Liquid Evidence: BH and Urine Testing
This type of urine testing is recommended for psychiatric patients when substance use is suspected
What is a urine drug screen?
This urine collection technique is recommended for most urinalysis to minimize contamination and ensure accurate results.
What is a clean-catch?
This thyroid lab test is routinely included in the initial workup for patients presenting with depressive symptoms, because if present, the patient's depression could be due to a reversible cause.
What is TSH?
This diagnosis determined by the CBC is a common medical cause of depressive symptoms and should always be completed in patients presenting with new-onset depression.
What is anemia?
These three major components of blood are measured in a complete blood count
What are white blood cells, red blood cells, and platelets?
This diagnosis related to a urinalysis finding of positive nitrites is significantly more common in patients hospitalized for acute psychosis than in healthy controls
What is a UTI?
This urinalysis dipstick finding is the most specific indicator of a bacterial urinary tract infection, but is not present in all cases because not all bacteria produce it.
What are nitrites?
This is the most common cause of a thyroid goiter
What is iodine deficiency?
Macrocytosis, large red blood cells, occurs in 67% of individuals abusing this substance.
What is alcohol?
This medical term describes a platelet count of less than 150,000 per microliter and can cause you to bleed too much after a cut or injury
What is thrombocytopenia?
A urinary pregnancy test should always be obtained in any patient with childbearing potential prior to the initiation of this category X psychiatric medication
What is Valproate (valproic acid)?
Detection of these substances on urinalysis may indicate uncontrolled diabetes and need for emergent care.
What are ketones and glucose?
Subclinical hypothyroidism is defined by an elevated TSH and this finding on free T4 testing
What is normal free T4?
This mood-stabilizing medication, commonly used in bipolar disorder, is well known to cause a dose-dependent increase in total white blood cells counts on the CBC.
What is lithium?
Iron deficiency, especially if longstanding, produces this CBC finding in addition to microcytosis
What is hypochromia?
This antidepressant medication is a well-documented cause of green urine.
What is amitriptyline?
This over the counter medication can cause the urine to change to orange, and can even stain undergarments.
What is phenazopyridine (Azo)?
In patient with subclinical hypothyroidism, this psychiatric diagnosis is reported more frequently and with greater severity when comparted to controls
What is depression?
Deficiency in this vitamin, often detected through the CBC and additional testing, is associated with cognitive impairment and neuropsychiatric symptoms such as depression.
What is Vitamin B12?
This phenomenon, characterized by an increase in immature neutrophils in the peripheral blood, indicates increased bone marrow production in response to bacterial infection and is a key finding on the CBC differential
What is a left shift?
This abnormal urinalysis result may prompt further evaluation for medical causes of psychiatric symptoms, such as delirium or mood changes. (hint: not UTI)
What is positive for ketones or glucose?
This urinalysis finding may indicate dehydration.
What is elevated urine specific gravity? (also cloudy)
This thyroid disorder is linked to increased risk of major depressive disorder, bipolar disorder, and anxiety disorder, independent of thyroid hormone levels.
What is autoimmune thyroid disease?
This medication has the highest incidence of hematological changes among psychiatric medications including transient and persistent anemia and life-threatening neutropenia, which makes CBC monitoring an essential part pharmacologic management.
What is clozapine?
The anemia of chronic kidney disease is typically described as having these two morphological characteristics on CBC
What is normochromic and normocytic?