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Lab and ICD 10

MEDOP 230- Endocrinology: Laboratory tests and diagnostics

Type of testTermDefintionNote
Blood Antithyroglobulin antibodies tests Test that detects antibodies against thyroglobulin, a precursor to T3 and T4 a positive result indicates the patient has Hashimoto thyroiditis or Graves disease.
Blood Calcium test Test that measures the level of calcium in the blood can reveal whether the parathyroid gland is secreting a normal amount of parathyroid hormone.
Blood Cortisol level test Test that measures the amount of cortisol in the blood to determine if the adrenal cortex is working also indirectly determines whether the anterior pituitary gland is secreting ACTH to stimulate the adrenal cortex.
Blood Fasting blood sugar (FBS) Test that measures the blood glucose level after a patient has fasted for at least 12 hours. • Results indicate whether the pancreas is secreting a normal amount of insulin. • Also called a fasting blood glucose (FBG). • Is the initial screening test for diabetes mellitus.
Blood FSH assay and LH assay Test that measures levels of follicle-stimulating hormone and luteinizing hormone. • Results indicate whether the anterior pituitary gland is secreting normal amounts of these hormones. • Included in male and female infertility workups.
Blood Glucose self- testing Procedure in which patients measure their own blood glucose level one or more times each day to ensure it is maintained within normal range.
Blood Glucose tolerance test (GTT) Test in which a blood specimen is drawn after the patient fasts for 12 hours, then once every hour for 4 hours after the patient consumes a glucose drink. • Usually, blood glucose is elevated at first but returns to a normal level in 1 to 2 hours. • A continuing elevated blood glucose indicates diabetes mellitus.
Blood Growth hormone test Test that measures the level of growth hormone in the blood to determine whether the anterior pituitary gland is secreting a normal amount.
Blood Hemoglobin A1c test Test that measures the A1c fraction of hemoglobin in a diabetic patient’s red blood cells higher levels indicate poor blood glucose control during the past several months.
Blood Testosterone test Test that measures levels of total testosterone and free testosterone in a man’s blood to determine if the testes are secreting a normal amount. • Also indirectly determines if the anterior pituitary gland is secreting enough luteinizing hormone. • Done as part of an infertility workup.
Blood Thyroid function tests (TFTs) Test that measures blood levels of T3, T4, and TSH. • T3 and T4 levels -->if thyroid is functioning correctly. • TSH level --> if anterior pituitary gland is functioning correctly. • Values from these tests can be used to calculate the patient’s free thyroxine index (FTI or T7).
Urine ADH stimulation test Test that measures urine concentration to determine if the posterior pituitary gland is secreting a normal amount of antidiuretic hormone (ADH). • Patient provides a urine specimen after not drinking for 12 hours, then receives ADH and water and provides a second urine specimen. • If the patient has diabetes insipidus, the second specimen will be more concentrated.
Urine Estradiol test Test that measures the level of estradiol in a woman’s urine to determine if the ovaries are secreting normal amounts of this hormone. • Also indirectly evaluates whether the anterior pituitary gland is secreting adequate FSH. • Done as part of an infertility workup.
Urine Urine dipstick test Test that measures glucose, ketones, and other substances in the urine used to evaluate patients with diabetes.
Urine Vanillylmandelic acid (VMA) test Test that measures levels of VMA, a byproduct of epinephrine and norepinephrine. • Requires a 24-hour urine sample. • Results help reveal whether the adrenal medulla is functioning correctly.
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