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‫جميع رموز واختصارات التحاليل الطبية‬

‫والنسب الطبيعه والغير طبيعه مع التفسير‬


Amr kamal

Abbreviations Used in
Laboratory Diagnosis
A/G ratio = Albumin Globulin ratio

ACP = Acid Phosphates

AFP = Alpha fetoprotein

ALP = Alkaline phosphates

ALT = Alanine transaminase (SGPT)

ASOT = Antistreptolysin – O-titre

AST = Aspartate transaminase (SGOT)

BSC = Blood Sugar Curve

BT = Bleeding Time

BUN = Blood Urea Nitrogen


Ca = Calcium
CBC = Complete Blood Count

CBP = Complete Blood Picture

CEA = Carcinombryronic antigen

Cl = Chloride

CK-MB = CK – isoenzyme

CO2 = Carbon Dioxide

CPK = Creatine Phosphokinase

CRP = C - reactive protein

CT = Clotting Time

CUA = Complete Urine Analysis

DLC = Differential Leukocyte Count

ELIZA = Enzyme Linked Immunosorbent Assay

ESR = Erythrocyte Sedimentation Rate

FBS = Fasting Blood Sugar

Fe = Ferrous (iron)

FSH = Follicular Stimulating Hormones

G-6-PD = Glucose – 6- Phosphate Dehydrgenase


GGT = Gamma glutamyl Transferase

HAVAb = Hepatitis A- antibodies

HAV = Hepatitis A Virus

HB% = Hemoglobin percent

HBs Ag = Hepatitis B surface antigen

HbA1c = Glycosylated Hemoglobin

HCT = Hematocrit

HCV Ab = Hepatitis C Virus antibodies

HDLc = High Density Lipoprotein Cholesterol

HGH = Human Growth Hormone

HIV = AIDS virus (Human Immunodeficient Virus)

LDH = Lactate Dehydrogenase

LDL = Low Density Lipoproteins

LH = Luteinizing Hormone

MCH = Mean Corpuscular Hemoglobin

MCV = Mean Corpuscular Volume

MCHC = Mean Corpuscular Hemoglobin conc.


Na = Sodium

OGTT = Oral Glucose Tolerance Test

PSA = Prostate Specific Antigen

RBC = Red Blood Cell count

T3 = Tri iodothyronine

T4 = Thyroxin

TG = Triglycerides

TSH = Thyroid Stimulating Hormone

WBC = White Blood Cell Count


Common Lab Values
Hematology Values
HEMATOCRIT (HCT)
Normal Adult Female Range: 37 - 47%
Optimal Adult Female Reading: 42%
Normal Adult Male Range 40 - 54%
Optimal Adult Male Reading: 47%
Normal Newborn Range: 50 - 62%
Optimal Newborn Reading: 56%

HEMOGLOBIN (HGB)
Normal Adult Female Range: 12 - 16 g/dl
Optimal Adult Female Reading: 14 g/dl
Normal Adult Male Range: 14 - 18 g/dl
Optimal Adult Male Reading: 16 g/dl
Normal Newborn Range: 14 - 20 g/dl
Optimal Newborn Reading 17 g/dl
MCH (Mean Corpuscular Hemoglobin)
Normal Adult Range: 27 - 33 pg
Optimal Adult Reading: 30

MCV (Mean Corpuscular Volume)

Normal Adult Range: 80 - 100 fl


Optimal Adult Reading: 90
Higher ranges are found in newborns and infants

MCHC (Mean Corpuscular Hemoglobin


Concentration)
Normal Adult Range: 32 - 36 %
Optimal Adult Reading: 34
Higher ranges are found in newborns and infants

R.B.C. (Red Blood Cell Count)


Normal Adult Female Range: 3.9 - 5.2 mill/mcl
Optimal Adult Female Reading: 4.55
Normal Adult Male Range: 4.2 - 5.6 mill/mcl
Optimal Adult Male Reading: 4.9
Lower ranges are found in Children, newborns and infants

W.B.C. (White Blood Cell Count)


Normal Adult Range: 3.8 - 10.8 thous/mcl
Optimal Adult Reading: 7.3
Higher ranges are found in children, newborns and infants.

