Chem-20

From WikiMD's Food, Medicine & Wellness Encyclopedia

Chem-20 is a comprehensive blood test panel that measures various enzyme levels, electrolytes, and other substances in the blood. It is often used to assess the overall health of an individual, diagnose various conditions, or monitor the effectiveness of treatments. The Chem-20 panel is an extension of the Basic Metabolic Panel (BMP), which includes 8 tests. The Chem-20 includes additional tests, making it a more thorough examination of the body's metabolic processes.

Components[edit | edit source]

The Chem-20 typically includes the following tests:

  1. Glucose - measures blood sugar levels.
  2. Calcium - essential for bone health, blood clotting, and nerve function.
  3. Albumin - a protein that can indicate liver or kidney disease.
  4. Total Protein - measures the total amount of protein in the blood.
  5. Sodium - an electrolyte important for nerve and muscle function.
  6. Potassium - an electrolyte that helps with nerve and muscle cell function.
  7. CO2 (Bicarbonate) - helps maintain the body's acid-base balance (pH).
  8. Chloride - helps control the amount of fluid in the body and maintain acid-base balance.
  9. Blood Urea Nitrogen (BUN) - indicates kidney function.
  10. Creatinine - indicates kidney function.
  11. Bilirubin - can indicate liver disease or anemia.
  12. Alkaline Phosphatase (ALP) - related to liver and bone diseases.
  13. Aspartate Aminotransferase (AST) - an enzyme that can indicate liver damage.
  14. Alanine Aminotransferase (ALT) - an enzyme that can indicate liver damage.
  15. Gamma-Glutamyl Transferase (GGT) - an enzyme that can indicate liver disease.
  16. Lactate Dehydrogenase (LDH) - an enzyme that can indicate tissue damage.
  17. Cholesterol - assesses fat metabolism and the risk of developing heart disease.
  18. Triglycerides - a type of fat in the blood, high levels can indicate risk for heart disease.
  19. High-Density Lipoprotein (HDL) Cholesterol - "good" cholesterol that helps remove bad cholesterol.
  20. Low-Density Lipoprotein (LDL) Cholesterol - "bad" cholesterol that can build up in arteries.

Uses[edit | edit source]

The Chem-20 panel is used in various medical scenarios, including:

  • Routine health check-ups to assess general health.
  • Diagnosing symptoms such as fatigue, weight loss, or jaundice.
  • Monitoring chronic conditions like diabetes, hypertension, or heart disease.
  • Evaluating the effectiveness of certain treatments or medications.

Interpretation[edit | edit source]

The results of a Chem-20 panel can provide valuable information about an individual's health. However, the interpretation of these results should be done by a healthcare professional, as they can vary based on age, gender, and other factors. Abnormal results may indicate the need for further testing to diagnose specific conditions.

Limitations[edit | edit source]

While the Chem-20 panel provides a comprehensive overview of metabolic functions, it does not cover all aspects of health. Additional tests may be required to diagnose certain conditions or to provide a more detailed assessment of specific organs.


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Contributors: Prab R. Tumpati, MD