Lab – Medical Transcription Phrases, Words, And Helpful Hints

Normal Laboratory (Lab) Values / Results For Reference by MTs

Admin — Fri, 21 Feb 2020 15:07:34 +0000

Normal Laboratory (Lab) Values / Results For Reference by MTs

Red Blood Cells
RBC (Male)	4.2 – 5.6 M/µL
RBC (Female)	3.8 – 5.1 M/µL
RBC (Child)	3.5 – 5.0 M/µL

White Blood Cells
WBC (Male)	3.8 – 11.0 K / mm cubed
WBC (Female)	3.8 – 11.0 K / mm cubed
WBC (Child)	5.0 – 10.0 K / mm cubed

Hemoglobin
Hgb (Male)	14 – 18 g/dL
Hgb (Female)	11 – 16 g/dL
Hgb (Child)	10 – 14 g/dL
Hgb (Newborn)	15 – 25 g/dL

Hematocrit
Hct (Male)	39 – 54%
Hct (Female)	34 – 47%
Hct (Child)	30 – 42%

MCV	78 – 98 fL
MCH	27 – 35 pg
MCHC	31 – 37%

Neutrophils	50 – 81%
Bands	1 – 5%
Lymphocytes	14 – 44%
Monocytes	2 – 6%
Eosinophils	1 – 5%
Basophils	0 – 1%

Erythrocyte sedimentation rate (ESR) (also referred to as “sed rate”)	0 – Age / 2 for males (or 0-17 mm/hr) & 0 – Age + 10 / 2 for females (or 1-25 mm/hr)

CARDIAC MARKERS
Troponin I	0 – 0.1 ng/ml
Troponin T	0 – 0.2 ng/ml
Myoglobin (Male)	10 – 95 ng/ml
Myoglobin (Female)	10 – 65 ng/ml

BNP	Greater than 500 pg/ml ( likely congestive heart failure )
BNP	Less than 100 pg/ml ( congestive heart failure unlikely )

CK-MB	0% – 3.9%

Ejection Fraction
55-70%	Normal
40-55%	mild LV dysfunction
30-40%	moderate LV dysfunction
<30%	severe LV dysfunction

GENERAL CHEMISTRY

Acetone	0.3 – 2.0 mg%
Albumin	3.5 – 5.0 gm/dL
Alkaline Phosphatase ( slang term = alka phos )	32 – 110 U/L
Anion gap	5 – 16 mEq/L
Ammonia	11 – 35 µmol/L
Amylase	50 – 150 U/dL
AST, SGOT (Male)	7 – 21 U/L
AST, SGOT (Female)	6 – 18 U/L
direct bilirubin	0.0 – 0.4 mg/dL
indirect bilirubin	total bilirubin – direct bilirubin
total bilirubin	0.2 – 1.4 mg/dL
BUN	6 – 23 mg/dL
Calcium (total)	8 – 11 mg/dL
Carbon dioxide	21 – 34 mEq/L
Chloride	96 – 112 mEq/L
Creatinine	0.6 – 1.5 mg/dL
Ethanol	0 mg% ; Coma: greater than or equal to 400 – 500 mg%
ferritin	13-300 ng/mL
GGT (male)	11-63 IU/L
GGT (female)	8-35 IU/L
folic acid	2.0 – 21 ng/mL
Glucose	70 – 110 mg/dL
Glycosylated Hemoglobin (HbA1c)	4 – 6% is normal ( diabetic patients are to keep the value < 7-8% )
Iron	52 – 169 µg/dL
Iron binding capacity	246 – 455 µg/dL
Lactic acid	0.4 – 2.3 mEq/L
Lactate	0.3 – 2.3 mEq/L
LDH (lactate dehydrogenase )	56-194 IU/L
Lipase	10 – 140 U/L
Magnesium	1.5 – 2.5 mg/dL
Osmolarity	276 – 295 mOsm/kg
parathyroid hormone	12 – 68 pg/mL
Phosphorus	2.2 – 4.8 mg/dL
Potasssium	3.5 – 5.5 mEq/L
Protein (total)	6.0 – 9.0 gm/dL
SGPT	8 – 32 U/L
Sodium	135 – 148 mEq/L
T3	0.8 – 1.1 µg/dL
Thyroglobulin	Less than 55 ng/mL
Thyroxine (T4) total	5 – 13 µg/dL
Total protein	5 – 9 gm/dL
TSH	Less than 9 µU/mL
Urea nitrogen	8 – 25 mg/dL
Uric acid (Male)	3.5 – 7.7 mg/dL
Uric acid (Female)	2.5 – 6.6 mg/dL

