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Continuity Clinic Notebook:

 Chapter 1: The Prenatal and Well Child Visit

Chapter 1 Index

A. General Information about the well child examination

B. Nutrition Issues

C. Sleep Issues

D. Dental Issues

E. Anticipatory Guidance

F. Screening Tests
--Hearing Screening in Children
--Vision Screening in Children
--Glossary of Ophthalmologic Terms
--FEP in the Diagnosis of Iron Deficiency and Iron Deficiency Anemia
--Lead Poisoning: When, How and At What Ages to Screen
--Cholesterol Screening - A Good Idea?

  

Waived Tests as of 1/99

(http://www.cdc.gov/phppo/dls/waived.htm)

Introduction: The number of waived tests (no inspection required) have recently increased in the office laboratory.  Now 72% of office laboratories are either in the waived or the PPM groups (also does not require inspection).  The major moderately complex tests done in office laboratories now are the CBC, throat culture, and urine culture.

Category Name of Analyte

I. Bacteriology

 1. Helicobacter Pylori
2. Group A Streptococcus
II. Endocrinology 3. HCG Urine
4. Ovulation Test (Visual Color Comparison)
5. Urine HCG by Visual Color Comparison
III. General Chemistry 6. Amines 0530
7. Cholesterol
8. Fecal Occult Blood
9. Fructosamine
10. Gastric Occult Blood
11. Glucose 2203; (Glucose Monitoring)
12. Hgb A1C
13. Microalbumin
14. Triglycerides
15. HDL Cholesterol
16. Vaginal pH 6719
IV. General Immunology 17. H. Pylori Antibodies
18. Infectious Mononucleosis
V. Hematology 19. Sedimentation Rate
20. Hematocrit
21. Hemoglobin
22. Prothrombin Time
VI. Toxicology 23. Ethanol
24. Nicotine
VII. Urinalysis 25. Urine dipstick
26. Urine Qualitative Dipstick (automated)

II. Provider Performed Microscopy (PPM) Tests:

(http://www.hcfa.gov/medicaid/clia/ppmplst.htm)

  1. Wet mounts, including preparations of vaginal, cervical or skin specimens.
  2. All potassium hydroxide preparations
  3. Pinworm examinations
  4. Fern test
  5. Post-coital direct exams, qualitative examinations of vaginal or cervical mucous
  6. Urinalysis: microscopic only
    Urinalysis: by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen,  non-automated with    microscopy.     
    Urinalysis: by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, automated (waived) with microscopy.
  7. Fecal leukocyte examination
  8. Semen analysis; presence and/or motility of sperm excluding Huhner
  9. Nasal smear for eosinophils and granulocytes
  10. Wet mount-prostate secretions

Moderately Complex Tests: Examples

  1. Complete Blood Count: QBC, Coulter, Spirit, Abbott Cell-Dyn
  2. Differential
  3. Reticulocyte count
  4. Throat culture
  5. Automated Chemistries- i-STAT, Vitros DT, Reflotron Plus
  6. Blood Gases: i-STAT
  7. Urine Culture: identification of positive or negative only
  8. Limited gram stain
  9. Some rapid streptococcal antigen tests such as ICON, Biostar OIA, Abbott
  10. Rapid slide infectious mononucleosis tests done on serum or plasma
  11. Rapid H. Pylori antibody tests done on serum or plasma
  12. Influenza A tests from Becton Dickinson; Influenza A and B test: Biostar FLU OIA49
  13. Lead level tests: ESA hand-held machine
  14. Affirm VPIII: tests gardnerella, candida and trichimonas
  15. In Office System (IOS): tests for T4, T3 uptake, Quantative HcG

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Department of Pediatrics  |  Medical College of Georgia
 Please email comments, suggestions or questions to:
John T.  Benjamin M.D.,  jbenj@mcg.edu

February 27, 2004