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GuidetoCommonLaboratoryTestsforEatingDisorderPatients

Test Measure Description Reference AbnormalHigh AbnormalLow Notes


Range**
CompleteBloodCount Seebelow Levelsofmultiple See
(CBC) blood individual
components counts
WhiteBlood Measures 4,000 Infection, Malnutritioncan
Cell(WBC) immunesystem 10,000 inflammation, leadtodecrease
Count functioning WBCs/mcL traumato inoneormore
(includes tissue,high ofthesetypesof
basophils, physicalor cells.Decrease
eosinophils, emotional isnottypically
lymphocytes, stress,anemia correlatedwith
monocytes, increasedriskof
neutrophils) infection
RedBlood Countofthe 4.25.7 Fluidlossdueto Anemia
Cell(RBC) actualnumberof diarrheaor
Count redbloodcellsper dehydration
volumeofblood.
RBCsdeliver
oxygen
throughoutthe
body.
Hemoglobin Proteinusedby 13.216.9 Anemia
(HGB) redbloodcellsto
distributeoxygen
toothertissues
andcellsinthe
body
Hematocrit Percentofblood 38.549% Anemia
(HCT) thatisoccupied
byredbloodcells
Mean Measuresthesize 8097 Anemia
Corpuscular ofredbloodcells
Volume
(MCV)
Platelet Createclotsor 150,000 Malnutrition;
scabstoprevent 450,000 VitaminB
orstopbleeding platelets deficiency
permcL
Comprehensive Seebelow Assessescurrent See
MetabolicPanel statusofkidneys, individual
liver,and counts
electrolyte
andacid/base
balanceaswellas
bloodsugarand
bloodproteins
Glucose Bloodsugarlevel 70145 Diabetes; Hypothyroidism; Asuddendropin
attimeoftesting mg/dL excessivefood starvation glucose(<70mg/dL)
intake;useof canhaveserious
diuretics medical
complications
Total Totalproteinlevel 6.08.3 Unusualwith Malnutrition
Protein inbloodfluid eatingdisorders
Albumin Smallprotein 3.45.4 Dehydration Malnutrition
producedinliver g/dL

Total Amountof 9.010.5 Dehydration Lowblood IfAlbuminlevelis


Calcium calcium mg/dL proteinlevels low,"ionized
circulatingin (albumin);low calcium"level
blood magnersium; shouldbeordered
vitaminD insteadoftotal
deficiency;high calcium.Abnormal
phosphorus calciumlevelscan
level causeserious
cardiac
complications.
Sodium Electrolyte 135145 Dehydration Sodiumlossdue Abnormallevelscan
(mEq/L) from todiureticuse; causeserious
inadequatefluid overhydration medical
intake (Somepatients complications
will
overhydrate,or
"fluidload,"
priortobeing
weighedin
orderto
temporarily
increaseweight)
Potassium Electrolyte 3.55.0 Dehydration Vomiting; Abnormallevelscan
(mEq/L) diureticuse causeserious
cardiac
complications
Bicarbonate Electrolyte 2230 Vomiting; Metabolic Abnormallevelscan
mmol/L metabolic acidosis causeserious
alkalosis medical
complications
Chloride Electrolyte 98108 Vomiting;
mmol/L diureticuse
BUN Kidneyfunction 720 Dehydration Malnutrition;
mg/dL overhydration
(seenoteabout
"fluidloading"
above);verylow
proteindiet
Creatinine Kidneyfunction 0.51.2 Dehydration Unusualandnot
mg/dL causefor
concern
LiverPanel(Hepatic Seebelow See Therelationship
FunctionPanel/Liver individual betweenliver
FunctionTests/LFTs) counts enzymesisabit
complicated.
Overall,weknow
lowBMIandlow
percentbodyfatare
correlatedwith
elevatedliver
enzymesandthat
theseenzymes,
whenelevated,can
beamarkerofliver
damage.
Occasionallyliver
enzymesbecome
LiverPanel(Hepatic Seebelow See Therelationship
FunctionPanel/Liver individual betweenliver
FunctionTests/LFTs) counts enzymesisabit
complicated.
Overall,weknow
lowBMIandlow
percentbodyfatare
correlatedwith
elevatedliver
enzymesandthat
theseenzymes,
whenelevated,can
beamarkerofliver
damage.
Occasionallyliver
enzymesbecome
elevatedduring
refeeding,though
thisistypically
temporary,and
onceweight
stabilizes,enzymes
returntonormal.
Alkaline Liverenzyme/liver 30to120 Elevatedliver
Phosphotase function IU/L enzymescan
reflectliver
damageor
inflammation
dueto
malnutrition.
ALT/SGPT Liverenzyme/liver 9to60 Elevatedliver
function IU/L enzymescan
reflectliver
damageor
inflammation
dueto
malnutrition.
AST/SGOT Liverenzyme/liver 10to40 Elevatedliver
function IU/L enzymescan
reflectliver
damageor
inflammation
dueto
malnutrition.
Bilirubin Liverwaste 0.21.2 Elevatedliver
product/liver mg/dL enzymescan
function reflectliver
damageor
inflammation
dueto
malnutrition.
SerumFerritin Assessesiron 12300 Malnutrition;
storesinbody ng/mL irondeficiency
anemia

