9. CLINICAL LABORATORY TESTS USED IN THE EVALUATION OF DISEASE STATES – SIGNIFICANCE AND INTERPRETATION OF TEST RESULTS

Written and reviewed by Dr. Saint Paul | Pharm.D Graduate from JNTUK | Pharmacy Educator and D.Pharmacy Academic Content Creator

CLINICAL LABORATORY TESTS

Introduction:

  • Collection of blood, urine, or tissue samples
  • Analysis using laboratory equipment
  • Interpretation for disease diagnosis

Types of Clinical Laboratory Tests:

  1. Haematological Tests
  2. Liver Function Tests (LFT)
  3. Renal Function Tests (RFT)
  4. Thyroid Function Tests
  5. Cardiac Tests
  6. Pulmonary Function Tests

Haematological Tests:

  • Hemoglobin: Male 14–18 g/dL, Female 12–16 g/dL (↓ Anaemia, ↑ Polycythaemia)
  • RBC Count: Male 4.5–5.5 million/mm³, Female 3.5–5.5 million/mm³
  • Hematocrit: Male 40–50%, Female 37–47%
  • Reticulocyte Count: 0.5–1.5%
  • WBC Count: 6000–10000/mm³
  • ESR: Male ≤15 mm/hr, Female ≤20 mm/hr
  • Platelets: 150–400 × 10⁹/L
  • Blood Sugar: 80–120 mg/dL
  • Prothrombin Time: 12–15 sec

Differential Leukocyte Count:

Cell TypeNormal %Significance
Neutrophils60–70%Bacterial infection
Eosinophils1–4%Allergy, parasites
Lymphocytes20–30%Viral infection

Liver Function Tests (LFT):

  • Bilirubin: 0.3–1.3 mg/dL (↑ Jaundice)
  • Serum Proteins: 6–8 g/dL
  • ALP: 29–92 IU/L
  • SGOT/SGPT: ↑ Liver damage
  • Lipid Profile: Cholesterol <200 mg/dL

Renal Function Tests (RFT):

  • Urine Analysis: Physical and chemical examination
  • BUN: 10–12 mg/dL
  • Creatinine: 1–2 mg/dL
  • Creatinine Clearance: 90–139 mL/min

Thyroid Function Tests:

  • TSH: 0.4–4.0 mU/L
  • T3: 100–200 ng/dL
  • T4: 5–11 µg/dL

Cardiac Tests:

  • Pulse Rate: 70–80/min
  • CPK: 10–120 mcg/L
  • Troponin: Indicates myocardial infarction

Pulmonary Function Tests:

  • Spirometry
  • Lung capacity
  • Vital capacity
  • FEV and FVC

Fluid and Electrolyte Balance:

  • Total body water: 60%
  • Intracellular: 40%
  • Extracellular: 20%

Electrolytes: Maintain fluid balance and support nerve and muscle function.

Disorders:

  • Dehydration: Dry skin, low BP → treated with ORS and IV fluids
  • Fluid Volume Excess: Edema, weight gain → treated with diuretics
  • Water Intoxication: Confusion, seizures → fluid restriction
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