 612
Test Results and Clinical Significance 613
Related Tests 613
Bronchoscopy 613
Normal Findings 613
Indications 613
Test Explanation 614
Contraindications 615
Potential Complications 615
Procedure and Patient Care 616
Before 616
During 616
After 617
Test Results and Clinical Significance 618
Related Tests 618
Colonoscopy 619
Normal Findings 619
Indications 619
Test Explanation 619
Contraindications 620
Potential Complications 620
Interfering Factors 621
Procedure and Patient Care 621
Before 621
During 621
After 622
Test Results and Clinical Significance 622
Related Tests 622
Colposcopy 623
Normal Findings 623
Indications 623
Test Explanation 623
Contraindications 624
Potential Complications 624
Interfering Factors 625
Procedure and Patient Care 625
Before 625
During 625
After 625
Test Results and Clinical Significance 625
Related Tests 625
Cystoscopy (Genitourinary Endoscopy) 626
Normal Findings 626
Indications 626
Test Explanation 626
Potential Complications 628
Procedure and Patient Care 628
Before 628
During 628
After 629
Test Results and Clinical Significance 630
Related Tests 630
Ductoscopy (Mammary Ductoscopy) 630
Normal Findings 630
Indications 630
Test Explanation 630
Interfering Factors 631
Procedure and Patient Care 631
Before 631
During 631
After 632
Test Results and Clinical Significance 632
Related Test 632
Endoscopic Retrograde \nCholangiopancreatography (ERCP, ERCP of the Biliary and Pancreatic Ducts) 632
Normal Findings 632
Indications 632
Test Explanation 632
Contraindications 633
Potential Complications 633
Interfering Factors 633
Procedure and Patient Care 633
Before 633
During 634
After 634
Test Results and Clinical Significance 635
Related Test 635
Esophagogastroduodenoscopy (EGD, Upper Gastrointestinal [UGI] Endoscopy, Gastroscopy) 636
Normal Findings 636
Indications 636
Test Explanation 636
Contraindications 637
Potential Complications 637
Interfering Factors 638
Procedure and Patient Care 638
Before 638
During 638
After 639
Test Results and Clinical Significance 639
Related Tests 640
Fetoscopy 640
Normal Findings 640
Indications 640
Test Explanation 640
Potential Complications 640
Procedure and Patient Care 641
Before 641
During 641
After 642
Test Results and Clinical Significance 642
Related Tests 642
Hysteroscopy 642
Normal Findings 642
Indications 642
Test Explanation 643
Contraindications 643
Potential Complications 644
Procedure and Patient Care 644
Before 644
During 644
Aftercare 644
Test Results and Clinical Significance 644
Related Test 645
Laparoscopy (Pelvic Endoscopy, Gynecologic Video Laparoscopy, Peritoneoscopy) 645
Normal Findings 645
Indications 645
Test Explanation 645
Contraindications 646
Potential Complications 647
Interfering Factors 647
Procedure and Patient Care 647
Before 647
During 647
After 648
Test Results and Clinical Significance 648
Mediastinoscopy 649
Normal Findings 649
Indications 649
Test Explanation 649
Contraindications 649
Potential Complications 649
Procedure and Patient Care 649
Before 649
During 650
After 650
Test Results and Clinical Significance 650
Related Test 650
Sigmoidoscopy (Proctoscopy, Anoscopy) 651
Normal Findings 651
Indications 651
Test Explanation 651
Contraindications 651
Potential Complications 651
Interfering Factors 651
Procedure and Patient Care 652
Before 652
During 652
After 652
Test Results and Clinical Significance 652
Related Tests 653
Sinus Endoscopy 653
Normal Findings 653
Indications 653
Test Explanation 653
Potential Complications 653
Procedure and Patient Care 653
Before 653
During 654
After 654
Test Results and Clinical Significance 654
Thoracoscopy 654
Normal Findings 654
Indications 654
Test Explanation 654
Contraindications 655
Potential Complications 655
Procedure and Patient Care 655
Before 655
During 655
After 655
Test Results and Clinical Significance 656
Related Test 656
Chapter 5: Fluid Analysis Studies 657
Overview 657
Reasons for Performing Fluid Analysis 657
Procedural Care for Fluid Analysis 658
Before 658
During 659
After 659
Potential Complications of Fluid Analysis Testing 659
Reporting Results 659
Amniocentesis (Amniotic Fluid Analysis) 660
Normal findings 660
Indications 660
Test Explanation 660
Contraindications 663
Potential Complications 663
Interfering Factors 663
Procedure and Patient Care 663
Before 663
During 664
After 665
Test Results and Clinical Significance 665
Related Tests 666
Amyloid Beta Protein Precursor, Soluble (SBPP) 666
Normal Findings 666
Indications 666
Test Explanation 666
Procedure and Patient Care 667
Before 667
During 667
After 667
Test Results and Clinical Significance 668
Decreased Levels 668
Related Test 668
Arthrocentesis With Synovial Fluid Analysis (Synovial Fluid Analysis, Joint Aspiration) 668
Normal Findings 668
Indications 668
Test Explanation 668
Contraindications 669
Potential Complications 669
Procedure and Patient Care 669
Before 669
During 670
After 670
Test Results and Clinical Significance 670
Related Test 671
Breast Cyst and Nipple Discharge Fluid Analysis 671
Normal Findings 671
Indications 671
Test Explanation 671
Potential Complications 671
Procedure and Patient Care 671
Before 671
During 672
After 672
Test Results and Clinical Significance 672
Related Tests 672
Breast Ductal Lavage 673
Normal Findings 673
Possible Critical Values 673
Indications 673
Test Explanation 673
Contraindications 673
Potential Complications 673
Procedure and Patient Care 674
Before 674
During 674
Test Results and Clinical Significance 674
Related Tests 674
Fetal Fibronectin (fFN) 674
Normal Findings 674
Indications 674
Test Explanation 675
Procedure and Patient Care 675
Before 675
During 675
After 676
Test Results and Clinical Significance 676
Increased Levels 676
Lumbar Puncture and Cerebrospinal Fluid Examination (LP and CSF Examination, Spinal Tap, Spinal Puncture, Cerebrospinal Flu... 676
Normal Findings 676
Indications 677
Test Explanation 677
Pressure 678
Colour 678
Blood 678
Cells 679
Culture and Sensitivity 679
Protein 680
Glucose 680
Chloride 680
Lactate Dehydrogenase 680
Lactic Acid 680
Cytologic Study 681
Tumour Markers 681
Serologic Study for Syphilis 681
Glutamine 681
C-Reactive Protein 681
Contraindications 681
Potential Complications 682
Procedure and Patient Care 682
Before 682
During 683
After 683
Test Results and Clinical Significance 684
Related Tests 684
Paracentesis (Peritoneal Fluid Analysis, Abdominal Paracentesis, Ascitic Fluid Cytologic Study, Peritoneal Tap) 684
Normal Findings 684
Indications 685
Test Explanation 685
Gross Appearance 686
Cell Counts 686
Protein Count 686
Glucose 687
Amylase 687
Ammonia 687
Alkaline Phosphatase 687
Lactate Dehydrogenase 687
Cytologic Findings 687
Bacteria 687
Gram Stain and Bacteriologic Culture 687
Fungi 688
Carcinoembryonic Antigen 688
Contraindications 688
Potential Complications 688
