Patient History & Laboratory Values
Patient assessment overview, patient history, chart review, and laboratory values — CBC, BMP, microbiology, and coagulation testing.
Normal Ranges — Memory Reference
High-Yield Mnemonics
Eos → Asthma/Allergy
Eosinophils elevated = allergic reactions, asthma.
Monos → TB
Monocytes elevated = tuberculosis.
Bands UP, Segs DOWN (bacterial)
Bacterial infection ↑ immature bands, ↓ mature segmented neutrophils.
BUN/Cr: ↑ kidney, ↓ liver
Elevation of either suggests renal disease; low suggests hepatic issues.
Na outside, K inside
Sodium is the primary EXTRAcellular cation; potassium is the primary INTRAcellular cation.
Hyperkalemia = acidosis; Hypokalemia = alkalosis
Potassium swaps with H⁺ across the cell membrane.
PT-Warfarin, APTT-Heparin
Pair by first letters: P↔W, A↔H (both share T or H-like sounds).
INR ≈ 1
Normal INR is 0.8–1.1; >1.1 bleeds, <0.8 clots fast.
Rule of 3: Hct ≈ 3× Hgb
Quick sanity check on CBC values.
150k bleeds, 400k clots
Platelets <150k = thrombocytopenia (bleed); >400k = thrombocytosis (clot).
Gram+ → Penicillins
Staph, Strep, Diplococcus, Pneumococcus → Penicillins.
Gram– → "mycin" trio
Pseudomonas, H. influenzae, E. coli → Streptomycin, Gentamycin, Colimycin.
Acid Fast = TB
Rapid method to identify Mycobacterium tuberculosis.