Questions: 2 Points Each

Questions: 2 points each

Consult: 30 points each

Noninvasive:

Standard Physical Exam: 10 points each (heart, lungs, belly, head,

brain, extremities)

Pelvic Exam:15 points each (look in vaginal vault)

Rectal Exam:10 points each (check feces for blood)

Vital Signs: 15 points for all (blood pressure, temperature, pulse, respiratory rate)

EKG: 15 points: checks electrical activity of heart

Urine Dip/Pregnancy: 15points: composition of urine, pregnancy test

Requires Needle Stick and/or Laboratory with Personnel:

Complete Blood Count: 20 points (white blood cells, red blood cells, and platelets): check for inflammation, anemia/bleeding, and platelet level.

Metabolic Panel: 20 points: check for electrolyte abnormality (which could indicate heart or kidney problems), sugar level (abnormal sugar levels can cause a variety of symptoms), and kidney function.

Lipase: 20 points (pancreatic function): abnormal pancreas can cause abdominal pain, malnutrition

Liver Function Test: 30points: checks liver function

Creatine Kinase: 30 points (peak levels in blood 16-30 hours after initial damage): checks for damage to any kind of muscle

Creatine KinaseMB: 30 points(peak levels in blood 24 hours after initial damage): checks for damage to heart muscle specifically

Troponin I: 30 points(peak levels in blood 10-24 hours after initial damage): checks for damage to heart muscle specifically

Digoxin: 30 points (Digoxin levels): Digoxin poisoning is a cause of abnormal heart problems

Lactate Dehydrogenase: 30 points(peak levels in blood 2-5 days after initial damage): indicates tissue damage to a variety of tissues

BNP: 30points: indicates presence of CHF

PT/INR: 25 points: checks blood clotting capability

Serum Quant: 40 points: more specific indicator of pregnancy

UTOX: 30points: drug screen

Blood Alcohol: 40points: determines alcohol level

Acetylsalicylic Acid: 40points: determines aspirin level to check for aspirin toxicity/OD

Acetominophen: 40points(Tylenol level): determines acetaminophen level to determine tylenol toxicity/OD

Thyroid Stimulating Hormone: 40 points: thyroid problems can upregulate metabolic processes (faster heart rate, faster digestion, faster breathing, etc.) or downregulate metabolic processes (slow heart rate, lethargy, slow digestion, etc.)

Requires Radiology

X-Ray: 40 points:static 2-d study, best for dense tissues

Requires Radiology, Radiologist, and USTech

Ultrasound: 60points: dynamic study, good for soft tissue

Requires Radiology, Radiologist, and Contrast Solution

Computed Tomography: 80points(static 3-d study, good for both dense and soft tissues)

Cultures/Antibody Tests require time and outside labs:

GC/Chlamydia: 50 + 15 points (Wait 5 turns for results, culture for Gonorrhea and Chlamydia): checks for the 2 most common STDs

HIV: 50points (Wait 5 turns for results, antibody test)

Hepatitis: 50points (Wait 5 turns for results, antibody test)

Requires Needle Stick into Spine, Labs and Cultures

Lumbar Puncture: 100 points: check forbrain bleed caused from fall or infection or burst aneurysm, etc., or brain infection such as meningitis