Procedure and Patient Care 688
Before 688
During 689
After 689
Test Results and Clinical Significance 689
Related Tests 690
Pericardiocentesis 690
Normal Findings 690
Indications 690
Test Explanation 690
Contraindications 690
Potential Complications 691
Procedure and Patient Care 691
Before 691
During 691
After 692
Test Results and Clinical Significance 693
Related Tests 693
Secretin-Pancreozymin (Pancreatic Enzymes) 693
Normal Findings 693
Indications 694
Test Explanation 694
Procedure and Patient Care 694
Before 694
During 694
After 694
Test Results and Clinical Significance 695
Related Tests 695
Semen Analysis (Sperm Count, Sperm Examination, Seminal Cytologic Study, Semen Examination) 695
Normal Findings 695
Indications 695
Test Explanation 695
Interfering Factors 696
Procedure and Patient Care 697
Before 697
During 697
After 697
Test Results and Clinical Significance 697
Related Tests 698
Sexual Assault Testing 698
Normal Findings 698
Indications 698
Test Explanation 698
Contraindications 700
Interfering Factors 700
Procedure and Patient Care 700
Before 700
During 700
After 700
Test Results and Clinical Significance 700
Sims-Huhner (Postcoital Testing, Postcoital Cervical Mucus, Cervical Mucus Sperm Penetration) 701
Normal Findings 701
Indications 701
Test Explanation 701
Procedure and Patient Care 701
Before 701
During 702
After 702
Test Results and Clinical Significance 702
Related Tests 702
Sweat Electrolytes (Iontophoretic Sweat) 702
Normal Findings 702
Indications 703
Test Explanation 703
Interfering Factors 703
Procedure and Patient Care 703
Before 703
During 704
After 704
Test Results and Clinical Significance 704
Related Tests 705
Thoracentesis and Pleural Fluid Analysis 705
Normal Findings 705
Indications 705
Test Explanation 705
Gross Appearance 706
Cell Counts 706
Protein Content 707
Lactate Dehydrogenase 707
Glucose 707
Amylase 707
Triglyceride 707
Gram Stain and Bacteriologic Culture 707
Cultures for Mycobacterium Tuberculosis and Fungus 708
Cytologic Study 708
Carcinoembryonic Antigen 708
Special Tests 708
Contraindications 708
Potential Complications 708
Procedure and Patient Care 709
Before 709
During 709
After 709
Test Results and Clinical Significance 710
Related Tests 711
Chapter 6: Manometric Studies 712
Overview 712
Procedural Care for Manometric Studies 712
Before 712
During 713
After 713
Potential Complications of Manometric Studies 713
Reporting of Results 713
Cystometry (Cystometrography [CMG]) 713
Normal Findings 713
Maximal Urethral Pressures in Normal Patients (cm H2O) 714
Indications 714
Test Explanation 714
Contraindications 714
Procedure and Patient Care 715
Before 715
During 715
After 716
Test Results and Clinical Significance 716
Related Tests 716
Esophageal Function Studies (Esophageal Manometry, Esophageal Motility Studies) 717
Normal Findings 717
Indications 717
Test Explanation 717
Manometric Studies 717
Acid Reflux With pH Probe 717
Acid Clearing 718
Bernstein Test (Acid Perfusion) 718
Contraindications 718
Potential Complications 718
Interfering Factors 718
Procedure and Patient Care 718
Before 718
During 718
After 720
Test Results and Clinical Significance 720
Related Tests 720
Oculoplethysmography (OPG, Ocular Pressures) 720
Normal Findings 720
Indications 720
Test Explanation 721
Contraindications 721
Potential Complications 721
Procedure and Patient Care 721
Before 721
During 721
After 722
Test Results and Clinical Significance 722
Related Tests 722
Plethysmography, Arterial 722
Normal Findings 722
Indications 723
Test Explanation 723
Interfering Factors 723
Procedure and Patient Care 724
Before 724
During 724
After 724
Test Results and Clinical Significance 724
Related Tests 724
Tilt-Table Testing 725
Normal Findings 725
Indications 725
Test Explanation 725
Interfering Factors 725
Procedure and Patient Care 725
Before 725
During 725
After 726
Test Results and Clinical Significance 726
Related Test 726
Tourniquet Test (Capillary Fragility) 726
Normal Findings 726
Indications 726
Test Explanation 726
Interfering Factors 727
Procedure and Patient Care 727
Before 727
During 727
Positive Pressure Test 727
Negative Pressure Test 727
After 727
Test Results and Clinical Significance 727
Positive: Fewer Than Two Petechiae 727
Related Tests 728
Urethral Pressure Profile (UPP, Urethral Pressure Measurements) 728
Normal Findings 728
Maximal Urethral Pressures in Normal Patients (cm H2O) 728
Indications 728
Test Explanation 728
Contraindications 728
Procedure and Patient Care 729
Before 729
During 729
After 729
Test Results and Clinical Significance 729
Related Test 729
Urine Flow Studies (Uroflowmetry, Urodynamic Studies) 729
Normal Findings 729
Indications 729
Test Explanation 730
Procedure and Patient Care 730
Before 730
During 730
After 730
Test Results and Clinical Significance 730
Related Test 731
Chapter 7: Microscopic Examinations 732
Overview 733
Reasons for Performing Microscopic Studies 733
Procedural Care for Microscopic Studies 734
Before 734
During 734
After 734
Laboratory Handling of Specimens 734
Reporting of Results 734
Acid-Fast Bacilli Smear (AFB Smear) 735
Normal Findings 735
Indications 735
Test Explanation 735
Interfering Factors 735
Procedure and Patient Care 736
Before 736
During 736
After 736
Test Results and Clinical Significance 736
Related Tests 736
Blood Culture and Sensitivity (Blood C&S) 737
Normal Findings 737
Indications 737
Test Explanation 737
Interfering Factors 737
Procedure and Patient Care 738
Before 738
During 738
After 738
Test Results and Clinical Significance 738
Blood Smear (Peripheral Blood Smear, Red Blood Cell Morphology, RBC Smear) 738
Normal Findings 738
Indications 738
Test Explanation 739
RBC Size Abnormalities 739
RBC Shape Abnormalities 739
RBC Colour Abnormalities 739
RBC Intracellular Structure Abnormalities 739
Procedure and Patient Care 740
Before 740
During 740
After 740
Test Results and Clinical Significance 740
Related Tests 740
Bone Marrow Biopsy (Bone Marrow Examination, Bone Marrow Aspiration) 740
Normal Findings 740
Critical Values 741
Indications 741
Test Explanation 741
Contraindications 743
Potential Complications 743
Procedure and Patient Care 743
Before 743
During 744
After 744
Test Results and Clinical Significance 745
Related Test 745
Breast Cancer Tumour Analysis (Breast Cancer Predictors, DNA Ploidy Status, S-Phase Fraction, Cathepsin D, HER2 [c-erbB2, n... 746
Normal Findings 746
DNA Ploidy 746
S-phase Fraction 746
Human Epidermal Growth Factor Receptor 2 (HER2) Protein 746
Cathepsin D 746
p53 Protein (TP53) 746
Ki67 Protein 746
Indications 746
Test Explanation 746
Ploidy (DNA Index) and S-Phase Fraction 747
Cathepsin D 747
HER2 (c-erbB2, neu) Protein 747
p53 Protein 748
Ki67 Protein 748
Interfering Factors 748
Procedure and Patient Care 748
Before 748
