Cochin Cardiac Club

Health Blog by Dr.Uday Nair

PREVENTION BETTER THAN TREATMENT






In todays modern age with Labs and Diagnostic test centres at every corner of the street,it is advisable for  persons(above 30 yrs) to have a regular  BLOOD and URINE tests once in  6 months(with the consent of your doctor)

It is advisible to do the following-
  • Fasting Blood Sugar
  • Fasting Lipid Profile
  • Blood Routine
  • Urine Analysis

1) Fasting Blood Sugar;



Glucose Tested after fasting: 70 - 110 mg/dL




2) Fasting Lipid Profile



Lipids-
   Cholesterol Less than 225 mg/dL (for age 40-49 yr; increases with age)
   Triglycerides 10 - 29 years   53 - 104 mg/dL
30 - 39 years   55 - 115 mg/dL
40 - 49 years   66 - 139 mg/dL
50 - 59 years   75 - 163 mg/dL
60 - 69 years   78 - 158 mg/dL
   >  70 years   83 - 141 mg/dL


3) Blood-Routine


BLOOD TEST REFERENCE RANGE CHART

Test
Reference Range (conventional units*)
17 Hydroxyprogesterone (Men)0.06-3.0 mg/L
17 Hydroxyprogesterone (Women) Follicular phase0.2-1.0 mg/L
25-hydroxyvitamin D (25(OH)D)8-80 ng/mL
Acetoacetate<3 mg/dL
Acidity (pH) 7.35 - 7.45
Alcohol 0 mg/dL (more than 0.1 mg/dL normally indicates intoxication) (ethanol)
Ammonia 15 - 50 µg of nitrogen/dL
Amylase 53 - 123 units/L
Ascorbic Acid 0.4 - 1.5 mg/dL
Bicarbonate 18 - 23 mEq/L (carbon dioxide content)
Bilirubin Direct: up to 0.4 mg/dL
Total: up to 1.0 mg/dL
Blood Volume 8.5 - 9.1% of total body weight
Calcium 8.2 - 10.6 mg/dL (normally slightly higher in children)
Carbon Dioxide Pressure 35 - 45 mm Hg
Carbon Monoxide Less than 5% of total hemoglobin
CD4 Cell Count 500 - 1500 cells/µL
Ceruloplasmin 15 - 60 mg/dL
Chloride 98 - 106 mEq/L
Complete Blood Cell Count (CBC) Tests include: hemoglobin, hematocrit, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, mean corpuscular volume, platelet count, white Blood cell count
Copper Total: 70 - 150 µg/dL
Creatine Kinase (CK or CPK) Male: 38 - 174 units/L
Female: 96 - 140 units/L 
Creatine Kinase Isoenzymes 5% MB or less
Creatinine 0.6 - 1.2 mg/dL
Electrolytes Test includes: calcium, chloride, magnesium, potassium, sodium
Erythrocyte Sedimentation Rate (ESR or Sed-Rate) Male: 1 - 13 mm/hr
Female: 1 - 20 mm/hr
Glucose Tested after fasting: 70 - 110 mg/dL
Hematocrit Male: 45 - 62%
Female: 37 - 48%
Hemoglobin Male: 13 - 18 gm/dL
Female: 12 - 16 gm/dL
Iron 60 - 160 µg/dL (normally higher in males)
Iron-binding Capacity 250 - 460 µg/dL
Lactate (lactic acid) Venous: 4.5 - 19.8 mg/dL
Arterial: 4.5 - 14.4 mg/dL
Lactic Dehydrogenase 50 - 150 units/L
Lead 40 µg/dL or less (normally much lower in children)
Lipase 10 - 150 units/L
Zinc   B-Zn 70 - 102 µmol/L
  
  
 
 
 
