Powerpoint Lab Skeletons Cbc Template

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Diverticulitis Microchapters

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Diverticulitis laboratory findings On the Web

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Editor-In-Chief:C. Michael Gibson, M.S., M.D.[1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH[2]

Overview

Cbc

Diagnosis of diverticulitis starts by recording patient history and performing a physical examination. Laboratory tests are important in excluding other causes of abdominal pain and any other gastrointestinal disease. These laboratory tests include complete blood count (CBC), C-reactive protein (CRP), urinalysis, and liver function tests. Imaging studies including CT scan and colonoscopy are also important measures in diagnosing diverticulitis.[1][2]

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Laboratory Findings

The initial diagnostic measures for diverticulitis are taking a proper history, doing a physical exam, and performing laboratory tests. Laboratory tests are initially necessary to exclude other gastrointestinal diseases and confirm diverticulitis. These lab tests include the following:

  • C-reactive protein (CRP) - elevated due to inflammation
  • Complete blood count (CBC)- CBC may show leukocytosis. A normal white blood cell count does not exclude diverticulitis, as most patients suffering from diverticulitis have normal bloodcell counts.
  • Urinalysis: Urinalysis is performed especially in cases complicated by fistula and may show the following findings:[3]
    • Pyuria- In the case of urinary tract infection
    • Hematuria- In the case of nephrolithiasis
  • Liver function tests- Amylase and lipase levels should be checked to exclude other diseases that cause abdominal pain.

References

  1. Rafferty J, Shellito P, Hyman NH, Buie WD, Standards Committee of American Society of Colon and Rectal Surgeons (2006). 'Practice parameters for sigmoid diverticulitis'. Dis Colon Rectum. 49 (7): 939–44. doi:10.1007/s10350-006-0578-2. PMID16741596.<templatestyles src='Module:Citation/CS1/styles.css'></templatestyles>
  2. Käser SA, Fankhauser G, Glauser PM, Toia D, Maurer CA (2010). 'Diagnostic value of inflammation markers in predicting perforation in acute sigmoid diverticulitis'. World J Surg. 34 (11): 2717–22. doi:10.1007/s00268-010-0726-7. PMID20645093.<templatestyles src='Module:Citation/CS1/styles.css'></templatestyles>
  3. HAFNER CD, PONKA JL, BRUSH BE (1962). 'Genitourinary manifestations of diverticulitis of the colon. A study of 500 cases'. JAMA. 179: 76–8. PMID13903556.<templatestyles src='Module:Citation/CS1/styles.css'></templatestyles>

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