During 748
After 748
Test Results and Clinical Significance 748
Related Tests 748
Cervical Biopsy (Simple Cervical [Punch] Biopsy, Endocervical Biopsy [Endocervical Curettage], Loop Electrosurgical Excisio... 749
Normal Findings 749
Critical Values 749
Indications 749
Test Explanation 749
Contraindications 749
Potential Complications 749
Procedure and Patient Care 750
Before 750
During 750
After 750
Test Results and Clinical Significance 751
Related Tests 751
Chlamydia 751
Normal Findings 751
Indications 751
Test Explanation 751
Interfering Factors 752
Procedure and Patient Care 753
Before 753
During 753
After 753
Test Results and Clinical Significance 753
Related Test 753
Colon Cancer Tumour Analysis (Microsatellite Instability [MSI] Testing, DNA Mismatch Repair [MMR] Genetic Testing, BRAF ... 754
Normal Findings 754
Indications 754
Test Explanation 754
Procedure and Patient Care 755
Before 755
During 755
After 755
Test Results and Clinical Significance 755
Related Test 755
Cutaneous Immunofluorescence Biopsy (Immunofluorescence Skin Biopsy, Skin Biopsy Antibodies, Skin Immunohistopathology) 755
Normal Findings 755
Indications 755
Test Explanation 755
Procedure and Patient Care 756
Before 756
During 756
After 756
Test Results and Clinical Significance 756
Endometrial Biopsy 756
Normal Findings 756
Indications 756
Test Explanation 757
Contraindications 757
Potential Complications 757
Procedure and Patient Care 757
Before 757
During 757
After 758
Test Results and Clinical Significance 759
Estrogen Receptor Assay (ER Assay, ERA, Estradiol Receptor) 759
Normal Findings 759
Indications 759
Test Explanation 759
Interfering Factors 760
Procedure and Patient Care 760
Before 760
During 760
After 760
Test Results and Clinical Significance 760
Related Tests 760
Herpes Simplex (Herpesvirus Type 2, Herpes Simplex Virus Type 1 and 2 [HSV 1 and 2], Herpes Genitalis) 760
Normal Findings 760
Indications 761
Test Explanation 761
Procedure and Patient Care 762
Before 762
During 762
Urethral Culture 762
Cervical Culture 762
Blood for Serologic Study 762
Molecular PCR Tissue and Other Fluids 763
After 763
Test Results and Clinical Significance 763
Related Tests 763
Human Papillomavirus (HPV Test, HPV DNA Testing) 763
Normal Findings 763
Indications 763
Test Explanation 763
Interfering Factors 765
Procedure and Patient Care 765
Before 765
During 765
After 765
Test Results and Clinical Significance 765
Related Test 765
Liver Biopsy 766
Normal Findings 766
Indications 766
Test Explanation 766
Contraindications 767
Potential Complications 767
Procedure and Patient Care 767
Before 767
During 768
After 768
Test Results and Clinical Significance 768
Related Tests 769
Lung Biopsy 769
Normal Findings 769
Indications 769
Test Explanation 769
Contraindications 769
Potential Complications 769
Procedure and Patient Care 770
Before 770
During 770
Transbronchial Lung Biopsy 770
Transbronchial Needle Aspiration 770
Transcatheter Bronchial Brushing 770
Percutaneous Needle Biopsy 771
Open Lung Biopsy 771
Thoracoscopic Biopsy 771
After 772
Test Results and Clinical Significance 772
Related Tests 772
Pancreatobiliary FISH Testing 772
Normal Findings 772
Indications 772
Test Explanation 772
Contraindications 773
Potential Complications 773
Interfering Factors 773
Procedure and Patient Care 773
Before 773
During 773
After 773
Test Results and Clinical Significance 773
Related Tests 774
Papanicolaou Smear (Pap Smear, Pap Test, Cytologic Test for Cancer, Liquid-Based Cervical Cytology [LBCC]) 774
Normal Findings 774
Indications 774
Test Explanation 774
Contraindications 776
Interfering Factors 777
Procedure and Patient Care 777
Before 777
During 777
After 778
Test Results and Clinical Significance 778
Related Tests 778
Pleural Biopsy 779
Normal Findings 779
Indications 779
Test Explanation 779
Contraindications 779
Potential Complications 779
Procedure and Patient Care 779
Before 779
During 779
After 780
Test Results and Clinical Significance 780
Related Tests 780
Progesterone Receptor Assay (PR Assay, PRA, PgR) 781
Normal Findings 781
Immunochemistry 781
Reverse-Transcriptase Polymerase Chain Reaction (RT-PCR) 781
Indications 781
Test Explanation 781
Interfering Factors 782
Procedure and Patient Care 782
Before 782
During 782
After 782
Test Results and Clinical Significance 782
Related Tests 782
Renal Biopsy (Kidney Biopsy) 783
Normal Findings 783
Indications 783
Test Explanation 783
Contraindications 784
Potential Complications 784
Procedure and Patient Care 784
Before 784
During 785
After 785
Test Results and Clinical Significance 785
SARS Viral Testing 786
Normal Findings 786
Indications 786
Test Explanation 786
Procedure and Patient Care 787
Before 787
During 787
After 787
Test Results and Clinical Significance 787
Sexually Transmitted Infection Culture \n(STI Culture, Culture of Cervix, Urethra, and Anus) 787
Normal Findings 787
Indications 787
Test Explanation 788
Interfering Factors 788
Procedure and Patient Care 789
Before 789
During 789
Cervical Culture 789
Anal Canal Culture 789
Oropharyngeal Culture 789
Urethral Culture 790
After 790
Test Results and Clinical Significance 790
Related Tests 791
Sputum Culture and Sensitivity (Sputum C&S, Sputum Culture, and Gram Stain) 791
Normal Findings 791
Indications 791
Test Explanation 792
Procedure and Patient Care 792
Before 792
During 793
After 793
Test Results and Clinical Significance 793
Related Test 793
Sputum Cytologic Study 793
Normal Findings 793
Indications 793
Test Explanation 794
Interfering Factors 794
Procedure and Patient Care 794
Before 794
During 794
After 795
Test Results and Clinical Significance 795
Related Test 795
Throat and Nose Cultures 795
Normal Findings 795
Indications 795
Test Explanation 795
Interfering Factors 797
Procedure and Patient Care 797
Before 797
During 797
After 798
Test Results and Clinical Significance 798
Related Test 798
Tuberculosis Culture (TB Culture, BACTEC Method, \nPolymerase Chain Reaction) 798
Normal Findings 798
Indications 798
Test Explanation 799
Interfering Factors 799
Procedure and Patient Care 799
Before 799
During 800
After 800
Test Results and Clinical Significance 800
Related Tests 800
Viral Cultures 801
Normal Findings 801
Indications 801
Test Explanation 801
Interfering Factors 802
Procedure and Patient Care 802
Before 802
During 802
After 802
Test Results and Clinical Significance 802
Related Tests 802
Wound and Soft Tissue Culture and Sensitivity (C&S) 803
Normal Findings 803
Indications 803
Test Explanation 803
Interfering Factors 803
Procedure and Patient Care 803
Before 803
During 804
After 804
Test Results and Clinical Significance 804
Chapter 8: Nuclear Scanning 805
Overview 806
Reasons for Performing Nuclear Medicine Studies 806
Procedure and Patient Care for Nuclear Scanning 807
Before 807