PLATELET COUNT
Normal Adult Range: 130 - 400 thous/mcl
Optimal Adult Reading: 265
Higher ranges are found in children, newborns and infants

NEUTROPHILS and NEUTROPHIL COUNT


- This is the main defender of the body against infection
and antigens. High levels may indicate an active infection.

Normal Adult Range: 48 - 73 %


Optimal Adult Reading: 60.5
Normal Children’s Range: 30 - 60 %
Optimal Children’s Reading: 45
LYMPHOCYTES and LYMPHOCYTE COUNT

- Elevated levels may indicate active viral infections such


as measles, rubella, chickenpox, or infectious
mononucleosis.

Normal Adult Range: 18 - 48 %


Optimal Adult Reading: 33
Normal Children’s Range: 25 - 50 %
Optimal Children’s Reading: 37.5

MONOCYTES and MONOCYTE COUNT

- Elevated levels are seen in tissue breakdown or chronic


infections, carcinomas, leukemia (monocytic) or
lymphomas.

Normal Adult Range: 0 - 9 %


Optimal Adult Reading: 4.5

EOSINOPHILS and EOSINOPHIL COUNT –


Elevated levels may indicate an allergic reactions or
parasites.

Normal Adult Range: 0-5%


Optimal Adult Reading: 2.5
BASOPHILS and BASOPHIL COUNT
Basophilic activity is not fully understood but it is
known to carry histamine, heparin and serotonin. High
levels are found in allergic reactions.
Normal Adult Range: 0 - 2 %
Optimal Adult Reading: 1

Electrolyte Values
SODIUM
- Sodium is the most abundant Cation in the blood and its
chief base. It functions in the body to maintain osmotic
pressure, acid-base balance and to transmit nerve
impulses. Very Low value: seizure and Neurologic Sx.

Normal Adult Range: 135-146 mEq/L


Optimal Adult Reading: 140.5

POTASSIUM
- Potassium is the major intracellular Cation. Very low
value: Cardiac arrhythmia.

Normal Range: 3.5 - 5.5 mEq/L


Optimal Adult Reading: 4.5

CHLORIDE
- Elevated levels are related to acidosis as wells too much
water crossing the cell membrane

Decreased levels with decreased serum albumin may


indicate water deficiency crossing the cell membrane
(edema). - Diabetes

Normal Adult Range: 95-112 mEq/L

Optimal Adult Reading: 103 mEq/L

Discussion
Chloride contributes to the body’s acid/base balance.
Along with Sodium, Potassium and Carbon Dioxide, it is
important in evaluating acid/base relationships, state of
hydration, adrenal and renal functions. Its level varies
inversely with Carbon Dioxide. Chloride elevation indicates
acidosis, decrease indicate alkalosis.

CO2 (Carbon Dioxide)


- The CO2 level is related tothe respiratory exchange of
carbon dioxide in the lungs and is part of the bodies
buffering system. Generally when used with the other
electrolytes, it is a good indicator of acidosis and alkalinity.

Normal Adult Range: 22-32 mEq/L


Optimal Adult Reading: 27
Normal Children's Range - 20 - 28 mEq/L
Optimal Children's Reading: 24

CALCIUM
- involved in bone metabolism, protein absorption, fat
transfer muscular contraction, transmission of nerve
impulses, blood clotting and cardiac function. Regulated by
parathyroid.
Normal Adult Range: 8.5-10.3 mEq/dl
Optimal Adult Reading: 9.4

Discussion

Serum calcium is not at all reflective of total body stores of


calcium but rather reflects the metabolic and hormonal
state of the individual. Ionic or free calcium is not only the
biologically active form of calcium but reflects the amount
of albumin and the blood pH.

Serum calcium can not be properly interpreted without


serum albumin level. Use the formula Adjusted Calcium =
Serum calcium - serum albumin + 4. By far the most
common causes of hypocalcaemia are primary
hyperparathyroidism, malignancy, and drug-induced. A
PTH, calcium, albumin and phosphorus level drawn
simultaneously helps classify the etiology into main
groups. Watch for signs of calcium deposition and kidney
stones

MAGNESIUM
Optimal Range: 2-3 mg/DL

Discussion
The serum magnesium is not reflective of total magnesium
stores. Unfortunately there is not a good test for
magnesium, but a red cell Mg level is preferable to serum
magnesium. Approximately 2/3 to ¾ of magnesium in blood
is not attached to protein.
PHOSPHORUS
- Generally inverse with Calcium.

