In-Office Laboratory

Dr. Klyde’s medical office is equipped with the latest, state-of-the-art examination, testing and measurement equipment. This enables Dr. Klyde and his staff to provide you with the best diagnosis and care available, without having to send you through multiple tests and follow-ups. Following are descriptions of some of the examinations that are routinely performed. All of the exams are non-invasive and painless and provide detailed information about your body that will be discussed with you during your visit.


 

General Electric Lunar DPX Prodigy Bone Densitometer

Bone density scanning, also called dual-energy x-ray absorptiometry (DXA) or bone densitometry, is an enhanced form of x-ray technology that is used to measure bone loss. Bone densitometry is an essential tool in osteoporosis management and assessment for metabolic bone disease. It assists physicians in diagnosis, fracture risk assessment, and in monitoring response to therapy. The bone density test itself is painless and quick.

Fracture Risk Assessment
Bone mineral density (BMD) is the strongest tool to predict fracture risk, which increases exponentially as BMD decreases. Femur BMD is recognized as the strongest predictor of femur fracture risk, which has the highest morbidity, mortality and cost of all osteoporotic fractures.


Beckman Coulter Access 2 Immunoassay (elisa) System

Immunoassays are quick and accurate tests conducted on-site to detect specific molecules in the blood sample. Immunoassays rely on the inherent ability of an antibody to bind to the specific structure of a molecule. Antibodies are proteins generated by animals in response to the invasion of a foreign molecule (antigen) into the body. The immunoassay test is designed to detect a specific analyte even at low concentration with high specificity, meaning will not react with similar antigens.

The office of Dr. Klyde performs a variety of assays, with panels that include anemia, cardiovascular, thyroid, parathyroid, adrenal, pituitary, and reproductive hormones. Employing chemiluminescent technology, the Access system allows us to provide on-site, rapid test results without the need to go to another lab facility for your tests


Horiba ABX - Pentra 400 - Blood Chemistry Analyzer

Blood Chemistry Analysis can vary widely depending on the conditions being evaluated. In general, an endocrinologst will perform a Comprehensive Metabolic Panel to evaluate the patient’s kidneys and their electrolyte and acid/base balance, as well as their blood glucose level – all of which are related to a person's metabolism. It can also be used to monitor patients with certain known conditions, such as hypertension, liver and kidney disease.

The Comprehensive Metabolic Panel (CMP) includes evaluation of:
Sodium - vital to normal body processes, including nerve and muscle function
Potassium - vital to cell metabolism, heart and muscle function
Chloride - helps to regulate the amount of fluid in the body and maintain the acid-base balance
CO2 (carbon dioxide, bicarbonate) - helps to maintain the body's acid-base balance (pH)
BUN (blood urea nitrogen) - waste product filtered out of the blood by the kidneys; conditions that affect the kidney have the potential to affect the amount of urea in the blood.
Creatinine - waste product produced in the muscles; it is filtered out of the blood by the kidneys so blood levels are a good indication of how well the kidneys are working.
Glucose - energy source for the body; a steady supply must be available for use, and a relatively constant level of glucose must be maintained in the blood. Can be elevated in diabetes, and low in certain hormonal disorders.
Calcium - one of the most important minerals in the body; it is essential for the proper functioning of muscles, nerves, and the heart and is required in blood clotting and maintenance of bones.
Total Protein – nonspecific measurement of all protein the blood sample. Used as a measure of nutritional status
Albumin – Blood protein necessary for carrying medications and other chemicals that can be compromised by different diseases and conditions.
SGOT / SGPT – Enzymes produced in the liver used for evaluation of liver function.
ALKPHOS – Enzyme produced in bile ducts, can become elevated in liver and bile duct diseases.
Bilirubin – a breakdown product of hemoglobin and major component of bile typically used in digestion. Can be elevated in liver and blood diseases.


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Electrocardiogram (ECG)

The Electrocardiogram (ECG) is the most common test for assessing heart conditions. An ECG is a noninvasive, painless test with quick results. The test consist of electrodes, adhesive attached to the patient’s chest, arms and legs. Each beat of your heart is triggered by an electrical impulse normally generated from special cells in the upper right chamber of your heart (pacemaker cells). An electrocardiogram records the timing and strength of these signals as they travel through your heart. The waveform allows the physician to:

  • Assess the patient’s heart rhythm

  • Diagnose poor blood flow to the heart muscle (ischemia, coronary artery disease)

  • Diagnose a heart attack

  • Structural problems with the heart's chambers

  • Diagnose abnormalities of the heart, such as heart chamber enlargement and abnormal electrical conduction


chest x-ray

The condition of your lungs. Chest X-rays can detect cancer, infection or air collecting in the space around a lung (pneumothorax). They can also show chronic lung conditions, such as emphysema or cystic fibrosis, as well as complications related to these conditions.

Heart-related lung problems. Chest X-rays can show changes or problems in your lungs that stem from heart problems. For instance, fluid in your lungs (pulmonary edema) can be a result of congestive heart failure.

The size and outline of your heart. Changes in the size and shape of your heart may indicate heart failure, fluid around the heart (pericardial effusion) or heart valve problems.

Blood vessels. Because the outlines of the large vessels near your heart — the aorta and pulmonary arteries and veins — are visible on X-rays, they may reveal aortic aneurysms, other blood vessel problems or congenital heart disease.

Calcium deposits. Chest X-rays can detect the presence of calcium in your heart or blood vessels. Its presence may indicate damage to your heart valves, coronary arteries, heart muscle or the protective sac that surrounds the heart. Calcium deposits in your lungs are most often from an old, resolved infection.

Fractures. Rib or spine fractures or other problems with bone may be seen on a chest X-ray.

Postoperative changes. Chest X-rays are useful for monitoring your recovery after you've had surgery in your chest, such as on your heart, lungs or esophagus. Your doctor can look at any lines or tubes that were placed during surgery to check for air leaks and areas of fluid or air buildup.

Chest xray heart size, pluminary , lympth nodes and detect masses to determine presesnce of disease. thyroid elagement and trechaea deviation