LIPID PANEL (ADULT)

Cholesterol (total)	Less than 200 mg/dL
Cholesterol (HDL)	30 – 75 mg/dL
Cholesterol (LDL)	Less than 130 mg/dL
Triglycerides (Male)	Greater than 40 – 170 mg/dL
Triglycerides (Female)	Greater than 35 – 135 mg/dL

URINALYSIS

Color	Straw
specific gravity	1.003 – 1.040
pH	4.6 – 8.0
sodium	10 – 40 mEq/L
potassium	Less than 8 mEq/L
chloride	Less than 8 mEq/L
protein	1 – 15 mg/dL
rbc’s	0 – 2 per hpf
wbc’s	0 – 2 per hpf
ketones	negative
blood	negative
urobilogen	0.2-1.0 Ehr U/dl
urine nitrite	negative
osmolality	80 – 1300 mOsm/L

24-HOUR URINE

amylase	250 – 1100 IU / 24 hr
calcium	100 – 250 mg / 24 hr
chloride	110 – 250 mEq / 24 hr
creatinine	1 – 2 g / 24 hr
creatine clearance (male)	100 – 140 mL / min
creatine clearance (male)	16 – 26 mg / kg / 24 hr
creatine clearance (female)	80 – 130 mL / min
creatine clearance (female)	10 – 20 mg / kg / 24 hr
magnesium	6 – 9 mEq / 24 hr
osmolality	450 – 900 mOsm / kg
phosphorus	0.9 – 1.3 g / 24 hr
potassium	35 – 85 mEq / 24 hr
protein	0 – 150 mg / 24 hr
sodium	30 – 280 mEq / 24 hr
urea nitrogen	10 – 22 gm / 24 hr
uric acid	240 – 755 mg / 24 hr

COAGULATION

ACT	90 – 130 seconds
APTT	21 – 35 seconds
Platelets	140,000 – 450,000 / mL
Plasminogen	62 – 130%
PT	10 – 14 seconds
PTT	32 – 45 seconds
FSP	Less than 10 µg/dL
fibrinogen	160 – 450 mg/dL
bleeding time	3 – 7 minutes
thrombin time	11 – 15 seconds

CEREBROSPINAL FLUID

appearance	clear
glucose	40 – 85 mg/dL
osmolality	290 – 298 mOsm/L
pressure	70 – 180 mm/H2O
protein	15 – 45 mg/dL
total cell count	0 – 5 cells
wbc’s	0 – 6 / µL

NEUROLOGICAL VALUES

cerebral perfusion pressure	70 – 90 mm Hg
intracranial pressure	5 – 15 mm Hg or 5 – 10 cm H2O

ARTERIAL VALUES

pH	7.35 – 7.45
PCO2	35 – 45 mmHg
bicarbonate	22 – 26 mEq/L
O2 sat	96 – 100%
PO2	85 – 100 mmHg
base excess	-2 to +2 mmol/L

VENOUS VALUES

pH	7.31 – 7.41
PCO2	41 – 51 mmHg
bicarbonate	22 – 29 mEq/L
O2 sat	60 – 85%
PO2	30 – 40 mmHg
base excess	0 to +4 mmol/L

Body Mass Index (BMI)

Underweight	< 18.5
Normal weight	18.5 – 24.9
Overweight	25 – 29.9
Obesity	> 30
Morbid Obesity	> 40

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Lab and Diagnostic Terms / Words For Medical Transcriptionists

Admin — Fri, 21 Feb 2020 13:59:31 +0000

Lab and Diagnostic Terms/Words For Medical Transcriptionists

MEDICAL TRANSCRIPTION LAB & DIAGNOSTIC TERMS:

Section A – Common Laboratory Terms:

WBC , hemoglobin , hematocrit , platelet count , segs , lymphs, eos, monos, bands, basos, retic count.