Normal Adult Range: 2.5 - 4.5 mEq/dl


Optimal Adult Reading: 3.5
Normal Children's Range: 3 - 6 mEq/dl
Optimal Children's Range: 4.5

ANION GAP
(Sodium + Potassium - CO2 + Chloride) - An increased
measurement is associated with metabolic acidosis due to
the overproduction of acids (a state of alkalinity is in
effect). Decreased levels may indicate metabolic alkalosis
due to the overproduction of alkaloids (a state of acidosis
is in effect).

Normal Adult Range: 4 - 14 (calculated)


Optimal Adult Reading: 9

CALCIUM / PHOSPHORUS Ratio


Normal Adult Range: 2.3 - 3.3 (calculated)
Optimal Adult Reading: 2.8
Normal Children’s range: 1.3 - 3.3 (calculated)
Optimal Children’s Reading: 2.3

SODIUM / POTASSIUM
Normal Adult Range: 26 - 38 (calculated)
Optimal Adult Reading: 32
hepatic enzymes
AST (Serum Glutamic- Oxalocetic
Transaminase - SGOT
) Found primarily in the liver, heart, kidney, pancreas, and
muscles. Seen in tissue damage, especially heart and live
Normal Adult Range: 0 - 42 U/L
Optimal Adult Reading: 21

ALT (Serum Glutamic-Pyruvic Transaminase -


SGPT)
- Decreased SGPT in combination with increased
cholesterol levels is seen in cases of a congested liver. We
also see increased levels in mononucleosis, alcoholism,
liver damage, kidney infection, chemical pollutants or
myocardial infarction
Normal Adult Range: 0 - 48 U/L
Optimal Adult Reading: 24

ALKALINE PHOSPHATASE
- Used extensively as a tumor marker it is also present in
bone injury, pregnancy, or skeletal growth (elevated
readings. Low levels are sometimes found in hypoadrenia,
protein deficiency, malnutrition and a number of vitamin
deficiencies
Normal Adult Range: 20 - 125 U/L
Optimal Adult Reading: 72.5
Normal Children's Range: 40 - 400 U/L
Optimal Children's Reading: 220

GGT (Gamma-Glutamyl Transpeptidase)


- Elevatedlevels may be found in liver disease, alcoholism,
bile-duct obstruction, cholangitis, drug abuse, and in some
cases excessive magnesium ingestion. Decreased levels
can be found in hypothyroidism, hypothalamic malfunction
and low levels of magnesium.
Normal Adult Female Range: 0 - 45 U/L
Optimal Female Reading: 22.5
Normal Adult Male Range: 0 - 65 U/L
Optimal Male Reading: 32.5

LDH (Lactic Acid Dehydrogenase)


- Increases are usuallyfound in cellular death and/or
leakage fromthe cell or in some cases it can be useful in
confirming myocardial or pulmonary infarction (only in
relation to other tests). Decreased levelsof the enzyme
maybe seen in cases of malnutrition, hypoglycemia,
adrenal exhaustion or low tissue or organ activity.
Normal Adult Range: 0 - 250 U/L
Optimal Adult Reading: 125

TOTAL BILIRUBIN

- Elevated in liver disease, mononucleosis, hemolytic


anemia, low levels of exposure to the sun, and toxic effects
to some drugs, decreased levels are seen in people with an
inefficient liver, excessive fat digestion, and possibly a diet
low in nitrogen bearing foods
Normal Adult Range 0 - 1.3 mg/dl

Optimal Adult Reading: .65

Renal Related:-
B.U.N. (Blood Urea Nitrogen
) - Increases can be caused by excessive protein intake,
kidney damage, certain drugs, low fluid intake, intestinal
bleeding, exercise or heart failure. Decreased levels may be
due to a poor diet, malab % sorption, liver damage or low
nitrogen intake.
Normal Adult Range: 7 - 25 mg/dl
Optimal Adult Reading: 16 mg/DL

CREATININE
- Low levels are sometimes seen in kidney damage, protein
starvation, liver disease or pregnancy. Elevated levels are
sometimes seen in kidney disease due to the kidneys job of
excreting creatinine, muscle degeneration, and some drugs
involved in impairment of kidney function,

Congestive heart failure

Normal Adult Range: 0 .7 - 1.4 mg/dl


Optimal Adult Reading: 1.05

Discussion

Creatinine is formed in muscles from creatine, which is


formed in the liver. It is a substance that in health is easily
excreted by the kidney. Because all Creatinine filtered by
the kidneys is excreted into the urine, its levels at any given
time interval are ***************

alent to the Glomerular Filtration Rate (GFR).

