Reference Ranges | |
Contributors | p. xi |
Foreword | p. xiii |
Preface | p. xv |
Acknowledgments | p. xvii |
Laboratory Resources | p. 1 |
Pipets | p. 1 |
Dispensers | p. 5 |
Glassware and Plasticware | p. 6 |
Cleaning Labware | p. 7 |
Chemical Reagents and Handling | p. 8 |
Reference Materials and Controls | p. 9 |
Water Purification | p. 10 |
Basic Chemistry Equipment | p. 11 |
Centrifuges | p. 13 |
Summary | p. 15 |
Laboratory Reagents and Calculations | p. 17 |
Reagents | p. 17 |
Standards | p. 17 |
Laboratory Calculations | p. 17 |
Summary | p. 26 |
Laboratory Safety | p. 27 |
Regulations | p. 27 |
Safety Practices | p. 27 |
Fire Safety | p. 29 |
Chemical Safety | p. 30 |
Compressed Gases | p. 35 |
Electrical Safety | p. 35 |
Biological Safety | p. 36 |
Radiation Safety | p. 37 |
Laboratory Safety Program | p. 38 |
Summary | p. 38 |
Resources for Safety Information | p. 39 |
Quality Assurance | p. 41 |
The Quality Management Framework | p. 41 |
Quality Control Monitoring | p. 42 |
Summary | p. 62 |
Method Evaluation and Preanalytical Variables | p. 65 |
Method Evaluation | p. 65 |
Reference Intervals | p. 73 |
Preanalytical Variables | p. 74 |
Components of an Effective CQI/QA Program | p. 77 |
Summary | p. 78 |
Spectrophotometry | p. 81 |
Spectrophotometric Principles | p. 81 |
Spectrophotometric Instruments | p. 85 |
Summary | p. 93 |
Principles of Molecular and Immunoassays | p. 95 |
Introduction | p. 95 |
Specimen Collection and Handling | p. 98 |
Immunoassays | p. 98 |
Enzyme Labels | p. 104 |
Fluorescent Labels | p. 108 |
Molecular Assays | p. 110 |
Summary | p. 128 |
Laboratory Automation | p. 131 |
Robotics | p. 131 |
Stages of Automated Analysis | p. 132 |
Examples of Specific Systems | p. 136 |
Instrument Selection | p. 138 |
Summary | p. 138 |
Computers in the Clinical Laboratory | p. 141 |
Computer Hardware and Software | p. 141 |
Networking and Communication | p. 147 |
Laboratory Information Systems | p. 151 |
Medical Informatics | p. 151 |
Summary | p. 152 |
Carbohydrates | p. 153 |
Definitions and Basic Principles | p. 153 |
Classification | p. 153 |
Metabolism | p. 156 |
Hormonal Regulation | p. 157 |
Clinical Applications | p. 159 |
Cerebrospinal Fluid Glucose | p. 169 |
Analytical Procedures | p. 169 |
Summary | p. 175 |
Lipids | p. 179 |
Classification of Lipids | p. 179 |
Metabolism of Lipids | p. 182 |
Lipoproteins | p. 184 |
Analytical Procedures for Lipids | p. 188 |
Pathophysiology | p. 192 |
Summary | p. 198 |
Proteins | p. 203 |
Classification | p. 203 |
Metabolism: Synthesis and Degradation | p. 206 |
General Analytical Processes | p. 206 |
Clinical Applications | p. 211 |
Protein in Other Body Fluids | p. 220 |
Summary | p. 221 |
Inherited Metabolic Disorders | p. 223 |
Overview of Genetic Disorders | p. 223 |
Clinical Applications in Detecting Metabolic Related Disorders | p. 228 |
Analytical Procedures: Past, Present, and Anticipated | p. 236 |
Summary | p. 237 |
Immunologic Disorders | p. 239 |
Autoimmunity | p. 239 |
Clinical Applications | p. 244 |
Summary | p. 255 |
Clinical Enzymology | p. 261 |
Measuring Enzymes | p. 261 |
Clinically Significant Enzymes | p. 269 |
Clinical Applications | p. 278 |
Summary | p. 283 |
Liver Function | p. 285 |
Liver Anatomy | p. 285 |
Liver Function | p. 286 |
Analytical Procedures | p. 290 |
Clinical Applications | p. 297 |
Summary | p. 319 |
Tumor Markers | p. 323 |
Characteristics of an Ideal Tumor Marker | p. 324 |
Uses of Tumor Markers | p. 324 |
Biologic Sources | p. 324 |
Classification | p. 325 |
Clinical Applications | p. 337 |
New Directions | p. 339 |
Summary | p. 340 |
Porphyrins | p. 343 |
Biosynthesis of Porphyrins and Heme | p. 345 |
Clinical Applications | p. 346 |
Laboratory Diagnosis of Porphyrin Disorders | p. 349 |
Analytical Procedures | p. 350 |
Summary | p. 353 |
Renal Anatomy and Physiology | p. 355 |
Renal Anatomy | p. 355 |
Renal Physiology | p. 362 |
Summary | p. 371 |
Renal Function: Nonprotein Nitrogen Compounds, Function Tests, and Renal Disease | p. 373 |
Nonprotein Nitrogen Compounds | p. 373 |
Assessment of Renal Function | p. 380 |