During 808
After 808
Reporting of Results 808
Antibody Tumour Imaging (Immunoscintigraphy, \nOncoScint Scan, ProstaScint Scan) 808
Normal Findings 808
Indications 808
Test Explanation 808
Procedure and Patient Care 809
Before 809
During 809
After 809
Test Results and Clinical Significance 809
Related Tests 809
Bone Scan 810
Normal Findings 810
Indications 810
Test Explanation 810
Contraindications 811
Procedure and Patient Care 812
Before 812
During 812
After 813
Test Results and Clinical Significance 813
Related Tests 813
Brain Scan (Cisternal Scan, Cerebral Blood Flow) 813
Normal Findings 813
Indications 813
Test Explanation 814
Contraindications 815
Procedure and Patient Care 815
Before 815
During 816
After 816
Test Results and Clinical Significance 817
Related Tests 817
Cardiac Nuclear Scanning (Myocardial Scan, Cardiac Scan, Nuclear Cardiac Scanning, Heart Scan, Thallium Scan, Multigated ... 817
Normal Findings 817
Indications 817
Test Explanation 818
Contraindications 821
Interfering Factors 821
Procedure and Patient Care 822
Before 822
During 822
After 823
Test Results and Clinical Significance 823
Related Tests 823
Gallbladder Nuclear Scanning (Hepatobiliary Scintigraphy, Hepatobiliary Imaging, Biliary Tract Radionuclide Scan, Choles ... 824
Normal Findings 824
Indications 824
Test Explanation 824
Contraindications 825
Interfering Factors 825
Procedure and Patient Care 826
Before 826
During 826
After 826
Test Results and Clinical Significance 826
Related Tests 827
Gallium Scan 827
Normal Findings 827
Indications 827
Test Explanation 827
Contraindications 828
Interfering Factors 828
Procedure and Patient Care 828
Before 828
During 828
After 828
Test Results and Clinical Significance 829
Gastric Emptying Scan 829
Normal Findings 829
Indications 829
Test Explanation 829
Contraindications 829
Interfering Factors 830
Procedure and Patient Care 830
Before 830
During 830
After 830
Test Results and Clinical Significance 830
Related Test 830
Gastroesophageal Reflux Scan (GE Reflux Scan, \nAspiration Scan) 831
Normal Findings 831
Indications 831
Test Explanation 831
Contraindications 831
Procedure and Patient Care 831
Before 831
During 831
Gastroesophageal Reflux Scan 831
Aspiration Scan 832
After 832
Test Results and Clinical Significance 832
Related Test 832
Gastrointestinal Bleeding Scan (Abdominal Scintigraphy, GI Scintigraphy) 832
Normal Findings 832
Indications 832
Test Explanation 833
Contraindications 834
Interfering Factors 834
Procedure and Patient Care 834
Before 834
During 834
After 835
Test Results and Clinical Significance 835
Related Tests 835
Liver/Spleen Scan (Liver Scanning) 835
Normal Findings 835
Indications 835
Test Explanation 836
Contraindications 836
Interfering Factors 836
Procedure and Patient Care 837
Before 837
During 837
After 837
Test Results and Clinical Significance 837
Related Tests 838
Lung Scan (Ventilation/Perfusion Scanning [VPS], Pulmonary Scintiphotography, V/Q Scan) 838
Normal Findings 838
Indications 838
Test Explanation 838
Contraindications 840
Interfering Factors 840
Procedure and Patient Care 841
Before 841
During 841
Perfusion Scan 841
Ventilation Scan 842
After 842
Test Results and Clinical Significance 842
Related Tests 842
Meckel Diverticulum Nuclear Scanning 843
Normal Findings 843
Indications 843
Test Explanation 843
Procedure and Patient Care 843
Before 843
During 844
After 844
Test Results and Clinical Significance 844
Octreotide Scan (Carcinoid Nuclear Scanning, Neuroendocrine Nuclear Scanning) 844
Normal Findings 844
Indications 844
Test Explanation 844
Contraindications 845
Interfering Factors 845
Procedure and Patient Care 845
Before 845
During 846
After 846
Test Results and Clinical Significance 846
Parathyroid Scan (Parathyroid Scintigraphy) 846
Normal Findings 846
Indications 846
Test Explanation 846
Contraindications 847
Interfering Factors 847
Procedure and Patient Care 848
Before 848
During 848
STDP Method 848
DTST Method 848
After 848
Test Results and Clinical Significance 848
Positron Emission Tomography (PET) 849
Normal Findings 849
Indications 849
Test Explanation 849
Neurology 850
Cardiology 851
Oncology 851
Bone 852
Interfering Factors 853
Procedure and Patient Care 854
Before 854
During 854
After 854
Test Results and Clinical Significance 855
Related Tests 855
Renal Scanning (Kidney Scan, Radiorenography, Renography, Radionuclide Renal Imaging, Nuclear Imaging of the Kidney, Di ... 855
Normal Findings 855
Indications 855
Test Explanation 856
Renal Blood Flow (Perfusion) Scan 856
Renal Structural Scan 857
Renal Function Scan (Renogram) 857
Renal Hypertension Scan 857
Renal Obstruction Scan 858
Contraindications 858
Procedure and Patient Care 858
Before 858
During 859
After 859
Test Results and Clinical Significance 859
Related Tests 860
Salivary Gland Nuclear Imaging (Parotid Gland Nuclear Imaging) 860
Normal Findings 860
Indications 860
Test Explanation 860
Contraindications 861
Interfering Factors 861
Procedure and Patient Care 861
Before 861
During 861
After 862
Test Results and Clinical Significance 862
Schilling Test (Vitamin B12 Absorption Test) 862
Normal Findings 862
Indications 862
Test Explanation 862
Contraindications 863
Interfering Factors 863
Procedure and Patient Care 863
Before 863
During 864
First-Stage Schilling Test (Without Intrinsic Factor) 864
Combined One-Stage and Two-Stage Schilling Test 864
After 864
Test Results and Clinical Significance 864
Decreased Levels 864
Related Tests 864
Scrotal Nuclear Imaging (Scrotal Scanning, \nTesticular Imaging) 865
Normal Findings 865
Indications 865
Test Explanation 865
Procedure and Patient Care 865
Before 865
During 865
After 866
Test Results and Clinical Significance 866
Increased Testicular Blood Flow 866
Decreased Testicular Blood Flow 866
Related Test 866
Sentinel Lymph Node Biopsy (SLNB, Lymphoscintigraphy) 866
Normal Findings 866
Indications 866
Test Explanation 866
Contraindications 867
Potential Complications 867
Procedure and Patient Care 867
Before 867
During 867
Technetium-99m (99mTc) 867
Isosulfan and Methylene Blue 868
After 868
Test Results and Clinical Significance 868
Thyroid Scan (Thyroid Scintiscan) 868
Normal Findings 868
Indications 868
Test Explanation 868
Contraindications 870
Potential Complications 870
Interfering Factors 870
Procedure and Patient Care 870
Before 870
During 871
After 871
Test Results and Clinical Significance 871
Related Tests 871
Total Blood Volume (TBV, Red Blood Cell [RBC] Volume) 872
Normal Findings 872
Indications 872
Test Explanation 872
Before 872
During 872
After 873
Test Results and Clinical Significance 873
Increased Levels 873
Decreased Levels 873
Related Test 873
WBC Scan (Inflammatory Scan) 873
Normal Findings 873
Indications 873
Test Explanation 873
Interfering Factors 874
