Laboratory and Diagnostics

Adche Rochet Binlingan

Rapid Antigen Test

• February 24, 2022 @9:30-9:55

• RESULTS: Negative
• SIGNIFICANCE: rapid diagnostic test
suitable for point-of-care testing that
directly detects the presence or absence
of an antigen. It is commonly used for the
detection of SARS-CoV-2, the virus that
causes COVID-19.
Hematology
• February 24, 2022@10:30 am
• SIGNIFICANCE: Blood test include are ordered by the psychiatrist to
determine if the depression caused by anemia or other hematologic
disorders.
WBC count (Range:4500-11000/ mm3) 11500 million/ mm3 increase
Platelet count (Range 15000-40000) 160000 million/ mm3
Neutrophils (Range: 50-70%) 73% increase
Blood glucose (Range: 80-120 mg/dL) 70 mg/dL decrease
pH (Range: 7 .35-7.45 pH) 7pH decrease
Urinalysis
• February 24, 2022@10:30 am
• SIGNIIFICANCE: To determine if there is an underlying infection that may affect
brain activities. This will contributed to depression.
Urine analysis can help mental health practitioners conduct a more thorough and
accurate assessment…
Color Dark Amber (Range: Yellow {Light/Pale to dark/deep amber})
-Elimination of aspirin and its metabolites … darkened urine is most likely due to a
metabolite of the drug.
Clarity/Turbidity Cloudy(Range: Clear/Transparent)
-Side effect of aspirin
Electrolytes
• February 24, 2022@11:00am
• SIGNIFICANCE: Electrolyte imbalance may cause neuropsychiatric manifestations
that closely mimic functional disorders. Ex depression may accompany
hyponatremia, hypokalemia, hypercalcemia, or hypomagnesemia.
• Sodium (Na) 147mEq/L increase (Range: 135-145mEq/L)
• Chloride (Cl) 108 mEq/L increase (Range: 98-106 mEq/L)

-Bidirectional electrolyte flux determinations showed that aspirin significantly increased both Na
and Cl absorption and reduced flux (which probably represents HCO3 secretion)
Thyroid Blood Tests
• February 25, 2022@9:00am
• Both excess and insufficient thyroid hormones can cause mood
abnormalities including depression … depression can be accompanied
by subtle thyroid dysfunction. Overt thyroid disease is rare in
depression.
Thyroid Stimulating Hormone (TSH) 2.32mU/mL

fT4 0.92 ng/dL

fT3 2.5 pg/mL
Rapid plasma reagin
• February 25, 2022@9:30am
• Testing the patient for syphylis will help identify possible causes of the
patients depression. Syphylis is one of disease that has to be ruled
out.
• RESULT: Non-reactive
Human Chorionic Gonadotropin

• February 25, 2022@9:30 am

• SIGNIFICANCE: Testing is the patient for HCG will help identify if she is
pregnant. Pregnancy can affect the patients hormones and will may
cause depression.
• RESULT: Negative
Vitamin B12
• February 25, 2022@10:00am
• SIGNIIFICANCE: Deficiency of Vitamin B12 can result in hematological
changes, neurological and psychiatric problems … depression, and
memory loss…
• RESULT: 500pg/mL (190 and 950 picograms per milliliter)
Folate
• February 25, 2022@10:10am
• SIGNIIFICANCE: Folate regulates the levels of tetrahydrobiopterin, or
BH4, in the body… Disruptions in the levels of these two important
neurotransmitters are associated with depression.
• RESULT: 9 ng/mL (2.7 to 17.0 nanograms per milliliter)