BODY MASS INDEX --BMI

BMI = 22.96 kg/m²   (Normal)

• Normal BMI range: 18.5kg/m² - 25 kg/m²
• Normal BMI weight range for the height: 128.9lbs - 174.2 lbs
• Ponderal Index: 12.91 kg/m³

Normal Lab Values and Vital signs -- USMLE

USMLE Step 2 CS

Vital signs

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Vital signs include your heart beat, breathing rate, temperature, and blood pressure. A healthcare provider will measure, or monitor your vital signs to determine your level of physical functioning. Note that the normal vital signs varies with age, sex, weight, exercise tolerance, and your overall health.

These are the normal vital sign ranges for a resting, average healthy adult

• Blood pressure: 90/60 mm/Hg to 120/80 mm/Hg
• Breathing: 12 - 18 breaths per minute
• Pulse: 60 - 100 beats per minute
• Temperature: 97.8 - 99.1 degrees Fahrenheit / average 98.6 degrees Fahrenheit

 

NORMAL LABORATORY VALUES

	REFERENCE RANGE	SI REFERENCE INTERVALS
BLOOD, PLASMA, SERUM
Alanine aminotransferase (ALT)	8-20 U/L	8-20 U/L
Amylase, serum	25-125 U/L	25-125 U/L
Aspartate aminotransferase (AST)	8-20 U/L	8-20 U/L
Bilirubin, serum (adult) Total // Direct	0.1-1.0 mg/dL // 0.0-0.3 mg/dL	2-17 µ mol/L // 0-5 µ mol/L
Calcium, serum (Total)	8.4-10.2 mg/dL	2.1-2.8 mmol/L
Cholesterol, serum	< 200 mg/dL	< 5.2 mmol/L
Cortisol, serum	0800 h: 5-23 µ g/dL // 1600 h: 3-15 µ g/dL	138-635 nmol/L // 82-413 nmol/L
	2000 h: ≤ 50% of 0800 h	Fraction of 0800 h: ≤ 0.50
Creatine kinase, serum (at 30 ° C) ambulatory	Male: 25-90 U/L	25-90 U/L
	Female: 10-70 U/L	10-70 U/L
Creatinine, serum	0.6-1.2 mg/dL	53-106 µ mol/L
Electrolytes, serum
Sodium	135-145 mEq/L	136-145 mmol/L
Chloride	95-105 mEq/L	95-105 mmol/L
Potassium	3.5-5.0 mEq/L	3.5-5.0 mmol/L
Bicarbonate	22-28 mEq/L	22-28 mmol/L
Magnesium	1.5-2.0 mEq/L	1.5-2.0 mmol/L
Estriol (E3) total, serum (in pregnancy)
24-28 wks // 32-36 wks	30-170 ng/mL // 60-280 ng/mL	104-590 // 208-970 nmol/L
28-32 wks // 36-40 wks	40-220 ng/mL // 80-350 ng/mL	140-760 // 280-1210 nmol/L
Ferritin, serum	Male: 15-200 ng/mL	15-200 µ g/L
Female: 12-150 ng/mL	12-150 µ g/L
Follicle-stimulating hormone, serum/plasma	Male: 4-25 mIU/mL	4-25 U/L
	Female: -- premenopause 4-30 mIU/mL	4-30 U/L
	-- midcycle peak 10-90 mIU/mL	10-90 U/L
	--postmenopause 40-250 mIU/mL	40-250 U/L
Gases, arterial blood (room air)
pH	7.35-7.45	[H + ] 36-44 nmol/L
PCO 2	33-45 mm Hg	4.4-5.9 kPa
PO 2	75-105 mm Hg	10.0-14.0 kPa
Glucose, serum	Fasting: 70-110 mg/dL	3.8-6.1 mmol / L
	2-h postprandial: < 120 mg/dL	< 6.6 mmol/L
Growth hormone - arginine stimulation	Fasting: < 5 ng/mL	< 5 µ g/L
	provocative stimuli: 7 ng/mL	> 7 µ g/L
Immunoglobulins, serum
IgA	76-390 mg/dL	0.76-3.90 g/L
IgE	0-380 IU/mL	0-380 kIU/mL
IgG	650-1500 mg/dL	6.5-15 g/L
IgM	40-345 mg/dL	0.4-3.45 g/L
Iron	50-170 µ g/dL	9-30 µ mol/L
Lactate dehydrogenase, serum	45-90 U/L	45-90 U/L
Luteinizing hormone, serum/plasma	Male: 6-23 mIU/mL	6-23 U/L
	Female: --follicular phase 5-30 mIU/mL	5-30 U/L
	--midcycle 75-150 mIU/mL	75-150 U/L
	--postmenopause 30-200 mIU/mL	30-200 U/L
Osmolality, serum	275-295 mOsmol/kg	275-295 mOsmol/kg
Parathyroid hormone, serum, N-terminal	230-630 pg/mL	230-630 ng/L
Phosphatase (alkaline), serum	20-70 U/L	20-70 U/L
