1. The SDN iPhone App is back and free through November! Get it today and please post a review on the App Store!
    Dismiss Notice
  2. Dismiss Notice

what blood test to order?

Discussion in 'Medical Students - MD' started by Edison, Aug 13, 2006.

  1. Edison

    Edison Junior Member
    5+ Year Member

    Joined:
    Sep 7, 2005
    Messages:
    34
    Likes Received:
    0
    What items should be included in a blood test in order to comprehensively assess the nutritional status of a patient? I can only think of HDL/LDL....
     
  2. Note: SDN Members do not see this ad.

  3. idq1i

    Physician 15+ Year Member

    Joined:
    Apr 5, 2003
    Messages:
    3,690
    Likes Received:
    129
    Status:
    Attending Physician
    LFT (albumin)
    Possibly prealbumin and transthyretin
     
  4. Ezekiel20

    Ezekiel20 Resident
    10+ Year Member

    Joined:
    Aug 18, 2005
    Messages:
    272
    Likes Received:
    2
    Status:
    Resident [Any Field]
    Fe, folate, B12, albumin, CBC (want Hb level, MCV), Ca, PO4 should be good additions to your list.
     
  5. Doc Ivy

    Doc Ivy Miss Understood
    7+ Year Member

    Joined:
    Mar 20, 2003
    Messages:
    839
    Likes Received:
    2
    Status:
    Resident [Any Field]
    You may also want to look at ferritin, and do skin testing to evaluate for anergy (seen in severely malnourished patients). Total protein may help as well. Maybe urine for ketones but that is not as specific.
     
  6. obrn

    obrn Member
    7+ Year Member

    Joined:
    Jun 20, 2006
    Messages:
    50
    Likes Received:
    0
    Status:
    Medical Student
    Complete Metabolic Profile
     
  7. D30417995

    D30417995 Member
    5+ Year Member

    Joined:
    Nov 23, 2005
    Messages:
    197
    Likes Received:
    0
    Status:
    Medical Student
    serum albumin, transferrin, cholesterol, prealbumin, creatinine height index, etc.
     
  8. Nerdoscience

    Nerdoscience Senior Member
    2+ Year Member

    Joined:
    Mar 30, 2006
    Messages:
    372
    Likes Received:
    1
    Status:
    Fellow [Any Field]
    PT/INR, PTT will also give you an idea of liver synthetic function, which is tied to nutritional status. Albumin and pre-albumin are good markers of overall nutritional status, each with a different time scale. Vitamin levels are good, as are an iron panel and a CBC, BCP. The lipid panel won't tell you too much. There are many factor involved in the lipids that have nothing to do with nutrition (exercise, genetics, endocrine status, etc...)

    What exactly is the context?
     
  9. tupac_don

    tupac_don Senior Member
    5+ Year Member

    Joined:
    May 16, 2004
    Messages:
    881
    Likes Received:
    3
    How about Albumin, I never heard of using HDL/LDL clinically to asses nutritional status though.
     
  10. I usually use albumin and prealbumin.
     
  11. debvz

    debvz Wandering Spleen
    7+ Year Member

    Joined:
    Apr 13, 2004
    Messages:
    250
    Likes Received:
    2
    Status:
    Attending Physician
    Wow. Ordering the kitchen sink mentioned above is overkill ("creatinine height index", transthyretin, and skin anergy?!), and would cost a bundle.

    I second the albumin and pre-albumin.

    Metabolic cart may be useful in critical care setting.
     
  12. PharmD2MD

    PharmD2MD Member
    10+ Year Member

    Joined:
    Oct 17, 2005
    Messages:
    184
    Likes Received:
    0
    Status:
    Medical Student

    The metabolic cart doesn't really assess nutritional status. It assesses energy consumption so you can tailor and balance your regimen.
     

Share This Page