MCV, MCH, RDW

ESR , PT , INR , PTT .

sodium , potassium , chloride , CO2 , BUN , creatinine , glucose , albumin , magnesium, calcium .

ammonia

alkaline phosphatase , AST , ALT, bilirubin (direct or total).

albumin, protein

amylase, lipase

creatine kinase, CK-MB , MB% , troponin less than 0.3, digoxin level .

ABG , pH , pCO2 , pO2 , bicarb , oxygen saturation on room air.

BNP level

BUN and creatinine

complement C3, complement C4

C-reactive protein or CRP

D-dimer, ESR, GGT

HDL, LDL, triglycerides, cholesterol

IgA, IgG, IgM, IgE

serum iron, TIBC

LDH

CD4, CD8

PSA

TSH, T3, T4, free T3 and free T4

anion gap, base excess

Urinalysis essentially within normal limits. specific gravity, wbc’s, rbc’s, blood, ketones, protein, nitrites, leukocytes, bacteria, squamous epithelial cells, etc. UA by clean catch midstream. Urine beta hCG.

cerebrospinal fluid (CSF) – albumin, cell count, chloride, glucose, IgG, pressure, protein

fecal white blood cell, ova and parasites (O&P), Clostridium difficile toxin (CDT) assay

HIV serology

protein electrophoresis

rapid strep, Monospot, Chem-7, influenza antigen

rheumatoid titers

(x) sets of cardiac enzymes (where x = 2, 3, 5, etc)

stool for culture and ova/parasite

Section B – Diagnostic Terms:

Chest x-ray Terms:

chest x-ray reveals: (one of the following below):

cardiomegaly

congestive heart failure

elevated hemidiaphragms

emphysema

hilar fullness

hyperexpanded lungs

increased reticular markings

infiltrates

infrahilar mass

patchy infiltrate

pleural effusion

pneumonia

pulmonary congestion

reversible ischemia

scarring

Electrocardiogram Terms in Diagnostic Data Section:

12-lead EKG – leads I, II, III, V1, V2, V3, V4, V5, V6, aVF, aVL, aVR, etc.

atrial fibrillation

beats per minute

left axis deviation

nonspecific ST-T wave changes

normal sinus rhythm

Common types of scans in medical reports:

carotid Doppler scan

CT/CAT scan

DEXA bone scan

GI bleeding scan

HIDA scan

MRI scan

MUGA scan

myocardial perfusion scan

PET scan

SPECT scan

V/Q scan (or ventilation/perfusion scan)

venous duplex scan

Other Diagnostic Terms:

Holter monitor

portable chest x-ray

KUB

More Studies or Tests:

24-hour pH study

24-hour urine study

48-hour Bravo pH study

adenosine isotope study

arterial flow study

barium enema study

barium study

bedside swallow study

blood volume study

bone marrow study

brain flow study

CDT study

color flow study

cystogram study

cystometric study

DNA PCR study

Endocapsule study

EP study

esophageal manometry study

esophageal motility study

gastric emptying study

Gastrografin study

HIDA CCK study

HIPA study

intrathecal pump dye study

leak point pressure study

M2A capsule study

mapping study

multigated acquisition study

Myoview study

nerve conduction study

nuclear medicine study

overnight oxygen saturation study

peak flow study

perfusion imaging study

pneumogram study

PSG study

radionuclide shunt study

reflux study

right retrograde ureteropyelogram study

sleep study

small bowel study

STA-MCA bypass study

stool study

stress nuclear study

symptom index study

tagged red cell study

tilt-table study

transesophageal echo with bubble study

transthoracic echocardiogram with bubble study

urodynamic study

video swallow study

visual field study

voiding pressure study

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