Procedure and Patient Care 874
Before 874
During 874
After 874
Test Results and Clinical Significance 874
Chapter 9: Stool Tests 875
Overview 875
Reasons for Performing Stool Studies 875
Procedural Care for Stool Studies 875
Before 875
During 876
After 876
Reporting of Results 876
Apt Test (Downey Test, Qualitative Fetal Hemoglobin Stool Test, \nStool for Swallowed Blood) 876
Normal Findings 876
Indications 876
Test Explanation 876
Procedure and Patient Care 877
Before 877
During 877
After 877
Test Results and Clinical Significance 877
Related Test 877
Clostridial Toxin Assay (Clostridium difficile, Antibiotic-Associated Colitis Assay; Pseudomembranous Colitis Toxic Assay, ... 877
Normal Findings 877
Indications 877
Test Explanation 878
Procedure and Patient Care 878
Before 878
During 878
After 879
Test Results and Clinical Significance 879
Related Tests 879
Fecal Fat (Fat Absorption, Quantitative Stool Fat Determination) 879
Normal Findings 879
Indications 879
Test Explanation 880
Interfering Factors 880
Procedure and Patient Care 880
Before 880
During 881
After 881
Test Results and Clinical Significance 881
Increased Levels 881
Related Test 881
Lactoferrin 881
Normal Findings 881
Indications 881
Test Explanation 882
Interfering Factors 882
Procedure and Patient Care 882
Before 882
During 882
After 882
Test Results and Clinical Significance 883
Related Tests 883
Stool Culture (Stool for Culture and Sensitivity [Stool C&S], Stool for Ova and Parasites [O&P]) 883
Normal Findings 883
Indications 883
Test Explanation 883
Interfering Factors 884
Procedure and Patient Care 884
Before 884
During 884
Tape Test 884
After 884
Test Results and Clinical Significance 885
Related Test 885
Stool for Occult Blood (Stool for OB, Fecal Occult Blood Test [FOBT], Fecal Immunotest [FIT], DNA Stool Sample) 885
Normal Findings 885
Indications 885
Test Explanation 885
Interfering Factors 886
Procedure and Patient Care 887
Before 887
During 888
Hemoccult Slide Test 888
Tablet Test 888
After 888
Test Results and Clinical Significance 888
Related Tests 888
Chapter 10: Ultrasound Studies 890
Overview 890
Reasons for Performing Ultrasound Studies 891
Principles of Ultrasonography 891
Procedural Care for Ultrasonography 893
Before 893
During 894
After 894
Interfering Factors 894
Potential Complications 895
Reporting of Results 895
Abdominal Ultrasonography (Abdominal Sonography; Echography; Ultrasonography of the Kidney, Liver, Pancreatobiliary Syst ... 896
Normal Findings 896
Indications 896
Test Explanation 896
Interfering Factors 897
Procedure and Patient Care 898
Before 898
During 898
After 899
Test Results and Clinical Significance 899
Kidney 899
Pancreas 899
Gallbladder 900
Liver 900
Bile Ducts 900
Abdominal Aorta 900
Abdominal Cavity 900
Related Tests 900
Breast Ultrasonography (Ultrasound Mammography) 901
Normal Findings 901
Indications 901
Test Explanation 901
Procedure and Patient Care 902
Before 902
During 902
After 902
Test Results and Clinical Significance 902
Related Tests 903
Carotid Artery Duplex Scanning (Carotid Ultrasonography) 903
Normal Findings 903
Indications 903
Test Explanation 903
Procedure and Patient Care 904
Before 904
During 905
After 905
Test Results and Clinical Significance 905
Related Test 905
Contraceptive Device Localization (Intrauterine Device [IUD] Localization) 905
Normal Findings 905
Indications 905
Test Explanation 905
Interfering Factors 905
Procedure and Patient Care 906
Before 906
During 906
After 906
Test Results and Clinical Significance 906
Echocardiography (Cardiac Echography, Heart Sonography, Transesophageal Echocardiography [TEE], Transthoracic Echocardiogr ... 906
Normal Findings 906
Indications 906
Test Explanation 907
Contraindications 909
Interfering Factors 909
Procedure and Patient Care 909
Before 909
During 909
After 909
Test Results and Clinical Significance 911
Related Test 911
Fetal Biophysical Profile (BPP) 911
Normal Findings 911
Critical Values 911
Indications 911
Test Explanation 911
Interfering Factors 913
Procedure and Patient Care 913
Before 913
During 913
After 913
Test Results and Clinical Significance 913
Related Tests 914
Intravascular Ultrasonography (IVUS) 914
Normal Findings 914
Indications 914
Test Explanation 914
Interfering Factors 915
Procedure and Patient Care 915
Before 915
During 915
After 916
Test Results and Clinical Significance 916
Related Test 916
Ocular and Orbit Ultrasonography 916
Normal Findings 916
Indications 916
Test Explanation 916
Procedure and Patient Care 916
Before 916
During 916
After 917
Test Results and Clinical Significance 917
Pelvic Ultrasonography (Obstetric Echography, Pregnant Uterus Ultrasonography, Pelvic Ultrasonography in Pregnancy, Obstet ... 917
Normal Findings 917
Indications 917
Test Explanation 917
Contraindications 919
Interfering Factors 919
Procedure and Patient Care 919
Before 919
During 919
After 920
Test Results and Clinical Significance 920
Related Tests 921
Prostate and Rectal Ultrasonography 921
Normal Findings 921
Indications 921
Test Explanation 921
Contraindications 921
Interfering Factors 921
Procedure and Patient Care 922
Before 922
During 922
After 923
Test Results and Clinical Significance 923
Related Test 923
Scrotal Ultrasonography (Ultrasonography of Testes) 923
Normal Findings 923
Indications 923
Test Explanation 923
Procedure and Patient Care 924
Before 924
During 924
After 924
Test Results and Clinical Significance 924
Thyroid Ultrasonography (Thyroid Echography, \nThyroid Sonography) 925
Normal Findings 925
Indications 925
Test Explanation 925
Procedure and Patient Care 926
Before 926
During 926
After 926
Test Results and Clinical Significance 926
Related Test 927
Transesophageal Echocardiography (TEE) 927
Normal Findings 927
Indications 927
Test Explanation 927
Contraindications 928
Potential Complications 928
Procedure and Patient Care 929
Before 929
During 929
After 929
Test Results and Clinical Significance 929
Related Test 930
Vascular Ultrasound Studies (Venous/Arterial Doppler Ultrasonography, Venous/Arterial Duplex Scanning) 930
Normal Findings 930
Venous 930
Arterial 930
Critical Values 930
Indications 930
Test Explanation 930
Interfering Factors 931
Procedure and Patient Care 932
Before 932
During 932
Venous Doppler Studies 932
Arterial Doppler Studies: Lower Extremities 932
Arterial Doppler Studies: Ankle/Brachial Index 932
After 933
Test Results and Clinical Significance 933
Related Tests 933
Chapter 11: Urine Studies 934
Overview 935
Reasons for Obtaining Urine Specimens 935
Types of Urine Specimens 935
First Morning Specimen 936
Random Urine Specimen 936
Timed Urine Collection 936
Double-Voided Specimen 937
Urine Specimen for Culture and Sensitivity 937
Other Body Fluids 937
Collection Methods 937
Common Collection Methods 937
Routine Void Specimen 937
