EXTRAWURST AUGUST 2003: DIE KRÄUTERHEX This month, I’d like to write about the German drug scene and its chief ‘pusher’- the Kräuterhex or ‘Herb Witch’ who, having died out long ago in the UK, is alive and kickingand plying her trade as well as ever here. Before I moved to Germany, I’d hear the odd complaint about not being able to get this or thatlotion or potion that one can n
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Microsoft word - explanation of laboratory results.docExplanation of Laboratory Results
Complete Blood Count (CBC)
White blood cells (WBC) - May indicate infection, elevated with systemic
steroid use, decreased with autoimmune or some blood diseases among other causes. The following are types of WBCs with additional meaning: • Neutrophils – Elevated with bacterial infection and low indicates an increased
• Lymphocytes – Elevated in viral infections and low with diseases such as
• Eosinophils – Elevated with allergies or infections with parasites.
• Monocytes – Elevated in blood diseases, certain infections or auto-imune
• Basophils – Elevated in blood diseases.
Red Blood Cells (RBC) – Elevated in dehydration, high altitude and CVD and low in
anemia, hemorrhages, cancers, fluid overload in pregnancy.
Hemoglobin (Hgb) and Hematocrit (Hct) – Elevated in smokers and those with
polycythemia and low anemia.
Mean Corpuscular Volume (MCV) – Elevated suggests Vit B12 or folic acid
deficiency anemia and increased alcohol consumption and low iron deficiency.
Paltelet Count (PLT) – Elevation is rare, low counts suggest medication interactions,
antibody formation or liver disease and blood clotting problems.
Glucose (blood sugar) – Elevated with diabetes or systemic steroids but low may
suggest pancreas or liver problems.
Heart Disease Risk
Homoncysteine – Amino acid associated wit h increased cardiovascular disease
High-sensitivity C-Reaction Protein (hsCRP) – Inflammatory protein
associated with cardiovascular disease risk.
Iron - Elevated with over consumption of iron rich foods/supplements, iron
overload and low in iron deficiency.
Ferritin – Iron storage protein is elevated in iron overload, infections, cancers
and low in pregnancy and bowel disease or surgery.
Transferrin Saturation (%) – Elevates in iron overload and low chronic iron
Total Iron Binding Capacity (TIBC) – Elevated in iron deficiency and low ion
Blood Urea Nitrogen (BUN) – Elevated with kidney problems, recent surgery,
dehydration or blood loss and low with liver disease, pregnancy and diets.
Creatinie (CR) – Elevated with kidney problems
• Sodium (Na) - Elevated with dehydration and low in patients who sweat
profusely or are on diuretics (water pills) • Potassium (K) - Elevated with kidney problems, potassium supplements, or
certain diuretics and low in patients with kidney problems, vomiting or diarrhea.
• Chloride (CI) – Elevated with dehydration, hyperventilation or kidney infection
• Carbon Dioxide (CO) – Elevated rare and low dehydration, diarrhea, exercise
• Calcium – Elevated with alcoholism, exercise, hyperparathyroidism and some
cancers and low with diarrhea, malabsorption or calcium/Vit D deficiency, pancreatitis and renal failure. • Phosphorus – Elevated with low calcium, kidney problems and in
hypoparathyroidism: low with alcoholism and vitamin D deficiency.
Total Cholesterol – Elevation increases risk of heart disease and stroke.
Triglycerides – Elevated in “mixed” hyperlipidemia often in Diabetics and
Syndrome X patients.
Liver Functions Tests
• Alanine aminotranferase (ALT or SGPT) – An enzyme produced in liver cells
is elevated when cells are excessively damaged or die secondary to hepatitis (viralm alcohlic, medication-induced, etc.) • Aspartate aminotransferase (AST or SGOT) – An enzyme is produced in
muscle and liver (less specific than ALT) can be elevated in a 1:1 ration with liver disease. • Alkaline Phosphatase (Alk Phos) – An enzyme produced in the bile ducts,
intestine, kidney, placenta and bone. Elevation in normal or only modestly elevated ALT and AST activites, suggests disease of the bile ducts, alone with some bone disorders and growing children up to age 22. • Gamma-Glutamyltranspeptidase (GGT) – An enzyme produced in the bile
ducts may be elevated with bile duct disease, any liver disease, medications and alcohol consumption. • Bilirubin - The major breakdown product from old red blood cells are elevated
with increased production, many different liver diseases and some non-liver disease. • Actate Dehydrogenenase (LDH) – Enzyme found in many organs may be
elevated with hepatitis or with other organs diseases including the heart, lungs, skeletal muscles, the kidney or brain. • Proteins – Total proteins synthesized by the liver consist mainly of albumin and
globulin are rarely elevated and low with poor liver function, malnutrition, some kidney disease and other rare condtions.
Other – Cancer Screening
Pap smear – positive if microscopic evidence of infectious irritation (Candida,
HPV, etc.) or precanerous cells in WOMEN.
PSA (Prostate specific Antigen) – Elevated with prostate infections, benign
prostate enlargement (BPH) and prostate cancer in MEN.
• Thyroid Stimulating Hormone (TSH) – Sensitive measure of thyroid function
and used to monitor thyroid replacement therapy. • T3 - Elevated in some thyroid diseases and low in malnutrition, severe acute
• T4 – Decrease with normal or elevated TSH suggests thyroid but with low TSH a
Uric Acid – Elevated with gout.
Urinalysis (UA)- Tests for evidence of urinary tract infection and presence of blood,
sugar, or protein in the urine.
White Blood cells – Indicates presence of possible infection.
Nitrites – Presence indicates infection.
Leukocyte estrace – Presence indicates infection.
Ketones – Elevated in diabetes, fasting, dieting or starvation.
Glucose- Elevated when blood sugar is over 180 and suggests diabetes.
Blood/Occult blood or RBC’s – Presence suggest bleeding in the urinary tract
infection, or may be related to menstruation. The cause should always be
determined especially in men.
Protein – Presence may be seen with kidney problems, diabetes and bone cancer
among other causes.
Urobilinogen – Presence may be seen in liver disease, breakage of blood cells
The Commonwealth of Massachusetts Executive Office of Health and Human Services 250 Washington Street, Boston, MA 02108-4619 Updated August 25, 2009 Staying Home with the Flu: Instructions for Those Who Are Sick and Their Close Contacts Dear Flu Sufferer, You are suspected of having flu or have been diagnosed with flu. To help prevent the spread of flu virus to others,