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Medical Forum / General / General / February 2006

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Website explaining lab results?

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David Rind - 03 Feb 2006 23:20 GMT
A number of months ago someone asked a question about a lab result and
someone else posted a response pointing them to a website (I think for a
commercial lab) that gave a detailed explanation of most lab tests. Does
anyone recall what website that was?

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David Rind
drind@caregroup.harvard.edu

a2z - 04 Feb 2006 07:08 GMT
>A number of months ago someone asked a question about a lab result and
>someone else posted a response pointing them to a website (I think for a
>commercial lab) that gave a detailed explanation of most lab tests. Does
>anyone recall what website that was?

Was it http://www.labtestsonline.org/ ?

Lab Tests On Line - a public resource on clinical lab testing from the
laboratory professionals who do the testing.
David Rind - 04 Feb 2006 18:30 GMT
>>A number of months ago someone asked a question about a lab result and
>>someone else posted a response pointing them to a website (I think for a
[quoted text clipped - 5 lines]
> Lab Tests On Line - a public resource on clinical lab testing from the
> laboratory professionals who do the testing.

No, the site had information aimed more at physicians. The above site is
aimed at patients. Thanks for the suggestion, though!

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David Rind
drind@caregroup.harvard.edu

Robert - 04 Feb 2006 08:19 GMT
> A number of months ago someone asked a question about a lab result and
> someone else posted a response pointing them to a website (I think for a
> commercial lab) that gave a detailed explanation of most lab tests. Does
> anyone recall what website that was?

Since we use this lab this is where I go for some of the info although it is
not for the general public, medical terms.
Move cursor to testing at top and click on "guide to clinical lab testing"
link.

http://www.aruplab.com/
David Rind - 04 Feb 2006 18:32 GMT
>>A number of months ago someone asked a question about a lab result and
>>someone else posted a response pointing them to a website (I think for a
[quoted text clipped - 7 lines]
>
> http://www.aruplab.com/

I don't think it was this one. They seem to have information mainly on
somewhat more esoteric tests but not include standard ones. The site I
remember was more comprehensive and included a differential diagnosis
for high and low values of the test as well as caveats for problems with
testing. Thanks for the suggestion, though!

Signature

David Rind
drind@caregroup.harvard.edu

joni - 05 Feb 2006 21:51 GMT
> I don't think it was this one. They seem to have information mainly on
> somewhat more esoteric tests but not include standard ones. The site I
> remember was more comprehensive and included a differential diagnosis
> for high and low values of the test as well as caveats for problems with
> testing. Thanks for the suggestion, though!

Do some googling yourself then ..geesh ...
try 'lab test standard results problems' or
'lab tests values problems'
you're sitting in front of a freekin computer ..use it ..

joanne
Robert - 05 Feb 2006 23:32 GMT
> > I don't think it was this one. They seem to have information mainly on
> > somewhat more esoteric tests but not include standard ones. The site I
[quoted text clipped - 8 lines]
>
> joanne

In a practical sense of the differential diagnosis is a symptom based
clinical algorithmic approach usually rather than on a laboratory based
approach. The laboratory algorithmic problem is one based on negative and
positive predictive values per clinical condition or disease and it is
really impossible to have a 100% sensitive or specific laboratory test.
Some of the diagnostic criteria include laboratory parameters but it is very
hard to work backwards from one laboratory parameter. Diagnostic workups can
be very expensive and unfruitful when one out of normal range result is
detected serendipity.
After saying that I use it professionally at work because that's all I see
and not the patient. If I see a hemorrhagic effusion and know that 60% of
such effusions are malignant then I will look extra carefully for malignant
cells or look at the BNP consistent with transudates. CBC results are the
same way in checking the smear for clinically relevent morphology. Too many
examples to mention but I really haven't seen a single good book or a single
online source for that. Keep in mind that we have to look into abberant
results not in-keeping with clincial expectations so we look at artifact and
clinically relevent parameters so before we even get to the differential
diagnosis we must be assured that the result are valid in the first place
and only the laboratory can do that in terms of specimen integrity and
methodology.
We have made a diagnosis before the doctor has and have informed them based
on unique results.

David is pretty bright so I wouldn't go there.
David Rind - 06 Feb 2006 04:00 GMT
> In a practical sense of the differential diagnosis is a symptom based
> clinical algorithmic approach usually rather than on a laboratory based
[quoted text clipped - 19 lines]
> We have made a diagnosis before the doctor has and have informed them based
> on unique results.

Right. I'm not looking for this because I want to diagnose the etiology
of some particular lab result. I'm looking for it because I thought it
was a good database for this sort of thing and wanted to track it down
again.

Clinically, starting with a lab result and looking for an etiology is
usually not all that useful. But sometimes it's helpful to clinicians to
have a list of conditions known to be associated with a specific result.
That way, for instance, you can remember that an elevated CK can be
caused not only by MI and myositis, but also by trauma and exercise (and
a number of other conditions)....

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David Rind
drind@caregroup.harvard.edu

David Rind - 06 Feb 2006 03:54 GMT
>>I don't think it was this one. They seem to have information mainly on
>>somewhat more esoteric tests but not include standard ones. The site I
[quoted text clipped - 8 lines]
>
> joanne

Uh, thanks. But for your suggestion it would never have occurred to me
try using a search engine to search for something. (Hint: neither of the
above searches finds the site I had seen previously.)

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David Rind
drind@caregroup.harvard.edu

J - 06 Feb 2006 09:19 GMT
> A number of months ago someone asked a question about a lab result and
> someone else posted a response pointing them to a website (I think for a
> commercial lab) that gave a detailed explanation of most lab tests. Does
> anyone recall what website that was?

Well, this was posted within last 3 months
http://www.haps.nsw.gov.au/edrsrch/edinfo/esr.htm
if you click on home, then doctors, then handbook, there's a search box for
tests by name.

or see if any thread in the archives refreshes your memory
http://tinyurl.com/7pbfd
or use your own search words.
J
 
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