URIC ACID
- High levels are noted in gout, infections, kidney disease,
alcoholism, high protein diets, and with toxemia in
pregnancy. Low levels may be indicative of kidney disease,
malabsorption, poor diet, liver damage or an overly acid
kidney.
Normal Adult Female Range: 2.5 - 7.5 mg/dl

Optimal Adult Female Reading: 5.0


Normal Adult Male Range: 3.5 - 7.5 mg/dl
Optimal Adult Male Reading:5.5

BUN/CREATININE
- This calculation is a good measurement of kidney and
liver function.
Normal Adult Range: 6 -25 (calculated)

Optimal Adult Reading: 15.5

Protein:-
TOTAL PROTEIN
- Decreased levels may be due to poor nutrition, liver
disease, malabsorption, diarrhea, or severe burns.
Increased levels are seen in lupus, liver disease, chronic
infections, alcoholism, leukemia, tuberculosis amongst
many others.
Normal Adult Range: 6.0 -8.5 g/dl
Optimal Adult Reading: 7.25

ALBUMIN
- major constituent of serum protein (usually over 50%).
High levels are seen in liver disease (rarely) , shock,
dehydration, or multiple myeloma. Lower levels are seen in
poor diets, diarrhea, fever, infection, liver disease,
inadequate iron intake, third-degree burns and edemas or
hypocalcaemia
Normal Adult Range: 3.2 - 5.0 g/dl
Optimal Adult Reading: 4.1

GLOBULIN
- Globulins have many diverse functions such as, the
carrier of some hormones, lipids, metals, and antibodies
(IgA, IgG, IgM, and IgE). Elevated levels are seen with
chronic infections, liver disease, rheumatoid arthritis,
myelomas, and lupus are present, . Lower levels in immune
compromised patients, poor dietary habits, malabsorption
and liver or kidney disease.
Normal Adult Range: 2.2 - 4.2 g/dl (calculated)
Optimal Adult Reading: 3.2

A/G RATIO (Albumin/Globulin Ratio)


Normal Adult Range: 0.8 - 2.0 (calculated)
Optimal Adult Reading: 1.9
Lipids:-
CHOLESTEROL
- High density lipoproteins (HDL) is desired as opposed to
the low density lipoproteins (LDL), two types of cholesterol.
Elevated cholesterol has been seen in arthrosclerosis,
diabetes, hypothyroidism, pancreatic dysfunction and
pregnancy. Low levels are seen in depression, malnutrition,
liver insufficiency, malignancies, anemia, Hyperthyroidism
and infection.

Normal Adult Range: 120 - 240 mg/dl


Optimal Range: 185-200 mg/dl

Discussion

Cholesterol is an important part of our diet. It is essential to


the proper function and structure of cell membranes. Bile
acids are derived from cholesterol. The liver, adrenals, sex
glands, intestines, and even the placenta, manufacture
cholesterol. Cholesterol is best used as an indicator of
other metabolic dysfunction. Should not be considered a
disease by itself unless extreme, which indicates familial
cause. Check triglycerides and HDL/LDL. Cholesterol is
increased with endocrine hypo function. Low levels are not
necessarily desirable as it is associated with increased
incidence of malignancy and mental illness

LDL (Low Density Lipoprotein)


- studies correlate the association between high levels of
LDL and arterial arthrosclerosis
Normal Adult Range: 62 - 130 mg/dl
Optimal Adult Reading: 81 mg/dl

HDL (High Density Lipoprotein)


- A high level of HDL is an indication of a healthy metabolic
system if there is no sign of liver disease or intoxication.
Normal Adult Range: 35 - 135 mg/dl
Optimal Adult Reading: +85 mg/dl