Midstream and Clean-Catch Specimens 937
Twenty-Four-Hour Urine Collection 938
Special Collection Methods 938
Urethral Catheterization 938
Suprapubic Aspiration 938
Pediatric Collections 939
Transport, Storage, and Preservation 939
Urine Reagent Strips 940
Reporting of Results 940
Amylase, Urine 941
Normal Findings 941
Indications 941
Test Explanation 941
Interfering Factors 941
Procedure and Patient Care 942
Before 942
During 942
After 942
Test Results and Clinical Significance 942
Increased Levels 942
Related Tests 943
Bence-Jones Protein (Free Kappa and Lambda Light Chains) 943
Normal Findings 943
Indications 943
Test Explanation 943
Interfering Factors 944
Procedure and Patient Care 944
Before 944
During 944
After 944
Test Results and Clinical Significance 944
Increased Levels 944
Related Test 944
11 Beta-Prostaglandin F(2) Alpha, Urine 945
Normal Findings 945
Indications 945
Test Explanation 945
Procedure and Patient Care 945
Before 945
During 945
After 945
Abnormal Findings 945
Increased Levels 945
Bladder Cancer Markers (Bladder Tumour Antigen [BTA], Nuclear Matrix Protein 22 [NMP22]) 946
Normal Findings 946
Indications 946
Test Explanation 946
Interfering Factors 947
Procedure and Patient Care 947
Before 947
During 947
After 947
Test Results and Clinical Significance 947
Increased Levels 947
Bone Turnover Markers (N-Telopeptide [NTx], Osteocalcin [Bone G1a Protein, BGP, Osteocalc], Pyridinium [PYD] Crosslinks, ... 947
Normal Findings 947
Indications 948
Test Explanation 948
Interfering Factors 950
Procedure and Patient Care 950
Before 950
During 950
Urine 950
Blood 950
After 950
Test Results and Clinical Significance 950
Increased Levels 950
Decreased Levels 950
Related Tests 951
Chloride, Urine (Cl) 951
Normal Findings 951
Indications 951
Test Explanation 951
Interfering Factors 951
Procedure and Patient Care 951
Before 951
During 952
After 952
Test Results and Clinical Significance 952
Increased Levels 952
Decreased Levels 952
Related Tests 952
Cortisol, Urine (Hydrocortisone, Urine Cortisol, Free Cortisol) 953
Normal Findings 953
Indications 953
Test Explanation 953
Interfering Factors 953
Procedure and Patient Care 953
Before 953
During 954
After 954
Test Results and Clinical Significance 954
Increased Levels 954
Decreased Levels 954
Related Tests 954
Delta-Aminolevulinic Acid (Aminolevulinic Acid [ALA], δ-ALA) 955
Normal Findings 955
Critical Values 955
Indications 955
Test Explanation 955
Interfering Factors 956
Procedure and Patient Care 956
Before 956
During 956
After 956
Test Results and Clinical Significance 956
Increased Levels 956
Related Tests 956
Glucose, Urine (Urine Sugar) 957
Normal Findings 957
Indications 957
Test Explanation 957
Interfering Factors 957
Procedure and Patient Care 958
Before 958
During 958
After 958
Test Results and Clinical Significance 958
Increased Levels 958
Related Tests 959
17-Hydroxycorticosteroids (17-OCHS) 959
Normal Findings 959
Indications 959
Test Explanation 959
Interfering Factors 960
Procedure and Patient Care 960
Before 960
During 960
After 960
Test Results and Clinical Significance 960
Increased Levels 960
Decreased Levels 961
Related Test 961
5-Hydroxyindoleacetic Acid (5-HIAA) 961
Normal Findings 961
Indications 961
Test Explanation 961
Interfering Factors 962
Procedure and Patient Care 962
Before 962
During 962
After 962
Test Results and Clinical Significance 962
Increased Levels 962
Decreased Levels 963
17-Ketosteroid (17-KS) 963
Normal Findings 963
Indications 963
Test Explanation 963
Interfering Factors 963
Procedure and Patient Care 964
Before 964
During 964
After 964
Test Results and Clinical Significance 964
Increased Levels 964
Decreased Levels 965
Related Test 965
Microalbumin (MA) 965
Normal Findings 965
Indications 965
Test Explanation 965
Interfering Factors 966
Procedure and Patient Care 966
Before 966
During 966
After 967
Test Results and Clinical Significance 967
Increased Levels 967
Microglobulin (Beta-2 Microglobulin [B2M], Alpha 1 Microglobulin, and Retinol-Binding Protein) 967
Normal Findings 967
Indications 967
Test Explanation 967
Interfering Factors 968
Procedure and Patient Care 968
Before 968
During 968
Blood 968
Urine 968
After 969
Test Results and Clinical Implications 969
Increased Urine Levels 969
Increased Serum Levels 969
Related Tests 969
Nicotine and Metabolites (Nicotine, Cotinine, 3-Hydroxy-Cotinine, Nornicotine, Anabasine) 969
Normal Findings 969
Urine 969
Serum 970
Indications 970
Test Explanation 970
Interfering Factors 971
Procedure and Patient Care 971
Before 971
During 971
Blood 971
Urine 971
Saliva 971
After 971
Test Results and Clinical Significance 971
Osmolality, Urine 972
Normal Findings 972
Indications 972
Test Explanation 972
Procedure and Patient Care 973
Before 973
During 973
After 973
Test Results and Clinical Significance 973
Increased Levels 973
Decreased Levels 973
Related Tests 974
Porphyrins and Porphobilinogens 974
Normal Findings 974
Indications 974
Test Explanation 974
Interfering Factors 975
Procedure and Patient Care 975
Before 975
During 975
Porphobilinogens 975
Porphyrins 975
After 976
Test Results and Clinical Significance 976
Increased Levels 976
Porphyrias 976
Related Tests 976
Potassium, Urine (K) 976
Normal Findings 976
Indications 976
Test Explanation 976
Interfering Factors 977
Procedure and Patient Care 977
Before 977
During 977
After 977
Test Results and Clinical Significance 977
Increased Levels 977
Decreased Levels 978
Related Tests 978
Pregnanediol 978
Normal Findings 978
Indications 978
Test Explanation 978
Interfering Factors 979
Procedure and Patient Care 979
Before 979
During 979
After 979
Test Results and Clinical Significance 980
Increased Levels 980
Decreased Levels 980
Related Test 980
Sodium, Urine (Na) 980
Normal Findings 980
Indications 981
Test Explanation 981
Interfering Factors 981
Procedure and Patient Care 981
Before 981
During 982
After 982
Test Results and Clinical Significance 982
Increased Levels 982
Decreased Levels 982
Related Tests 983
Substance Abuse Testing (Urine Drug Testing, \nDrug Screening, Drug Testing) 983
Normal Findings 983
Indications 983
Test Explanation 983
Interfering Factors 985
Procedure and Patient Care 985
Before 985
During 985
After 986
Test Results and Clinical Significance 986
Related Test 986
Toxicology 986
Normal Findings 986
Indications 986
Test Explanation 986
Commonly Abused Drugs 987
Marijuana (Cannabis) 987
Cocaine (Including Crack) 987
Phencyclidine 987
Amphetamines (Especially Methamphetamine) 987
Morphine and Other Narcotic Alkaloids 987
Barbiturates 987
Common Toxins 987
Lead 987
Other Heavy Metals 987
Interfering Factors 988
Procedure and Patient Care 988
Before 988
During 988
After 988
Test Results and Clinical Significance 988
Related Tests 988
Uric Acid, Urine 989
Normal Findings 989