Liver Function Tests Tests include bilirubin (total), phosphatase (alkaline), protein (total and albumin), transaminases (alanine and aspartate), prothrombin (PTT) 
Magnesium 1.9 - 2.7 mEq/L
Mean Corpuscular Hemoglobin (MCH) 27 - 32 pg/cell
Mean Corpuscular Hemoglobin Concentration (MCHC)32 - 36% hemoglobin/cell
Mean Corpuscular Volume (MCV) 76 - 100 cu µm
Osmolality 280 - 296 mOsm/kg water
Oxygen Pressure 83 - 100 mm Hg
Oxygen Saturation (arterial) 96 - 100%
Phosphatase, Prostatic 0 - 3 units/dL (Bodansky units) (acid)
Phosphatase 50 - 160 units/L (normally higher in infants and adolescents) (alkaline)
Phosphorus 3.0 - 4.5 mg/dL (inorganic)
Platelet Count 150,000 - 350,000/mL
Potassium 3.5 - 5.4 mEq/L
Prostate-Specific Antigen (PSA) 0 - 4 ng/mL (likely higher with age)
Proteins:
   Total 6.0 - 8.4 gm/dL
   Albumin 3.5 - 5.0 gm/dL
   Globulin 2.3 - 3.5 gm/dL
Prothrombin (PTT) 25 - 41 sec
Pyruvic Acid 0.3 - 0.9 mg/dL
Red Blood Cell Count (RBC) 4.2 - 6.9 million/µL/cu mm
Sodium 133 - 146 mEq/L
Thyroid-Stimulating Hormone (TSH) 0.5 - 6.0 µ units/mL
Transaminase:
   Alanine (ALT) 1 - 21 units/L
   Aspartate (AST) 7 - 27 units/L
Urea Nitrogen (BUN) 7 - 18 mg/dL
BUN/Creatinine Ratio5 - 35
Uric Acid Male    2.1 to 8.5 mg/dL (likely higher with age)
Female    2.0 to 7.0 mg/dL (likely higher with age)
Vitamin A 30 - 65 µg/dL
WBC (leukocyte count and white Blood cell count)4.3-10.8 × 103/mm3
White Blood Cell Count (WBC)4,300 - 10,800 cells/µL/cu mm

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4) Urine analysis


Normal Test Chart

 

  • Please tally your values with the normal value range given alongside in the report.

  • Do visit a doctor/hospital with the report if your test results doesn't fall within the normal range.

  • Do always remember  PREVENTION IS BETTER THAN TREATMENT.





Warning signs you should be on a look out for:







You should know the warning sign of diseases that can take the life if not treated. So it is always better to know the disease symptoms or signs.

Today the number of persons with heart disease, cancer, and stroke are increasing.

These diseases are responsible for majority of deaths.Unhealthy life style is a major contributor for these life taking diseases.Not only do persons with better health habit survive longer, but in such persons, disability is postponed and compressed into fewer years at the end of life.

People should know the early warning signs of these diseases, because if you know the warning signs, you can go to the doctor at an early stage of the disease and there is a very high possibility of treatment of the disease.

Symptoms/Signs you should not ignore

Following are some symptoms that you should not overlook. Don't ignore them. You should consult a doctor as soon as possible.
  1. Unexplained weight loss, which may signal such things as chronic infection, depression or in serious cases, cancer.
  2. Unexplained changes in bowel habits may be due to inflammatory bowel disease, ulcers, cancers or infections.
  3. Chest pain with a pain in the jaw or arm can be a sign of heart disease.
  4. Shortness of breath, breathing trouble may indicate lung or heart disease.
  5. Sudden unexplained headaches, especially in people over 50. It may be nothing or it may something serious in the brain like an infection or a tumour.
  6. Sudden weakness or numbness of the face, arm or leg on one side of the body.
  7. Loss of speech or trouble talking or understanding speech or blurring or loss of vision. This may indicate a stroke or a transient ischaemic attack.
  8. Confusion, changes in behaviour or thinking, disorientation, hallucinations are the warning signs of possible low blood sugar, possible head injury, side effects of drugs.
  9. Flashing lights in someone who has otherwise normal vision may be the beginning of retinal detachment.
  10. Hot, red or swollen joints indicate arthritis or joint infection.
  11. Fever (over 37.5 degree C) persisting over a week may mean a chronic underlying infection, cancer or some other illness.
The leading causes of death are some diseases given below..Based on the study, the scientists have concluded that healthy habits can extend life span while lending off disability.
  • Heart disease:
  • Cancer;
  • Stroke;
  • Pulmonary disease;
  • Adverse drug reaction
  • Pneumonia  and
  • Diabetes:
These diseases, if detected early, can often be controlled or stopped. If you experience any of the warning signs, do not get panicky. Consult your Doctor.


Note that some of the warning signs may be due to other reasons.




COCHIN CARDIAC CLUB WISHES ALL TO STAY HEALTHY MENTALLY AND PHYSICALLY. 



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