Friday, October 10, 2014

Normal Lab Values and Vital signs -- USMLE

USMLE Step 2 CS

Vital signs

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


Normal Lab Values and Vital signs -- USMLE
REFERENCE RANGESI REFERENCE INTERVALS
BLOOD, PLASMA, SERUM
Alanine aminotransferase (ALT) 8-20 U/L8-20 U/L
Amylase, serum25-125 U/L25-125 U/L
Aspartate aminotransferase (AST) 8-20 U/L8-20 U/L
Bilirubin, serum (adult) Total // Direct0.1-1.0 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/dL2.1-2.8 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/L25-90 U/L
Female: 10-70 U/L10-70 U/L
Creatinine, serum0.6-1.2 mg/dL 53-106 µ mol/L
Electrolytes, serum
Sodium135-145 mEq/L136-145 mmol/L
Chloride95-105 mEq/L95-105 mmol/L
Potassium3.5-5.0 mEq/L3.5-5.0 mmol/L
Bicarbonate22-28 mEq/L22-28 mmol/L
Magnesium1.5-2.0 mEq/L1.5-2.0 mmol/L
Estriol (E3) total, serum (in pregnancy)
24-28 wks // 32-36 wks30-170 ng/mL // 60-280 ng/mL104-590 // 208-970 nmol/L
28-32 wks // 36-40 wks40-220 ng/mL // 80-350 ng/mL140-760 // 280-1210 nmol/L
Ferritin, serumMale: 15-200 ng/mL 15-200 µ g/L
Female: 12-150 ng/mL 12-150 µ g/L
Follicle-stimulating hormone, serum/plasmaMale: 4-25 mIU/mL4-25 U/L
Female: -- premenopause 4-30 mIU/mL4-30 U/L
-- midcycle peak 10-90 mIU/mL10-90 U/L
--postmenopause 40-250 mIU/mL40-250 U/L
Gases, arterial blood (room air)
pH7.35-7.45 [H + ] 36-44 nmol/L
PCO 233-45 mm Hg4.4-5.9 kPa
PO 275-105 mm Hg10.0-14.0 kPa
Glucose, serumFasting: 70-110 mg/dL3.8-6.1 mmol / L
2-h postprandial: < 120 mg/dL< 6.6 mmol/L
Growth hormone - arginine stimulationFasting: < 5 ng/mL < 5 µ g/L
provocative stimuli: 7 ng/mL > 7 µ g/L
Immunoglobulins, serum
IgA76-390 mg/dL0.76-3.90 g/L
IgE0-380 IU/mL0-380 kIU/mL
IgG650-1500 mg/dL6.5-15 g/L
IgM40-345 mg/dL0.4-3.45 g/L
Iron 50-170 µ g/dL 9-30 µ mol/L
Lactate dehydrogenase, serum45-90 U/L45-90 U/L
Luteinizing hormone, serum/plasmaMale: 6-23 mIU/mL6-23 U/L
Female: --follicular phase 5-30 mIU/mL5-30 U/L
--midcycle 75-150 mIU/mL75-150 U/L
--postmenopause 30-200 mIU/mL30-200 U/L
Osmolality, serum275-295 mOsmol/kg275-295 mOsmol/kg
Parathyroid hormone, serum, N-terminal230-630 pg/mL230-630 ng/L
Phosphatase (alkaline), serum 20-70 U/L20-70 U/L
Phosphorus (inorganic), serum3.0-4.5 mg/dL1.0-1.5 mmol/L
Prolactin, serum (hPRL)< 20 ng/mL < 20 µ g/L
Proteins, serum
Total (recumbent)6.0-7.8 g/dL60-78 g/L
Albumin3.5-5.5 g/dL35-55 g/L
Globulins2.3-3.5 g/dL23-35 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 h0.08-0.30/24 h
Thyroxine (T 4 ), serum 5-12 µ g/dL 64-155 nmol/L
Triglycerides, serum35-160 mg/dL0.4-1.81 mmol/L
Triiodothyronine (T 3 ), serum (RIA) 115-190 ng/dL1.8-2.9 nmol/L
Triiodothyronine (T 3 ) resin uptake 25-35%0.25-0.35
Urea nitrogen, serum (BUN)7-18 mg/dL1.2-3.0 mmol urea/L
Uric acid, serum3.0-8.2 mg/dL0.18-0.48 mmol/L
CEREBROSPINAL FLUID
Cell count 0-5 cells/mm 3 0-5 x 10 6 /L
Chloride118-132 mEq/L118-132 mmol/L
Gamma globulin3-12% total proteins0.03-0.12
Glucose40-70 mg/dL2.2-3.9 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 time2-7 minutes2-7 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/h0-15 mm/h
Female: 0-20 mm/h0-20 mm/h
HematocritMale: 41-53%0.41-0.53
Female: 36-46%0.36-0.46
Hemoglobin A 1C≤ 6% ≤ 0.06%
Hemoglobin, bloodMale: 13.5-17.5 g/dL2.09-2.71 mmol/L
Female: 12.0-16.0 g/dL1.86-2.48 mmol/L
Hemoglobin, plasma1-4 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 neutrophils54-62%0.54-0.62
Band forms3-5%0.03-0.05
Eosinophils1-3%0.01-0.03
Basophils0-0.75%0-0.0075
Lymphocytes25-33%0.25-0.33
Monocytes3-7%0.03-0.07
Mean corpuscular hemoglobin25.4-34.6 pg/cell0.39-0.54 fmol/cell
Mean corpuscular hemoglobin concentration31-36% Hb/cell4.81-5.58 mmol Hb/L
Mean corpuscular volume .80-100 µ m 380-100 fl
Partial thromboplastin time (activated)25-40 seconds25-40 seconds
Platelet count 150,000-400,000/mm 3 150-400 x 10 9 /L
Prothrombin time11-15 seconds11-15 seconds
Reticulocyte count0.5-1.5% of red cells0.005-0.015
Thrombin time< 2 seconds deviation from control< 2 seconds deviation from control
Volume
PlasmaMale: 25-43 mL/kg0.025-0.043 L/kg
Female: 28-45 mL/kg0.028-0.045 L/kg
Red cellMale: 20-36 mL/kg0.020-0.036 L/kg
Female: 19-31 mL/kg0.019-0.031 L/kg
SWEAT
Chloride0-35 mmol/L0-35 mmol/L
URINE
Calcium100-300 mg/24 h2.5-7.5 mmol/24 h
ChlorideVaries with intakeVaries with intake
Creatinine clearanceMale: 97-137 mL/min
Female: 88-128 mL/min
Estriol, total (in pregnancy)
30 wks6-18 mg/24 h 21-62 µ mol/24 h
35 wks9-28 mg/24 h 31-97 µ mol/24 h
40 wks13-42 mg/24 h 45-146 µ mol/24 h
17-HydroxycorticosteroidsMale: 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, totalMale: 8-20 mg/24 h 28-70 µ mol/24 h
Female: 6-15 mg/24 h 21-52 µ mol/24 h
Osmolality50-1400 mOsmol/kg
Oxalate 8-40 µ g/mL 90-445 µ mol/L
PotassiumVaries with dietVaries with diet
Proteins, total< 150 mg/24 h< 0.15 g/24 h
SodiumVaries with dietVaries with diet
Uric acidVaries with dietVaries with diet

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! !
 
 

Majority Wins

 

The Road to the White House and Becoming the POTUS

 
POTUS … President of the United States

Who are the true Electors? Find out Here!!

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