When I was an intern on the medicine consult service, we got consulted about a patient on the plastic surgery service with a history of hypertension and diabetes who had suffered third degree burns on his buttocks.
When I was checking his labs, I was shocked to see that in the week he had been in the hospital, only ONE lab test had ever been ordered.
Pop quiz: What lab test was it?
Ceruloplasmin, to see if he might have Wilson's Disease causing him to fall and burn his rear end while doing the happy dance over a hot stove.ReplyDelete
HbA1C, to make sure his metformin is just right.ReplyDelete
TGA for celiac's? (maybe he ate a cheeseburger on a bun while camping and was standing too close to a campfire before he ignited.)ReplyDelete
mrsa screening which is done on every hospital admit where I was last week.ReplyDelete
Dipstick test for a UTI.ReplyDelete
What Grumpy said.ReplyDelete
For any STD? Dunno. Stupid situation requires stupid answer... =)ReplyDelete
Pregnancy test. In case he got shocked by realizing he was the first male ever to become pregnant and fell backwards onto the stove.ReplyDelete
It was a credit check, of course.ReplyDelete
Prealbumin...it's the only blood test that the burn service at our hospital can reliably order.ReplyDelete
Prealbumin ordered by surgery.ReplyDelete
Thyroid function test?ReplyDelete
A wound culture?ReplyDelete
I'd hope it would be something relevant like wound culture...but I'm going to guess O2 sats.ReplyDelete
SpO2 is not a lab test. I'd just go with lytes.ReplyDelete
urine urea nitrogenReplyDelete
SHOULD be some k's, albumin, maybe some MB's if burns are recent maybe? ABGs could also make lots of sense.ReplyDelete
But I'm guessing it was a Wallet Dipstick and a vitamin D level.