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Dr. Ramón E. Negrón Rivera General Medicine Minor Surgery Sport Medicine Ergometrix Theme: Functional Evaluation of Athletes.

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Presentación del tema: "Dr. Ramón E. Negrón Rivera General Medicine Minor Surgery Sport Medicine Ergometrix Theme: Functional Evaluation of Athletes."— Transcripción de la presentación:

1 Dr. Ramón E. Negrón Rivera General Medicine Minor Surgery Sport Medicine Ergometrix Theme: Functional Evaluation of Athletes

2 Complete Blood Cell Count (CBC) Test (Contains) Reference Range (conventional units*) White Blood Cell Count (WBC) 4, ,800 cells/µL/cu mm Red Blood Cell Count (RBC) million/µL/cu mm Hemoglobin Male: gm/dL Female: gm/dL Hematocrit Male: % Female: % Mean Corpuscular Volume (MCV) cu µm Mean Corpuscular Hemoglobin (MCH) pg/cell Mean Corpuscular Hemoglobin Concentration (MCHC) % hemoglobin/cell Platelet Count 140, ,000/mL

3 Urinalysis Test contains Normal Values Color Pale……………………………………………………………..Yellow to Amber Turbidity…………………………………………………………Clear to slightly hazy Specific Gravity ……………………………………………………… pH …………………………………………………………………… Glucose………………………………………………………………..Negative Ketones………………………………………………………………..Negative Blood …………………………………………………………………Negative Protein………………………………………………………… Negative Bilirubin……………………………………………………………….Negative Urobilinogen………………………………………………………… Nitrate for Bacteria…………………………………………………....Negative Leukocyte Esterase …………………………………………………...Negative Casts Occasional………………………………………………………hyaline casts Red Blood Cells ………………………………………………………Negative or rare Crystals Acid Urine White Blood Cells…………………………………………………….Negative or rare Epithelial Cells……………………………………………………......Few

4 Lipid Profile Test Normal Values Serum American Heart Association Normal up to 200 mgs/dl Cholesterolrecommendation BorderlineUp to 239 mgs/dl Elevated if > 240 mgs/ dl. on repeated values Serum <150 mgs/dl. normal. Values vary depending on diet, alcohol, metabolic state, exercise Triglyceridesetc. Elevation of values to be considered only if repeated values are high. HDL mgs/dl Cholesterol LDL mgs/dl Borderline Cholesterol >150 mgs/dl Risk Formula for calculating LDL Cholesterol is INVALID if TGL> 400 mgs/dl Total/HDL ratio <4 Normal 4-6 Low Risk > 6 High Risk

5 Comprehensive metabolic panel Albumin: 3.9 to 5.0 g/dL Alkaline phosphatase: 44 to 147 IU/L ALT (alanine transaminase): 8 to 37 IU/L AST (aspartate aminotransferase): 10 to 34 IU/L BUN (blood urea nitrogen): 7 to 20 mg/dL Calcium - serum: 8.5 to 10.9 mg/dL Serum chloride: 98 to 110 mmol/L CO2 (carbon dioxide): 22 to 32 mmol/L Creatinine: 0.4 to 1.3 mg/dL ** Direct bilirubin: 0.0 to 0.3 mg/dL Gamma-GT (gamma-glutamyl transpeptidase): 0 to 51 IU/L Glucose test: 100 mg/dL LDH (lactate dehydrogenase): 105 to 333 IU/L Phosphorus - serum: 2.4 to 4.1 mg/dL Potassium test: 3.5 to 5.3 mEq/L Serum sodium: 136 to 148 mEq/L Total bilirubin: 0.2 to 1.9 mg/dL Total cholesterol: 100 to 240 mg/dL Total protein: 6.3 to 8.4 g/dL Uric acid: 4.1 to 8.8 mg/dL

6 Total Iron Balance Capacity Iron: mcg/dL TIBC: mcg/dL Transferrin saturation: 20-50% B12 Level Normal values are pg/mL (picograms per milliliter). Folic Acid Normal values are nanograms per milliliter (ng/mL). Sedimentation rate Normal values are 0-30 TSH-HD Normal Values are

7 Some of my patients: Athlete Physician Coach Javier Culson Adrián Rodríguez "Junito" Seda

8 Frases: Si corres lo que te piden serás bueno, si corres el doble serás el mejor La diferencia entre lo posible y lo imposible está en la determinación de la persona El talento solo es una parte del éxito; el resto es trabajo y sacrificio Desde muy pequeño he sabido como conseguir las cosas: trabajar a tope y sentirte orgulloso de lo que tienes Tienes que dar el 125 por ciento. Pon el corazón y el alma en ello; aprende a tener una actitud positiva y ganadora. No aceptes la derrota, pero aprende de ella ¡Gracias por su atención! Dr. Ramón E. Negrón Rivera (787) (787)


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