SerumIron Bloodironlevel 60170 Malnutrition;


mcg/dL irondeficiency
anemia
LipidProfile Total <200
Cholesterol mg/dL
(5.18
mmol/L)
HighDensity "Good >50mg/dl
Cholesterol cholesterol" (1.5
mmol/L)
LowDensity "Badcholesterol" <130
Cholesterol mg/dL
(3.37
mmol/L)
Triglycerides <150
mg/dL
(1.7
mmol/L)
SerumMagnesium Electrolyte 1.7to2.2 Dehydration; Malnutrition; Abnormallevels
mg/dL useof diureticuse; duringrefeeding
magnesium nonmagnesium cancauseserious
containing containing medical
laxatives laxativeabuse complications
SerumPhosphorus 2.44.1 Lowcalcium Malnutrition; Abnormallevels
mg/dL levels;useof diureticuse; duringrefeeding
phosphate chronicantacid cancauseserious
containing use medical
laxatives complications
Amylase 25125 Chronic
U/L vomiting
ThyroidPanel TSH Thyroid 0.44.0 Hypothyroidism Hyperthyroidism
stimulating mIU/L
hormone
T3 Triiodothyronine 100to200 Hyperthyroidism Hypothyroidism
ng/dL
T4 Thyroxine 4.5to11.2 Hyperthyroidism Hypothyroidism;
(mcg/dL) malnutrition
Transthyretin Assesses 1250 Malnutrition;
(Prealbumin) nutritionalstatus mg/dL hyperthyroidism
Urinalysis,Macroand
Micro



OtherTests
Measuresheart Malnutritionandbinge/purgebehaviorscanleadtodecreasedheart
rateand rate,slowpulse,and/orirregularitiesinheartbeatknownas
heartbeat bradychardia.Electrolyteimbalancesandhypotensioncanalsoleadto
Electrocardiogram regularity cardiaccomplications.Thesesymptomscanbeincrediblydangerous,and
(EKG) frequentlycanonlybeassessedthroughanEKGscan.
Including Malnutritionandbinge/purgebehaviorscanleadtohypothermia,
orthostatics dehydration,andhypotension(lowbloodpressure).Makesureand
(measuring mentionifyourchildhasbeencomplainingofdizziness,lightheadedness
blood orhashadanyfaintingspells.Bloodpressurerelatedcomplicationscan
pressure bedeadly.
andpulsein
various
positions)
and
FullVitalSigns temperature
ChartcourtesyofMarenSchiessMSN,APRNBC

**Referencerangesvaryfromlabtolab,soyoushouldalwaysusethereference
rangesonthelabreportiftheyredifferentfromtherangesonthischart.




AllAbnormalHigh/Lowdescriptionsrefertointerpretationsofhighorlowresults
thatarecommonlyassociatedwitheatingdisordersymptoms.Loworhighresults
onthesetestsmayalsohavealternateexplanations.Askyourphysicianfor
additionalinformation.

Allboldandunderlinedtestsarehighprioritymakesureandrequestthesefrom
yourdoctor

Allpinkhighlightedtestsmeasurethingsthatarepotentiallycritical/dangerous


Formoreinformationontheseandotherlaboratorytests,thefollowingsiteshave
reliableinformation:
http://www.labtestsonline.org/
http://www.psychiatryonline.com/popup.aspx?aID=139336
http://www2.massgeneral.org/harriscenter/patient_lab.asp
http://www.nlm.nih.gov/medlineplus/laboratorytests.html(searchforthe
specifictest)