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Blood Chemistry Tests

Test Normal Value Clinical Significance
Acid Phosphatase

(ACP)

0.1 - 5.0 U/dl
values increases in prostatic cancer , some liver diseases , hyper para thyroidism , hemolytic anemia,sickle cell crisis

Values are decreased in Down syndrome
 

Alkaline phospatase

(ALP)

4 -13 U/dl
Increases in some liver and bone diseases , hyper para thyroidism , pregnancy

Decreases in cretinism , growth retardation ,scurvy , achondroplasia
 

Alpha feto protien

(AFP)

Non pregnant adult
<25 ng /ml

In amniotic fluid and maternal blood values increase with the faulty development of the fetal nervous system especially neural tube defect such as spina bifida

In non pregnant adult values increases in liver cancer ,cirrhosis , chronic active hepatitis
  

Alanin amino transferase(ALT)

Serum glutamic - pyrudic transaminase (SGPT )
5 - 40 U/L Increases in liver diseases , liver damage due to toxic drugs
Aspartate amino transferase(AST)

Serum glutamic - oxaloacetic  transaminas(SGOT)

5-40 U/L Incease in miocardial infraction ,liver disease ,trauma to skeletal muscles, sever burn

Decrease in beriberi ,uncontrolled diabetes mellitus with acidosis

Ammonia 20 - 120 mg/dl
Increase in liver disease ,heart failure , Emphysema ,pneumonia ,corpulmonale ,erithroblastosis fetalis 
 
Amylase 25 -125 U/Lit
Increase in acute pancreatitis ,momps ,obstruction of pancreatic duct

Decrease in hepatitis , cirrhosis , toxemia of pregnancy 
 

Bilirubin Conjugated :
<0.5 mg/dl
Unconjugated :
0.2 - 1.0 mg/dl
Newborn :
1.0 - 12.o mg/dl

Increase in conjugated bilirubin probably results from lived dysfunction or biliary obstruction

Increase in unconjugated bilirubin probably results from excessive hemolysis  of  RBCs
 

Blood urea and nitrogen  (BUN ) 8 - 26 mg/dl
Increase in kidney disease ,shock ,dehydration ,diabetes ,acute myocardial infraction

Decrease in liver failure ,impaired absorbtion ,over hydration
 

Calcium ( Ca / Ca2+)  Total
9 - 11 mg/dl
Ionized
4.5 - 5.5 mg/dl

Increase in cancer ,hyperparathyroidism , Addison's disease ,hyperthyroidism , Paget's disease

Decrease in hypoparathyrodism ,chronic renal failure ,osteomalacia ,rickets ,diarrhea
 

Carbon dioxide (CO2) Arterial
19 - 24 mEq/l
Venous
22 - 26 mEq/l
 

Increase in severe vomiting ,emphysima ,eldosteronism

Decrease in severe diarrhea ,starvation ,acute renal failure
 

Carbon dioxide partial pressure (pCO2) Arterial
35 - 40 mm Hg
Venous
45 mm Hg

Increase in hypoventilation ,obstructive lung disease ,emphysema

Decrease in hyper ventilation ,hypoxia and pregnancy
 


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Normal values of Blood tests - normal values of blood tests

clinical significance of increased and decreased values of blood test

normal values of lab tests - values of laboratory tests

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