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Diagnostic Testing

Also remember to review the proper procedure for preparing and handling specimens and receiving and recording test results

AB
4 reasons to perform diagnostic testingsource of info for diagnosis, tool for disease screening, for early detection of conditions, baseline for patients undergoing treatment or surgery
homeostasisnormal state of balance or equilibrium in the body
reference rangerange of values normally expected for a particular test
abnormalresults that are above or below the reference range
test profilestests that are commonly ordered in groups
Private labfreestanding lab or one located in a clinic; run by a private company by regulated by the government
Public Health LabLab operated by the government; provides analysis of samples for diseases of concern, such as HIV, hepatitis, SARS, West Nile, etc
Facilities in a Hospitalhematology, immunohematology, chemistry, microbiology, histology, pathology, cytology, X-ray, CT Scan, MRI, etc
Medical Laboratory TechnologistAllied health professional who can supervise and carry out all clinical laboratory testing
Medical Laboratory TechnicianAllied health professional who can perform basic clinical testing under supervision
phlebotomistprofessional who can collect hematological specimens, prepare and maintain equipment; usually a technologist or other professional with phlebotomy as an add-on skill
physicians in laboratory fieldshematologist, pathologist, cytologist, radiologist
hematologystudy of blood; processing and evaluation of blood and blood components; mainly concerned with testing the cellular components
Biochemistry TestingTests performed on urine, blood plasma (serum), and other body fluids
SerumBlood plasma with all cellular components removed; obtained by centrifuging whole blood
NPONothing by mouth - no food or drink
urinalysistesting of urine
Timed (24-hour) Urine CollectionCollection of all urine produced in 24-hours; used to see daily cumulative elements in the urine, such as protein and hormone levels
Random Urine Collectionurine specimen obtained anytime; used for primary screening
Early (1st) Morning Specimenurine specimen taken from the first void of the morning; used because volume and composition are more uniform and pH is lower so formed elements are preserved
Microbiologystudy of body fluids and tissues for infectious organisms
CCMSUClean Catch Midstream Urine specimen; urethral meatus is cleansed before obtaining a midstream specimen
diagnostic imagingany visual display of structural or functional patterns of organs or tissues for evaluation
radiographyprocess of recording an image using X-rays
Radiopaquedense substances that do not allow x-rays to pass through; create a white area on x-ray film; ex bones, dense muscle
radiolucentmaterials that allow x-rays to pass through; create a black area on x-ray film; ex air, gasses, soft tissue
contrast mediumchemical or substance that is radiopaque and can fill a hollow organ so it can be seen on an x-ray
fluoroscopyspecial x-ray technique that allows viewing of images in real time; often used to guide a procedure
Upper GI seriesbarium swallow; fluoroscopic examination of the esophagus, stomach and duodenum using oral administration of barium sulfate as a contrast medium
Lower GI SeriesBarium enema; fluoroscopic examination of the colon, employing rectal administration of barium sulphate as a contrast medium
ultrasonographyusing sound waves to produce images of soft tissues; can visualize in real time
CT ScanComputed Tomography; using a computer along with an x-ray machine to produce cross-sectional images of the body
MRIMagnetic Resonance Imagining; use of a powerful magnetic field and radiofrequency pulses to image various systems; useful for soft tissues; some types are unavailable for patients who are claustrophobic or have metal in their body
mammographyx-ray imaging of the breast using low-dose radiation
Bone densitometry (DEXA)dual-source radiographic examination performed on the hip and spine; used to diagnose osteoporosis
Endoscopyvisual examination of the inside of the body using a camera attached to a flexible tube
APAnteroposterior; x-rays passing from the front to the back
PAPosteroanterior; x-rays passing from the back to the front
RLRight lateral
LLLeft lateral
Obliquex-rays passing through on a diagonal
Supine positionlaying flat on the back
prone positionlying flat on the stomach
immunologyassessing the action of the immune system and identifying antibodies present in blood
cytologyevaluation of cells in fluid or aspirated, scraped or washed from a body surface
biohazard transport bagplastic bag designed for transportation of biohazardous material



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