Phosphorus (inorganic), serum	3.0-4.5 mg/dL	1.0-1.5 mmol/L
Prolactin, serum (hPRL)	< 20 ng/mL	< 20 µ g/L
Proteins, serum
Total (recumbent)	6.0-7.8 g/dL	60-78 g/L
Albumin	3.5-5.5 g/dL	35-55 g/L
Globulins	2.3-3.5 g/dL	23-35 g/L
Thyroid-stimulating hormone, serum or plasma	0.5-5.0 µ U/mL	0.5-5.0 mU/L
Thyroidal iodine ( 123 I) uptake	8-30% of administered dose/24 h	0.08-0.30/24 h
Thyroxine (T 4 ), serum	5-12 µ g/dL	64-155 nmol/L
Triglycerides, serum	35-160 mg/dL	0.4-1.81 mmol/L
Triiodothyronine (T 3 ), serum (RIA)	115-190 ng/dL	1.8-2.9 nmol/L
Triiodothyronine (T 3 ) resin uptake	25-35%	0.25-0.35
Urea nitrogen, serum (BUN)	7-18 mg/dL	1.2-3.0 mmol urea/L
Uric acid, serum	3.0-8.2 mg/dL	0.18-0.48 mmol/L
CEREBROSPINAL FLUID
Cell count	0-5 cells/mm 3	0-5 x 10 6 /L
Chloride	118-132 mEq/L	118-132 mmol/L
Gamma globulin	3-12% total proteins	0.03-0.12
Glucose	40-70 mg/dL	2.2-3.9 mmol/L
Pressure	70-180 mm H 2 O	70-180 mm H 2 O
Proteins, total	< 40 mg/dL	< 0.40 g/L
HEMATOLOGIC
Bleeding time	2-7 minutes	2-7 minutes
Erythrocyte count	Male: 4.3-5.9 million/mm 3	4.3-5.9 x 10 12 /L
	Female: 3.5-5.5 million/mm 3	3.5-5.5 x 10 12 /L
Erythrocyte sedimentation rate (Westergren)	Male: 0-15 mm/h	0-15 mm/h
	Female: 0-20 mm/h	0-20 mm/h
Hematocrit	Male: 41-53%	0.41-0.53
	Female: 36-46%	0.36-0.46
Hemoglobin A 1C	≤ 6%	≤ 0.06%
Hemoglobin, blood	Male: 13.5-17.5 g/dL	2.09-2.71 mmol/L
	Female: 12.0-16.0 g/dL	1.86-2.48 mmol/L
Hemoglobin, plasma	1-4 mg/dL	0.16-0.62 µ mol/L
Leukocyte count and differential
Leukocyte count	4500-11,000/mm 3	4.5-11.0 x 10 9 /L
Segmented neutrophils	54-62%	0.54-0.62
Band forms	3-5%	0.03-0.05
Eosinophils	1-3%	0.01-0.03
Basophils	0-0.75%	0-0.0075
Lymphocytes	25-33%	0.25-0.33
Monocytes	3-7%	0.03-0.07
Mean corpuscular hemoglobin	25.4-34.6 pg/cell	0.39-0.54 fmol/cell
Mean corpuscular hemoglobin concentration	31-36% Hb/cell	4.81-5.58 mmol Hb/L
Mean corpuscular volume	.80-100 µ m 3	80-100 fl
Partial thromboplastin time (activated)	25-40 seconds	25-40 seconds
Platelet count	150,000-400,000/mm 3	150-400 x 10 9 /L
Prothrombin time	11-15 seconds	11-15 seconds
Reticulocyte count	0.5-1.5% of red cells	0.005-0.015
Thrombin time	< 2 seconds deviation from control	< 2 seconds deviation from control
Volume
Plasma	Male: 25-43 mL/kg	0.025-0.043 L/kg
	Female: 28-45 mL/kg	0.028-0.045 L/kg
Red cell	Male: 20-36 mL/kg	0.020-0.036 L/kg
	Female: 19-31 mL/kg	0.019-0.031 L/kg
SWEAT
Chloride	0-35 mmol/L	0-35 mmol/L
URINE
Calcium	100-300 mg/24 h	2.5-7.5 mmol/24 h
Chloride	Varies with intake	Varies with intake
Creatinine clearance	Male: 97-137 mL/min
	Female: 88-128 mL/min
Estriol, total (in pregnancy)
30 wks	6-18 mg/24 h	21-62 µ mol/24 h
35 wks	9-28 mg/24 h	31-97 µ mol/24 h
40 wks	13-42 mg/24 h	45-146 µ mol/24 h
17-Hydroxycorticosteroids	Male: 3.0-10.0 mg/24 h	8.2-27.6 µ mol/24 h
	Female: 2.0-8.0 mg/24 h	5.5-22.0 µ mol/24 h
17-Ketosteroids, total	Male: 8-20 mg/24 h	28-70 µ mol/24 h
	Female: 6-15 mg/24 h	21-52 µ mol/24 h
Osmolality	50-1400 mOsmol/kg
Oxalate	8-40 µ g/mL	90-445 µ mol/L
Potassium	Varies with diet	Varies with diet
Proteins, total	< 150 mg/24 h	< 0.15 g/24 h
Sodium	Varies with diet	Varies with diet
Uric acid	Varies with diet	Varies with diet