Discussion

HDL is comprised of phospholipids and one or two


apolipoproteins. It plays a role in the metabolism of other
lipoproteins and in the transport of cholesterol to the liver.
The HDL is a class of lipoproteins produced by the liver
and intestines.A combination of increased triglyceride,
cholesterol, and LDL with reduced HDL is indicative of
atherogenic tendencies. A diet high in sugar may decrease
HDL while increasing total serum cholesterol

TRIGLYCERIDES
- Increased levels may be present in atherosclerosis,
hypothyroidism, liver disease, pancreatitis, myocardial
infarction, metabolic disorders, toxemia, and nephrotic
syndrome. Decreased levels may be present in chronic
obstructive pulmonary disease, brain infarction,
hyperthyroidism, malnutrition, and malabsorption.
Normal Adult Range: 0 - 200 mg/dl
Optimal Adult Reading: 100

CHOLESTEROL / LDL RATIO


Normal Adult Range: 1 - 6
Optimal Adult Reading: 3.5

Thyroid:-
THYROXINE (T4)-
Increased levels are found in hyperthyroidism, acute
thyroiditis, and hepatitis. Low levels can be found in
Cretinism, hypothyroidism, cirrhosis, malnutrition, and
chronic thyroiditis.
Normal Adult Range: 4 - 12 ng/dl
Optimal Adult Reading: 8 ng/dl

Free THYROXINE (T4)-


A low level may indicate a diseased thyroid gland or may
indicate a non-functioning pituitary gland which is not
stimulating the thyroid to produce T4 . If T4 is low and TSH
is normal , that is more likely to indicate a problem with the
pituitary .
Normal Adult Range: 8-2 ng/dl

Free Triiodothyronine (T3)


- Sometimes the diseased thyroid gland will start producing
very high levels of T3 but still produce normal level of T4.
Therefore measurement of both hormones provides an
even more accurate evaluation of thyroid function.
Normal Adult Range1.4-4.4 pg/ml
THYROID-STIMULATING HORMONE (TSH)
produced by the anterior pituitary gland, causes the -
release and distribution of stored thyroid hormones.
When T4 and T3 are too high, TSH secretion decreases,
when T4 and T3 are low, TSHsecretion increases. Mid–
rangenormal in most labs is about 1.7. A high level of
TSH combined with a low or normal T4 level generally
indicates hypothyroidism, which can have an effect on
fertility.
Normal Adult Range: .0.4-4.0 mlU/l

Cardiac:-
Creatine phosphokinase (CK)
- Levels rise 4 to 8 hours after an acute MI, peaking at 16 to
30 hours and returning to baseline within 4 days
25-200 U/L
32-150 U/L

CK-MB CK isoenzyme
- It begins to increase 6 to 10 hours after an acute MI, peaks
in 24 hours, and remains elevated for up to 72 hours.
< 12 IU/L if total CK is <400 IU/L
<3.5% of total CK if total CK is >400 IU/L

LDH) Lactate dehydrogenase


- Total (LDH) will begin to rise 2 to 5 days after an MI; the
elevation can last 10 days.
140-280 U/L
SGOT

will begin to rise in 8-12 hours and peak in 18-30 hours -


10-42 U/L

GLUCOSE -

Optimal Range: 85-100 mg/DL


Causes of Increased
· Diabetes mellitus and insulin resistance syndromes
· Thiamine (B<sub>1) insufficiency
· Stress
· Acute and chronic pancreatitis
· Drugs (anabolic and glucocorticoids, epinephrine, ,
diuretics,)

Causes of Decreased
Excess insulin (insulinoma, over dosage)
Impaired glucose tolerance (post-prandial)
Late/large malignancies
Endocrine hypo function (thyroid, adrenal cortex, anterior
pituitary)
Protein malnutrition
Sometimes in pregnancy
Liver dysfunction
After gastric surgeries (altered gastric emptying)

By.AmrKamal
IRON

Optimal Range: 75-150 mg/ml

Causes of Increased
Ineffective erythropoiesis (thalassemias, sideroblastic)
Intra-vascular hemolysis
Liver disease (alcohol, portocaval shunts)
Excessive iron intake
Causes of Decreased
Iron deficiency (low ferritin level; nutritional, blood loss, ,
small bowel disease, increased demand)
Chronic disease (liver dysfunction, renal dysfunction, etc.)
Discussion

Iron is known for its relationship to hemoglobin, which


transports oxygen. Confirm true iron deficiency before
supplementing iron. Never give Iron to someone who has
an inflamed liver because this can be toxic. With B<sub>12
or Iron deficiencies, give special consideration to increased
occurrence in the elderly. The most important test for iron
is the serum ferritin.