Clinical Applications | p. 391 |
Summary | p. 397 |
Electrolytes | p. 401 |
Total Body Water | p. 401 |
Osmolality | p. 401 |
Electrolytes | p. 402 |
Analytical Procedures | p. 416 |
Summary | p. 419 |
Acid-Base and Blood Gas Physiology | p. 421 |
Clinically Important Gases | p. 421 |
Maintenance of Acid-Base Balance | p. 426 |
Disturbances of Acid-Base Balance | p. 431 |
Laboratory Evaluation | p. 435 |
The Extended Laboratory | p. 438 |
Therapeutic Drug Monitoring | p. 441 |
Drug Action | p. 441 |
Drug Disposition | p. 442 |
Pharmacokinetics | p. 445 |
Variable Affecting Drug Disposition | p. 447 |
Sample Collection and Data Reporting | p. 447 |
Therapeutic Drug Monitoring | p. 448 |
Summary | p. 452 |
Toxicology | p. 455 |
Classes of Toxic Substances | p. 455 |
Drugs of Abuse and Overdose | p. 466 |
Analytical Procedures | p. 471 |
Summary | p. 474 |
Introduction to Hormones and Endocrinology | p. 477 |
Classification of Hormones | p. 477 |
Regulation of Hormone Secretion | p. 480 |
Mechanisms of Action | p. 480 |
Disorders of the Endocrine System | p. 481 |
Summary | p. 481 |
Hypothalamus and Pituitary Endocrinology | p. 483 |
Hypothalamus | p. 483 |
Pineal Gland | p. 483 |
Pituitary (Hypophysis) Gland | p. 483 |
Summary | p. 489 |
Thyroid Endocrinology | p. 491 |
Thyroid Anatomy | p. 491 |
Thyroid Physiology | p. 491 |
Thyroid Function Testing | p. 496 |
Clinical Applications | p. 501 |
Summary | p. 508 |
The Parathyroid Glands and Calcium-Phosphate Metabolism | p. 511 |
Anatomy | p. 511 |
Parathyroid Hormone | p. 511 |
Regulation of Calcium and Phosphorus | p. 511 |
Specific Analytes | p. 513 |
Clinical Applications | p. 515 |
Summary | p. 519 |
Adrenocortical Endocrinology | p. 521 |
Anatomy | p. 521 |
Adrenal Hormones | p. 521 |
Adrenal Function Tests | p. 525 |
Clinical Applications | p. 526 |
Summary | p. 528 |
Adrenal Medullary Endocrinology | p. 531 |
Anatomy | p. 531 |
Adrenal Medullary Hormones | p. 531 |
Clinical Applications | p. 534 |
Summary | p. 535 |
Reproductive Endocrinology | p. 537 |
Male Reproductive System | p. 537 |
Female Reproductive System | p. 540 |
Structure and Function of Gonadal Steroids | p. 544 |
Mechanism of Hormone Action | p. 547 |
Analytes | p. 549 |
Clinical Applications | p. 551 |
Defects of Androgen Metabolism | p. 553 |
Gonadal Function Tests | p. 554 |
Summary | p. 554 |
Gastrointestinal and Pancreatic Function | p. 557 |
Gastrointestinal Organs | p. 557 |
Accessory Organs | p. 560 |
Digestion | p. 561 |
Regulation of Digestion by Gastrointestinal Hormones | p. 562 |
Clinical Applications | p. 563 |
Laboratory Diagnosis of Dysfunction | p. 570 |
Summary | p. 577 |
Nutritional Status Assessment | p. 579 |
Nutritional Status | p. 579 |
Proteins | p. 580 |
Vitamins and Mineral Status | p. 586 |
Trace and Ultratrace Elements | p. 600 |
Summary | p. 608 |
Point-of-Care Testing | p. 613 |
The POCT Laboratory | p. 613 |
Evaluation | p. 614 |
POCT Testing and Instrumentation | p. 616 |
Billing | p. 617 |
Summary | p. 617 |
Laboratory Assessment of Psychiatric Disorders | p. 619 |
Supporting the Psychiatric Diagnosis and Plan of Treatment | p. 619 |
Medical Conditions Underlying Diagnosis and Treatment | p. 620 |
Screening for the Biochemical Basis of Psychiatric Disorders | p. 621 |
Monitoring Therapeutic Treatment | p. 622 |
Summary | p. 623 |
Biochemical Assessment During Pregnancy | p. 625 |
Biochemical Changes | p. 625 |
Analytes | p. 629 |
Clinical Applications | p. 633 |
Summary | p. 635 |
Neonatal and Pediatric Laboratory Assessment | p. 637 |
Developmental Differences | p. 637 |
Perinatal Physiology | p. 637 |
Laboratory Assessment in the Pediatric Population | p. 640 |
Summary | p. 646 |
Geriatric Laboratory Assessment | p. 649 |
The "New" Elderly | p. 649 |
Theories of Aging | p. 651 |
Biochemical Changes | p. 654 |
Nutrition in Aging | p. 670 |
Vitamin Status | p. 671 |
Reference Ranges | p. 676 |
Clinical Applications | p. 677 |
Summary | p. 681 |
Index | p. 687 |
Selected Atomic Weights | |
Table of Contents provided by Syndetics. All Rights Reserved. |