This document outlines critical values for various clinical chemistry, hematology, and microscopy tests that should be referred to a pathologist. For clinical chemistry, it lists analytes like calcium, glucose, potassium, and their low and high critical values. For hematology, it provides critical values for hematocrit, hemoglobin, platelet count, WBC count, and coagulation tests. It concludes with critical values for urinalysis and cerebrospinal fluid tests. Physicians should refer any patient results falling outside of or meeting the critical values to a pathologist for further analysis and potential treatment.
This document outlines critical values for various clinical chemistry, hematology, and microscopy tests that should be referred to a pathologist. For clinical chemistry, it lists analytes like calcium, glucose, potassium, and their low and high critical values. For hematology, it provides critical values for hematocrit, hemoglobin, platelet count, WBC count, and coagulation tests. It concludes with critical values for urinalysis and cerebrospinal fluid tests. Physicians should refer any patient results falling outside of or meeting the critical values to a pathologist for further analysis and potential treatment.
This document outlines critical values for various clinical chemistry, hematology, and microscopy tests that should be referred to a pathologist. For clinical chemistry, it lists analytes like calcium, glucose, potassium, and their low and high critical values. For hematology, it provides critical values for hematocrit, hemoglobin, platelet count, WBC count, and coagulation tests. It concludes with critical values for urinalysis and cerebrospinal fluid tests. Physicians should refer any patient results falling outside of or meeting the critical values to a pathologist for further analysis and potential treatment.
*NOTE: PLEASE REFER TO THE PATHOLOGIST WHEN THE FOLLOWING RESULTS ARE OBTAINED.
Hematology Low High 1. Hematocrit <20 vol% <60 vol% 2. Hemoglobin <7 gm/dL >20 gm/dL 3. Platelet Count (Adult) <40,000/cu mm >1,000,000/cu mm 4. Platelet Count (pedia) <20,000/cu mm >1,000,000/cu mm 5. WBC <2,000/cu mm >30,000/cu mm 6. Presence of blast and sickle cells 7. New diagnosis of leukemia, sickle cell anemia, aplastic crises 8. Prothrombin time -- INR: >5.0 sec * 9. Partial thromboplastin time -- INR: >120 sec* 10. Peripheral blood smears with atypical lymphocytes and/or plasma cells.
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Critical Values in Clinical Microscopy
*NOTE: PLEASE REFER TO THE PATHOLOGIST WHEN THE FOLLOWING RESULTS ARE OBTAINED.
Urinalysis 1. Strongly positive test for ketone 2. Presence of reducing sugars in infants 3. Presence of pathological crystals (cysteine, leucine, tyrosine)
CSF Low High 1. Glucose < 80% of blood level -- 2. Protein, total None >45 mg/dL 3. Positive GS or AFB stain, culture or India ink preparation\ 4. WBC in CSF None >10/ cu mm 5. Presence of malignant cells or blasts in any other body fluid.