By.AmrKamal

Normal Laboratory Values in


Pregnancy

Alanine Aminotransferase (ALT or SGPT


10-60 units/L
Increases in HELLP syndrome
Albumin
3.6g/dL-5.2g/dL
Decreases in pregnancy due to hem dilution. Plasma
oncotic pressure decreases as well.

Alkaline Phosphates
42-98 units/L
Levels increase in pregnancy 11-128 units/L
(peaking in the 3<sup>rd trimester. Further increases may
be seen when there is liver impairment.

Amylase
1) Serum amylase rises gradually during pregnancy until
the twenty-fifth week and thereafter falls slightly
(2) Serum amylase values in normal pregnant women in the
second and third trimesters may exceed those seen in
normal men and nonpregnant women
(3) During the second trimester of pregnancy there may be
an alteration in the relative distribution of the pancreatic
and salivary-type isoamylases with the salivary type
tending to dominate. Knowledge of these changes is of
importance in the clinical assessment of serum amylase
values in pregnant women complaining of abdominal pain
and other symptoms suggestive of acute pancreatitis

Arterial Blood Gases


Non-pregnant Pregnant
PO<sub>2 85-100mmHg 104-108mmHg

PCO<sub>2 35-45mmHg 27-32mmHg


Ph 7.35-7.45 7.35 -7.45
SaO<sub>2 95-99% 95-99%
HCO<sub>3 22-28mEq/L 18-25mEq/L.
Please note the decrease in HCO3 values due to renal
excretion of bicarbonate (compensatory metabolic
acidosis)

Aspartate Aminotransferase (AST or SGOT)


10-42 units/L
Increases in acute fatty liver of pregnancy, HELLP
syndrome and preeclampsia

Bleeding Time
2-7 minutes
>11 minutes are of concern

Blood Urea Nitrogen (BUN)


8-20mg/dL
Decreases in pregnancy

BUN levels are normally lower especially towards the end


of pregnancy when the fetus is using large amounts of
protein.

Calcium (Ca)
Serum 8.4-10.2mg/dL

Serum Ionized 4.0-4.8mg/dL


Total calcium level decreases because of hemodilution.
However, ionized Ca remains the same due to decrease in
serum albumin.

Complete Blood Count (CBC)


Hgb 12-16g/dL. Pregnancy decreases Hgb by 1.5-2 g.dL
Hct 37-47%. (4-6% decrease in pregnancy)
RBC 4.2-5.4 x 10<sup>6/ul. Pregnancy decreases by 0.8 x
10<sup>6/ul
MCV 81-99 um<sup>3 (81-99fl)
MCH 27-31 pg (27-31pg)
MCHC 33-37 g/dl (330-370 g/L)
WBC 4.8-10.8 X 10<sup>3/ul (4.8-10.8 X 10<sup>9/L); 5-12K
in pregnancy and 14-16K during labor.

Differential
Segs 53-79%; Bands 1-10 %;Eos 0-4%;Lymphs 13-
46%;Monos 3-9%;Basos 0-1%

Serum Cortisol
5-25ug/dl (138-690 nmol/L) in the morning and 3-13ug/dl
(83-359 nmol/L in the evening.

Creatinine (serum)
0.6-1.2 mg/dl
Pregnancy 0.4-0.8 mg/dl.
Creatinine > 1 mg/dL signifies renal dysfunction in
pregnancy

Serum electrolytes
Chloride 98-109 mEq/L
Sodium 137-145mEq/L
Potassium 3.5- 5.0 mEq/L
Bicarbonate 18-21 mmol/L
Potassium decreases 0.1-0.2mEq/L and Sodium decreases
2-3 mEq/L

Coagulation Factors
I Fibrinogen Changes in pregnancy 4.0-6.5 g/l
II Prothrombin Changes in pregnancy 100-125%

IV Ca.++ - No change
V Proaccelerin -.changes in pregnancy100-150%
VII Proconvertin-Changes in pregnancy 150-250%

VIII Antihemophilic Changes in pregnancy200-500%

IX Antihemophilic B (Christmas factor) changes in


pregnancy 100-150%
X Stuart- Prower Factor Changes in pregnancy 150-250%
XI Antihemophilic Factor C Changes in pregnancy 50-100%
XII Hageman Factor Changes in pregnancy 100-200%
XIII Fibrin Stabilizing Factor Changes in pregnancy 35-75%
Antithrombin III Changes in pregnancy 75-100%
Antifactor Xa Changes in pregnancy 75-100%
Factors XI and XIII decrease in pregnancy. All other factors
increase or remain the same.