Indications 989
Test Explanation 989
Interfering Factors 989
Procedure and Patient Care 989
Before 989
During 990
After 990
Test Results and Clinical Significance 990
Increased Levels (Uricosuria) 990
Decreased Levels 990
Related Test 990
Urinalysis (UA) 991
Normal Findings 991
Indications 991
Test Explanation 991
Laboratory Examination 992
Appearance and Colour 992
Odour 993
pH 993
Protein 993
Glucose 993
Specific Gravity 993
Leukocyte Esterase 994
Nitrites 994
Ketones 994
Bilirubin and Urobilinogen 994
Microscopic Examination of Urine Sediment 995
Crystals 995
Casts 996
Hyaline Casts 996
Cellular Casts 996
Granular casts 996
Fatty casts 996
Waxy casts 996
Epithelial cells and casts (renal tubular casts) 996
White blood cells and casts 996
Red blood cells and casts 996
Interfering Factors 997
Appearance and Colour 997
Odour 997
pH 997
Protein 997
Specific Gravity 998
Leukocyte Esterase 998
Ketones 998
Bilirubin and Urobilinogen 998
Crystals 998
WBCs 998
RBCs 998
Procedure and Patient Care 999
Before 999
During 999
After 999
Test Results and Clinical Significance 999
Appearance and Colour 999
Odour 1000
pH 1000
Chapter 12: X-Ray Studies 1015
Overview 1016
Reasons for Performing X-Ray Studies 1016
Principles of Radiology 1016
Plain Radiography 1017
Fluoroscopy 1017
Tomography 1017
Contrast Studies 1017
Digital Subtraction Angiography 1019
Risks of Radiation Exposure 1019
Contraindications 1020
Potential Complications 1020
Interfering Factors 1021
Procedure and Patient Care 1021
Before 1021
During 1022
After 1022
Reporting of Results 1022
Adrenal Venography 1023
Normal Findings 1023
Indications 1023
Test Explanation 1023
Contraindications 1023
Potential Complications 1023
Procedure and Patient Care 1024
Before 1024
During 1024
After 1024
Test Results and Clinical Significance 1024
Related Tests 1024
Antegrade Pyelography 1025
Normal Findings 1025
Indications 1025
Test Explanation 1025
Potential Complications 1025
Procedure and Patient Care 1025
Before 1025
During 1025
After 1026
Test Results and Clinical Significance 1026
Related Tests 1026
Arteriography (Angiography; Renal, Mesenteric, Adrenal, Cerebral, and Lower Extremity Arteriography) 1026
Normal Findings 1026
Indications 1026
Test Explanation 1026
Contraindications 1029
Potential Complications 1029
Procedure and Patient Care 1030
Before 1030
During 1030
After 1030
Test Results and Clinical Significance 1032
Adrenal Angiography 1032
Arteriography of Lower Extremity 1032
Brain Arteriography 1033
Kidney Arteriography 1033
Barium Enema (BE, Lower GI Series) 1033
Normal Findings 1033
Indications 1033
Test Explanation 1033
Contraindications 1034
Potential Complications 1034
Interfering Factors 1035
Procedure and Patient Care 1036
Before 1036
During 1036
After 1037
Test Results and Clinical Significance 1037
Related Tests 1038
Barium Swallow (Esophagogram) 1038
Normal Findings 1038
Indications 1038
Test Explanation 1039
Contraindications 1039
Potential Complications 1039
Interfering Factors 1039
Procedure and Patient Care 1039
Before 1039
During 1040
After 1040
Test Results and Clinical Significance 1040
Related Test 1041
Bone Densitometry (Bone Mineral Content [Bmc], Bone Absorptiometry, Bone Mineral Density [BMD]) 1041
Normal Findings 1041
Critical Values 1041
Indications 1041
Test Explanation 1042
Interfering Factors 1043
Procedure and Patient Care 1043
Before 1043
During 1044
After 1044
Test Results and Clinical Significance 1045
Related Tests 1045
Bone (Long) Radiography 1045
Normal Findings 1045
Indications 1045
Test Explanation 1046
Interfering Factors 1046
Procedure and Patient Care 1046
Before 1046
During 1046
After 1046
Test Results and Clinical Significance 1047
Cardiac Catheterization (Coronary Angiography, Angiocardiography, Ventriculography) 1047
Normal Findings 1047
Indications 1047
Test Explanation 1047
Contraindications 1050
Potential Complications 1050
Procedure and Patient Care 1050
Before 1050
During 1051
After 1052
Test Results and Clinical Significance 1052
Related Tests 1053
Chest Radiography (Chest X-Ray [CXR]) 1053
Normal Findings 1053
Indications 1053
Test Explanation 1053
Contraindications 1056
Interfering Factors 1056
Procedure and Patient Care 1057
Before 1057
During 1057
After 1057
Test Results and Clinical Significance 1057
Lung 1057
Heart 1058
Chest Wall 1058
Diaphragm 1058
Mediastinum 1058
Related Test 1058
Computed Tomography, Abdomen (Cat Scan, Abdomen; CT Scan, Abdomen; Helical/Spiral CT Scan, Abdomen; CT Angiography; CT Col ... 1059
Normal Findings 1059
Indications 1059
Test Explanation 1059
Contraindications 1061
Potential Complications 1062
Interfering Factors 1062
Procedure and Patient Care 1062
Before 1062
During 1062
After 1064
Test Results and Clinical Significance 1064
Liver 1064
Pancreas 1064
Spleen 1064
Gallbladder/Biliary System 1064
Kidneys 1064
Adrenal Gland 1064
Gastrointestinal Tract 1064
Uterus, Fallopian Tubes, Ovaries 1065
Prostate 1065
Retroperitoneum 1065
Peritoneum 1065
Related Test 1065
Computed Tomography, Brain (CT Scan, Brain; Computerized Axial Transverse Tomography [Catt]; Helical/Spiral CT Scan, Brain) 1065
Normal Findings 1065
Indications 1065
Test Explanation 1065
Contraindications 1066
Potential Complications 1066
Procedure and Patient Care 1066
Before 1066
During 1067
After 1067
Test Results and Clinical Significance 1067
Related Test 1068
Computed Tomography, Chest (Chest CT Scan; \nHelical/Spiral CT Scan, Chest) 1068
Normal Findings 1068
Indications 1068
Test Explanation 1068
Contraindications 1069
Potential Complications 1070
Procedure and Patient Care 1070
Before 1070
During 1070
After 1070
Test Results and Clinical Significance 1071
Lung 1071
Heart 1071
Chest Wall 1071
Diaphragm 1071
Mediastinum 1071
Related Test 1072
Computed Tomography, Heart (Coronary CT Angiography, Coronary Calcium Score) 1072
Normal Findings 1072
Indications 1072
Test Explanation 1072
Contraindications 1073
Potential Complications 1074
Procedure and Patient Care 1074
Before 1074
During 1074
After 1074
Test Results and Clinical Significance 1075
Related Tests 1075
Cystography (Cystourethrography, Voiding, Cystography, \nVoiding Cystourethrography) 1075
Normal Findings 1075
Indications 1075
Test Explanation 1075
Contraindications 1076
Potential Complications 1076
Procedure and Patient Care 1076
Before 1076
During 1076
After 1076
Test Results and Clinical Significance 1077
Hysterosalpingography (Uterotubography, Uterosalpingography, Hysterogram) 1077
Normal Findings 1077
Indications 1077
Test Explanation 1078
Contraindications 1078
Potential Complications 1078
Interfering Factors 1078
Procedure and Patient Care 1079
Before 1079
During 1079
After 1079
Test Results and Clinical Significance 1079
Intravenous Pyelography (IVP, Excretory Urography [Eug], Intravenous Urography [Iug, Ivu]) 1080