USMLE Step 2 CS

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The Road to the White House and Becoming the POTUS

 

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Who actually elect the President of the United States, the Vice President, Senators, Governors, and the Congress? Find out the Answer Here and cross check your facts! !

 

 

 

The Road to the White House and Becoming the POTUS

 

POTUS … President of the United States

For the smart ones amongst us, How many electoral votes do you need to become the POTUS?

Who are the true Electors? Find out Here!!

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USMLE Step 2 CS Patient Note Practice

USMLE Step 2 CS

HISTORY: Describe the history you just obtained from this patient. Include only information (pertinent positives and negatives) relevant to this patient's problem(s).

   Lines:/ Characters:/

PHYSICAL EXAMINATION: Describe any positive and negative findings relevant to this patient's problem(s). Be careful to include only those parts of examination you performed in this encounter.

   Lines:/ Characters:/

DATA INTERPRETATION: Based on what you have learned from the history and the physical examination, list up to 3 diagnoses that might explain this patient's complaint(s). List your diagnoses from most to least likely. For some cases, fewer than 3 diagnoses will be appropriate. Then, enter the positive or negative findings from the history and the physical examination (if present) that support each diagnosis. Lastly, list initial diagnostic studies (if any) you would order for each listed diagnosis (e.g. restricted physical exam maneuvers, laboratory tests, imaging, ECG, etc.)

Diagnosis #1

History Finding(s)

Physical Exam Finding(s)

Diagnosis #2

History Finding(s)

Physical Exam Finding(s)

Diagnosis #3

History Finding(s)

Physical Exam Finding(s)

Diagnostic Study/Studies

Vital Signs

Temperature: 98.2°F (36.8°C)

Blood Pressure: 130/86 mm Hg

Heart Rate: 78/min

Respirations: 18/min

Instructions

1. Obtain a history pertinent to this patient's problem.
2. Perform a relevant physical examination (Do not perform a breast, pelvic/genital, corneal reflex, or rectal examination).
3. Discuss your impressions and any initial plans with the patient.
4. After leaving the room, complete your patient notes on the given form or computer.

Opening Scenario

Paul Ackers, a 56 years old male comes to the office complaining of fatigue.

USMLE Step 2 CS

Who actually elect the President of the United States, the Vice President, Senators, Governors, and the Congress? Find out the Answer Here and cross check your facts! !

 

 

 

The Road to the White House and Becoming the POTUS

 

POTUS … President of the United States

For the smart ones amongst us, How many electoral votes do you need to become the POTUS?

Who are the true Electors? Find out Here!!