Erythrocyte Sedimentation Rate (ESR)


<20mm/h. Increases in pregnancy
Fibrin Degradation Products
<10ug/ml. High levels with abruption, fetal demise, and
disseminated intravascular coagulations.

Glycohemoglobin
Hgb A1C 3.6- 4.9%; Hgb A1 5.1-7.8%

Iron
Iron 50-132ug/dl;
Iron binding capacity
265-411ug/dl
Iron saturation
20-55%;
Transferrin
200-400mg/dl

Lipase
4-24u/dl

Magnesium
(You must know what units your laboratory are using,
mg/dL, mEq/l or mmol/L)

Note: 2.7 mg/dL=2 mEq/L=1 mmol/L


1.8-3.0mg/dl 10mEq/l=1.22mg/dl
Slight decrease in pregnancy (10%)
Therapeutic level 4-7mg/dl
Loss of patellar reflex 8-12mg/dl
Feeling of warmth, flushing 9-12mg/dl
Somnolence 10-12mg/dl
Slurred speech 10-12mg/dl
Muscular paralysis 15-17mg/dl
Respiratory difficulty 15-17mg/dl
Cardiac arrest 30-35mg/dl

Parathyroid Hormone (PTH) and Markers of bone


turnover
8-65pg/ml
In one study, morning blood and urine samples were
obtained for laboratory tests: within 3 months before
conception (baseline); between 22 and 24 gestational
weeks; after delivery, and 6 and 12 months postpartum.
Serum 25-hydroxyvitamin D (25-OH-D), parathyroid
hormone, bone specific alkaline phosphates, osteocalcin
(OC), procollagen I carboxypeptides, calcium, phosphate
and creatinine in addition to urine deoxypyridinoline
crosslinks and calcium were measured. There was no
significant difference in the values of urinary calcium /
creatinine and serum calcium, phosphate and 25-OH-D
between the different visits during the study.

Phosphorus
2.5-5.0mg/dl
Plasma levels of inorganic phosphorus do not change
appreciably from nonpregnant levels.

Platelet Count
135,000-150,000/mm
Mild Gestational Thrombocytopenia Plt. Count 100,000-
149,000/mm
Moderate Gestational Thrombocytopenia Plt. Count 50,000-
99,000/mm
Profound Gestational Thrombocytopenia Plt. Count <50,000

Prothrombin Time (PT)


10.6-12.9 Sec. No significant change in pregnancy

Thrombin Time
Normal within 5 sec. of control

Thyroid Functions
Tyroxine (T4)5.0 12.6ug/dl
Free Thyroxine(FreeT4)1.6-2.4ng/dl;
Triiodothyronine (FreeT3) 125-300pg/dl;
Thyroid Stimulating Hormone (TSH) 0.5-3.8 uU/ml
Venous blood was tested for human chronic gonadotropin
(hCG), thyroid-stimulating hormone (TSH), free thyroxin
(FT4) and total triiodothyronine (TT3). Early pregnancy
thyroid function tests showed a significant decrease (p <
0.001) in TSH and a significant increase (p < 0.001) in TT3
as compared to the nonpregnant state; FT4, however, did
not change significantly. In 8 (11.2%) pregnant subjects,
TT3 levels were above the normal range for nonpregnant
controls. Elevated thyroid function in early pregnancy is
transient, and does not usually warrant antithyroid
treatment. Thus, any conclusion regarding thyroid function
in early pregnancy should be based on pregnant controls
rather than general population controls.

Uric Acid

Adult females: 2.0 - 6.5 mg/dl; in early pregnancy uric acid


levels fall by about one-
third but rise to non-pregnant levels by term

By.AmrKamal
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