LAB RESULTS

ADMISSION LABS INTERPRETATION—SEE 'MEDICAL TAB' FOR LAB RESULTS
**Complete Blood Count** [select name="variable_cbcnorm" value="unremarkable|remarkable|not completed|"]
[checkbox memo="Leukocytosis" name="If_lk" value=""][conditional field="If_lk" condition="(If_lk).is('')"][checkbox name="variable_1123" value="- WBCs are slightly elevated, this is likely due to stress"] [checkbox name="variable_11223" value="- WBCs are elevated with left shift"][comment memo="An increase in WBC accompanied by a specific increase in neutrophils especially immature neutrophils, referred to as a left shift, are associated with a bacterial infection"][/conditional]
[checkbox memo="Leukopenia" name="If_lk2" value=""][conditional field="If_lk2" condition="(If_lk2).is('')"][checkbox name="variable_11023" value="- e/o leukopenia"] [checkbox name="variable_11223" value="- WBCs are elevated with left shift"][comment memo="An increase in WBC accompanied by a specific increase in neutrophils especially immature neutrophils, referred to as a left shift, are associated with a bacterial infection"][/conditional]
[checkbox memo="Anemia" name="If_anemia" value=""][conditional field="If_anemia" condition="(If_anemia).is('')"]- [select name="variable_1" value="(NORMOCYTIC)|normocytic, normochromic findings|normocytic, hypochromic findings|normocytic, hyperchromic findings|(MACROCYTIC)|
macrocytic, normochromic findings|macromocytic, hypochromic findings|macromocytic, hyperchromic findings|(MICROCYTIC)|
microcytic, normochromic findings|micromocytic, hypochromic findings|micromocytic, hyperchromic findings|"][/conditional]
[checkbox memo="Thrombocytopenia" name="If_th" value=""][conditional field="If_th" condition="(If_th).is('')"][checkbox name="variable_1023" value="- Platelets are slightly thrombocytopenic and this is most likely due to recent substance use"] [checkbox name="variable_123" value="- Patient is asymptomatic of TTP/HUS or DIC"][/conditional]
**Comphrensive Metabolic Panel** [select name="variable_cmpnorm" value="unremarkable|not completed|"]
-- Electrolytes-- [select name="variable_erd" value="unremarkable|remarkable for: "][checkbox memo="Remarkable Electrolytes" name="If_er" value=""][conditional field="If_er" condition="(If_er).is('')"][checkbox name="variable_1er" value="hypokalemia|hyperkalemia|hyponatremia|hypernatremia|dehydration|hypochloremia|hyperchloremia"][/conditional]
-- Kidney function-- [select name="variable_kd" value="intact|decrease CrCl|decrease eGFR|decrease creatinine"]
-- Liver function tests-- [select name="variable_lv" value="unremarkable|remarkable: "][checkbox memo="Remarkable LFTs" name="If_lv" value=""][conditional field="If_lv" condition="(If_lv).is('')"][checkbox name="variable_1lv" value="≤ 3x normal values|≥ 3x normal values|≤ 5x normal values|≥ 5x normal values"] [select name="variable_dt" value="likely due to SUD|likely due to NASH|likely due to NAFLD"]
[/conditional] 
**Magnesium Level** [select name="variable_mg" value="unremarkable|not completed|hypomagnesia present|hypermagnesia present"]
**Thyroid Studies** [select name="variable_tsh" value="unremarkable||not completed|hyperthyroidism|hypothyroidism|subclinical hypothyroidism|subclinical hyperthyroidism"]
**Urine Drug Screen** [select name="variable_uds" value="unremarkable to clinical history|remarkable|not completed|"][checkbox memo="Remarkable UDS" name="If_rds" value=""][conditional field="If_rds" condition="(If_rds).is('')"] [textarea name="variable_22451" default=""][/conditional]
**Urinalysis**[select name="variable_ua" value="unremarkable|not completed|"][checkbox memo="Remarkable UA" name="If_ua" value=""][conditional field="If_ua" condition="(If_ua).is('')"] [textarea name="variable_2345" default="remarkable for:"][/conditional]
**HCV Antibody**[select name="variable_hcv" value="non-reactive|reactive|not completed|"][checkbox memo="HCV +" name="If_hv" value=""][conditional field="If_hv" condition="(If_hv).is('')"] [textarea name="variable_23435" default="HCV quanitation:][/conditional]
[checkbox memo="Other Labs" name="If_ol" value=""][conditional field="If_ol" condition="(If_ol).is('')"] [textarea name="variable_233235" default=""][/conditional]

Plan:
[checkbox name="variable_imp" value="Impression: Labs are generally unremarkable. There is no suspicion for infection, electrolyte imbalances, persistent dehydration, anemias, fluid shift, volume loss, or toxicities. Euthyroid present and HCV non-reactive."]
[checkbox name="variable_imp2" value="- No further work-up needed"]
[checkbox name="variable_imp4" value="- Recommended to patient to f/u with PCP for further health management"]
[checkbox memo="Transaminitis" name="If_tr" value=""][conditional field="If_tr" condition="(If_tr).is('')"] # Transaminitis
[checkbox memo=" Fib-4" name="If_fib" value=""][conditional field="If_fib" condition="(If_fib).is('')"]
- Fibrosis-4 (FIB-4) Calculator: [checkbox name="Fib4" value=" undertermined"]
[text size=3 name="age"] <-- Age
[text size=3 name="alt"] <-- ALT
[text size=3 name="ast"] <-- AST
[text size=3 name="plt"] <-- Platelets
[calc memo="number" value="score=((ast)*(age)/((plt)*(Math.pow((alt),0.5)))).toFixed(2)"] <-- score
[calc memo="number" value="score2=((ast)*(age)/((plt)*(Math.pow((alt),0.5)))).toFixed(2);score2>3.25?'possibly consistent with advanced fibrosis':score2>=1.45?'within the normal zone':'possibly consistent with advanced fibrosis'"] <-- interpretation (advanced fibrosis may be present above 3.25 and below 1.45)
[checkbox memo="Hide/Display References" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references: 
 [link url="//pubmed.ncbi.nlm.nih.gov/16729309/" memo="#1"] Sterling RK, Lissen E, Clumeck N, et al. Development of a simple noninvasive index to predict significant fibrosis in patients with HIV/HCV coinfection. Hepatology. 2006;43(6):1317-1325.[/conditional][/conditional]
[checkbox name="LDrf" value="- R/F include AUD|- R/F include SUD"]
[checkbox name="variable_ddx" value="- DDx includes:"][text name="variable_1422" default="drugs/toxins, alcoholic hepatitis, cholestatic diseases, NAFLD, viral illness"]
[select name="variable_195" value="- Follow up labs to be completed:|No follow up labs recommended at this time as enzymes were ≤ 3x normal values. Recommend f/u with PCP after discharge"]
[checkbox name="variable_labsmore" value="Coag studies(PT/PTT/INR)|Hepatits Panel|B12|Folate|Iron|Ferritin|TIBC|HIV|Lipase/Amylase"]
[/conditional]
[textarea name="variable_othl" default=""]
[checkbox name="variable_imp3" value="- Reviewed labs with patient"]