Normal Findings 1080
Indications 1080
Test Explanation 1080
Contraindications 1081
Potential Complications 1081
Interfering Factors 1082
Procedure and Patient Care 1082
Before 1082
During 1082
After 1083
Test Results and Clinical Significance 1083
Related Tests 1084
Kidney, Ureter, and Bladder Radiography (KUB, Flat Plate of the Abdomen, Plain Film of the Abdomen, Scout Film) 1084
Normal Findings 1084
Indications 1084
Test Explanation 1084
Contraindications 1084
Interfering Factors 1084
Procedure and Patient Care 1085
Before 1085
During 1085
After 1085
Test Results and Clinical Significance 1085
Related Test 1086
Mammography (Mammogram) 1086
Normal Findings 1086
Indications 1086
Screening Mammography Recommendations 1087
Canadian Breast Cancer Foundation and Canadian Cancer Society Screening Guidelines 1087
When to Stop Screening 1087
Diagnostic Mammography 1087
Test Explanation 1088
Contraindications 1090
Interfering Factors 1090
Procedure and Patient Care 1091
Before 1091
During 1091
After 1092
Test Results and Clinical Significance 1092
Related Tests 1092
Myelography (Myelogram) 1092
Normal Findings 1092
Indications 1092
Test Explanation 1092
Contraindications 1093
Potential Complications 1093
Procedure and Patient Care 1093
Before 1093
During 1094
After 1094
Test Results and Clinical Significance 1094
Related Test 1094
Obstruction Series 1095
Normal Findings 1095
Indications 1095
Test Explanation 1095
Contraindications 1095
Interfering Factors 1096
Procedure and Patient Care 1096
Before 1096
During 1096
After 1096
Test Results and Clinical Significance 1096
Related Test 1096
Percutaneous Transhepatic Cholangiography \n(Ptc, PTHC) 1097
Normal Findings 1097
Indications 1097
Test Explanation 1097
Contraindications 1098
Potential Complications 1098
Interfering Factors 1098
Procedure and Patient Care 1098
Before 1098
During 1098
After 1099
Test Results and Clinical Significance 1099
Related Test 1100
Pulmonary Angiography (Pulmonary Arteriography, \nBronchial Angiography) 1100
Normal Findings 1100
Indications 1100
Test Explanation 1100
Contraindications 1101
Potential Complications 1101
Procedure and Patient Care 1101
Before 1101
During 1101
After 1102
Test Results and Clinical Significance 1102
Related Tests 1102
Retrograde Pyelography 1102
Normal Findings 1102
Indications 1102
Test Explanation 1102
Potential Complications 1103
Interfering Factors 1104
Procedure and Patient Care 1104
Before 1104
During 1104
After 1104
Test Results and Clinical Significance 1105
Related Test 1105
Sialography 1105
Normal Findings 1105
Indications 1105
Test Explanation 1105
Contraindications 1105
Potential Complications 1106
Procedure and Patient Care 1106
Before 1106
During 1106
After 1106
Test Results and Clinical Significance 1106
Skull Radiography 1106
Normal Findings 1106
Indications 1106
Test Explanation 1107
Procedure and Patient Care 1108
Before 1108
During 1108
After 1108
Test Results and Clinical Significance 1108
Related Test 1109
Small Bowel Follow-Through (SBF, Small Bowel Enema) 1109
Normal Findings 1109
Indications 1109
Test Explanation 1109
Contraindications 1110
Potential Complications 1110
Interfering Factors 1110
Procedure and Patient Care 1110
Before 1110
During 1111
After 1111
Test Results and Clinical Significance 1111
Related Test 1112
Spinal Radiography (Cervical, Thoracic, Lumbar, Sacral, or Coccygeal X-Ray Studies) 1112
Normal Findings 1112
Indications 1112
Test Explanation 1112
Contraindications 1112
Procedure and Patient Care 1112
Before 1112
During 1113
After 1113
Test Results and Clinical Significance 1113
Related Tests 1113
Swallowing Examination (Videofluoroscopic Swallowing Examination) 1113
Normal Findings 1113
Indications 1113
Test Explanation 1113
Contraindications 1114
Procedure and Patient Care 1114
Before 1114
During 1114
After 1114
Test Results and Clinical Significance 1114
Related Test 1114
T-Tube and Operative Cholangiography 1115
Normal Findings 1115
Indications 1115
Test Explanation 1115
Potential Complications 1115
Interfering Factors 1115
Procedure and Patient Care 1115
Before 1115
During 1116
Operative Cholangiography 1116
T-Tube Cholangiography 1116
After 1116
Test Results and Clinical Significance 1116
Related Tests 1116
Upper Gastrointestinal Tract Radiography (Upper GI Series, Ugi) 1117
Normal Findings 1117
Indications 1117
Test Explanation 1117
Contraindications 1117
Potential Complications 1118
Interfering Factors 1118
Procedure and Patient Care 1118
Before 1118
During 1118
After 1119
Test Results and Clinical Significance 1119
Related Test 1120
Venography, Lower Extremities (Phlebography, Venogram) 1120
Normal Findings 1120
Indications 1120
Test Explanation 1120
Contraindications 1121
Potential Complications 1121
Procedure and Patient Care 1121
Before 1121
During 1122
After 1122
Test Results and Clinical Significance 1122
Related Tests 1122
Chapter 13: Additional Studies 1123
Overview 1123
Allergy Skin Testing 1123
Normal Findings 1123
Indications 1124
Test Explanation 1124
Contraindications 1124
Potential Complications 1125
Interfering Factors 1125
Procedure and Patient Care 1125
Before 1125
During 1125
Prick-Puncture Method 1125
Intradermal Method 1125
Appendix A: Alphabetical List of Tests 1175
A 1175
B 1175
C 1176
D 1176
E 1176
F 1177
G 1177
H 1177
I 1177
K 1177
L 1177
M 1177
N 1178
O 1178
P 1178
Q 1178
R 1178
S 1178
T 1179
U 1179
V 1179
W 1179
X 1179
Z 1179
Appendix B: List of Tests by Body System 1180
Cancer Studies 1180
Cardiovascular Studies 1180
Endocrine Studies 1181
Gastrointestinal Studies 1181
Hematologic System 1181
Hepatobiliary Studies 1182
Immunologic Studies 1182
Miscellaneous Studies 1183
Nervous System Studies 1183
Pulmonary Studies 1183
Reproductive System Studies 1184
Skeletal System Studies 1184
Urologic Studies 1184
Appendix C: Common Testing Profiles 1186
Acute Hepatitis 1186
Arthritis 1186
Basic Metabolic Function 1186
Bone/Joint Profile 1186
Cardiac Injury 1186
Coagulation Screening 1186
Coma 1186
Complete Blood Count (CBC) 1186
Comprehensive Metabolic Function 1186
Diabetes Mellitus Management 1187
Electrolytes 1187
Hemolysis 1187
Hepatic Function 1187
Human Immunodeficiency Virus Detection 1187
Human Immunodeficiency Virus Monitoring 1187
Hypertension 1187
Iron Deficiency Anemia 1187
Lipids 1187
Obstetrics 1187
Pancreatic 1187
Parathyroid 1187
Prenatal Testing 1188
Renal Function 1188
Thyroid Screening 1188
TORCH Antibody Testing 1188
Toxicology Screening (Urine) 1188
Appendix D: Common Abbreviations and Acronyms 1189
Appendix E: List of Common Blood Tests and Values 1194
Bibliography 1195
Illustration Credits 1205
Chapter 2 1205
Chapter 3 1205
Chapter 4 1205
Chapter 5 1205
Chapter 7 1205
Chapter 8 1205
Chapter 9 1205
Chapter 10 1206
Chapter 11 1206
Chapter 12 1206
Chapter 13 1206
Index 1207