Selected USMLE Laboratory Values

* = Included in the Biochemical Pro"le (SMA-12)

Blood, Plasma, Serum Reference Range SI Reference Intervals

*Alanine aminotransferase (ALT, GPT at 30°C) 10–40 U/L 10–40 U/L

*Alkaline phosphatase 25–100 U/L 25–100 U/L
Amylase, serum 25–125 U/L 25–125 U/L
*Aspartate aminotransferase (AST, GOT at 30°C) 12–38 U/L 12–38 U/L
Bilirubin, serum (adult)
Total // Direct 0.1–1.0 mg/dL // 0.0–0.3 mg/dL 2–17 !mol/L // 0–5 !mol/L
*Calcium, serum (Total) 8.4–10.2 mg/dL 2.1–2.6 mmol/L
*Cholesterol, serum (Total) Rec: < 200 mg/dL < 5.2 mmol/L
*Creatinine, serum (Total) 0.6–1.2 mg/dL 53–106 !mol/L
Electrolytes, serum
Sodium (Na+) 136–146 mEq/L 136–146 mmol/L
Chloride (Cl–) 95–105 mEq/L 95–105 mmol/L
* Potassium (K ) 3.5–5.0 mEq/L 3.5–5.0 mmol/L
+

Bicarbonate (HCO3–) 22–28 mEq/L 22–28 mmol/L

Magnesium (Mg2+) 1.5–2 mEq/L 0.75–1.0 mmol/L
Gases, arterial blood (room air)
PO 2
75–105 mm!Hg 10.0–14.0 kPa
PCO 2
33–45 mm!Hg 4.4–5.9 kPa
pH 7.35–7.45 [H+] 36–44 nmol/L
*Glucose, serum Fasting: 70–100 mg/dL 3.8–6.1 mmol/L
Growth hormone � arginine stimulation Fasting: < 5 ng/mL < 5 !g/L
Provocative stimuli: > 7 ng/mL > 7 !g/L
Osmolality, serum 275–295 mOsmol/kg H2O 275–295 mOsmol/kg H2O
*Phosphorus (inorganic), serum 3.0–4.5 mg/dL 1.0–1.5 mmol/L
Prolactin, serum (hPRL) Male: < 17 ng/mL < 17 µg/L
Female: < 25 ng/mL < 25 µg/L
*Proteins, serum
Total (recumbent) 6.0–7.8 g/dL 60–78 g/L
Albumin 3.5–5.5 g/dL 35–55 g/L
Globulins 2.3–3.5 g/dL 23–35 g/L
Thyroid-stimulating hormone, serum or plasma 0.4–4.0 !U/mL 0.4–4.0 mIU/L
*Urea nitrogen, serum (BUN) 7–18 mg/dL 25–64 nmol/L
*Uric acid, serum 3.0–8.2 mg/dL 0.18–0.48 mmol/L
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Cerebrospinal Fluid Reference Range SI Reference Intervals

Cell count 0–5/mm 3

0–5 ! 106/L
Glucose 40–70 mg/dL 2.2–3.9 mmol/L
Proteins, total < 40 mg/dL < 0.40 g/L
Hematologic

Erythrocyte count Male: 4.3–5.9 million/mm3 4.3–5.9 ! 1012/L

Female: 3.5–5.5 million/mm3 3.5–5.5 ! 1012/L
Erythrocyte sedimentation rate (Westergen) Male: 0–15 mm/hr 0–15 mm/hr
Female: 0–20 mm/hr 0–20 mm/hr
Hematocrit Male: 41–53% 0.41–0.53
Female: 36–46% 0.36–0.46
Hemoglobin, blood Male: 13.5–17.5 g/dL 135–175 g/L
Female: 12.0–16.0 g/dL 120–160 g/L
Hemoglobin, plasma < 4 mg/dL < 0.62 �mol/L
Leukocyte count and differential
Leukocyte count 4,500–11,000/mm3 4.5–11.0 ! 109/L
Segmented neutrophils 54–62% 0.54–0.62
Band forms 3–5% 0.03–0.05
Eosinophils 1–3% 0.01–0.03
Basophils 0–0.75% 0–0.0075
Lymphocytes 25–33% 0.25–0.33
Monocytes 3–7% 0.03–0.07
Mean corpuscular hemoglobin 25–35 pg/cell 0.39–0.54 fmol/cell
Mean corpuscular hemoglobin concentration 31%–36% Hb/cell 4.8–5.6 mmol Hb/L
Mean corpuscular volume 80–100 �m 3
80–100 fL
Partial thromboplastin time (activated) 25–40 sec 25–40 sec
Platelet count 150,000–400,000/mm 3
150–400 ! 109/L
Prothrombin time 11–15 sec 11–15 sec
Reticulocyte count 0.5–1.5% of RBCs 0.005–0.015
Urine

Creatinine clearance Male: 97–137 mL/min 97–137 mL/min

Female: 88–128 mL/min 88–128 mL/min
Osmolality 50–1200 mOsmol/kg H2O 50–1200 mOsmol/kg H2O
Proteins, total < 150 mg/24 hr < 0.15 g/24 hr
Other

Body mass index Adult: 19–25 kg/m2 19–25 kg/m2

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