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.