Urinalysis and Body Fluids CRg. Feces. Feces. Unit 5. 5 Feces & miscellaneous handouts draft

Size: px
Start display at page:

Download "Urinalysis and Body Fluids CRg. Feces. Feces. Unit 5. 5 Feces & miscellaneous handouts draft"

Transcription

1 Urinalysis and Body Fluids CRg Unit 5 5 & miscellaneous handouts draft Composition Bacteria, Cellulose & other undigested foodstuffs GI secretions, enzymes, bile pigments Cells Electrolytes and water Indications for testing GI bleeding, Malabsorption syndrome, pathogenic bacterial or parasitic infections Indications for testing continued o Liver and biliary duct disorders Collection o Clean container, avoid contamination with urine or toilet water o Qualitative tests require only small amount of random sample o Quantitative / timed specimens, may require collection over several days. May require entire sample during the time period (72 hr fecal fat) or small amounts taken over several days (O& P) o Some tests require restrictions of diet (occult blood)

2 Laboratory procedures Color normal brown color due to presence of urobilin (from bacterial breakdown of urobilinogen) o See table 15-2, page 211. Strasinger Macroscopic Stool Characteristics Fecal leukocytes o methylene blue, Wrights or Gram stain may be used to visualize WBCs. o Can indicate pathogenic bacterial infection or ulcerative colitis Microbiology tests o Gram stain not much help. Stool full of gram negative rods (mostly E. coli.) o Cultures use selective media (restricts the normal flora and allows pathogens to grow) o Salmonella, Shigella, Campylobacter, o C. difficile, & certain pathogenic strains of E.coli Ova & Parasites Giardia Enterobius vermicularis (pinworm) Taenia sagenata Taenia solis D. latum H. nana.. tapeworms

3 Fecal Occult Blood Testing (FOBT) Occult blood - detection of GI bleeding (often associated with colorectal cancer) Two samples from 3 different stools for a negative Traditional testing o using Guaiac and ortho-toluidine to react with blood o Hydrogen peroxide oxidizes a colorless compound to for a blue color. o Based on pseudoperoxidase activity of hemoglobin Quickly being replaced by immunochemical test (more on this later) Occult blood Diet restrictions No red meats Turnips Horseradish Melons Raw broccoli, & cauliflower Other restrictions No aspirin or other non-steroidal antiinflammatory medications 7 days prior to collections to prevent GI irritation iron supplements avoided for 3 days High Vitamin C levels will reduce peroxidase activity Summary.. False positive o Aspirin and anti-inflammatory meds o Red meat o Horseradish, raw broccoli, cauliflower, radishes, turnips, melons o Menstrual and hemorrhoidal contamination and negative causes False negative o Vitamin C > 250 mg o Iron supplements containing vitamin C View demonstration at

4 Immunochemical fecal occult blood (ifobt) Hemoccult ICT Specific for globin portion of human hemoglobin Uses anti-human hemoglobin antibodies No dietary or drug restrictions Most sensitive to lower GI bleeding (patients with upper GI bleeding, such as ulcer would not react as blood has been digested) This test is quickly replacing the traditional fecal occult blood test! Fecal Fat steatorrhea Excess fat from fat malabsorption Qualitative methods o Oil red O or Sudan IV - stain feces and examine microscopically for large red fat droplets. Quantitative method o Use sodium hydroxide to chemically titrate the amount of fat 3 day collection (72 hours) Dietary requirements APT - fetal hemoglobin To determine whether blood found in newborn s vomitus or stool is their own, or from the Mom. Testing makes use of fact that baby blood (Hgb F) cells are resistant to lysing with sodium hydroxide & remain pink, while mom adult (Hgb A) cells lyse changing from the pink to yellow - brown.

5 Fecal enzymes Proteolytic enzymes, trypsin, chymotrypsin, and elastase I. Pancreatic insufficiency Trypsin dilutions of specimen placed on x-ray film (covered with gelatin). Determine dilution at which no gelatin is cleared / digested. Not sensitive Fecal electrolytes and osmolality aid in diagnosis of malabsorption syndromes Fecal carbohydrates. Increased carbohydrates in stool results in osmotic diarrhea (lactose is example) Use Clinitest, copper reduction. Bronchial Washings & Bronchoalveolar Lavage Fiberoptic bronchoscope placed in airway can be used to obtain specimen. Sterile saline infused, and retrieved for analysis Results may be as good as biopsy. macrophages (60-80%), lymphs, up to 10% neutrophils up to 21% eosinophils < 1 % bronchial epithelial cells, squamous cells Cultures

6 Other miscellaneous fluids. Nasal smears Hansel stain for eosinophils Cyst fluids cells, and organisms Tears eosinophils Breast milk eosinophils. always can culture them.

Saliva & Feces analysis

Saliva & Feces analysis Saliva & Feces analysis Saliva analysis What is Saliva? Watery substance present in humans and animals and secreted by salivary glands and aids in digestion It is a filtrate of plasma Contains electrolytes,

More information

Discussion. Points: 20. Objectives:

Discussion. Points: 20. Objectives: EXERCISE 15: FECAL OCCULT BLOOD Points: 20 Objectives: 1. State the purpose for performing the occult blood test. 2. Define occult blood. 3. Describe the diet and state the forbidden foods/medications

More information

FECAL OCCULT BLOOD TEST (FOBT) Common Guaiac versus Immunochemical Test

FECAL OCCULT BLOOD TEST (FOBT) Common Guaiac versus Immunochemical Test FECAL OCCULT BLOOD TEST (FOBT) Common Guaiac versus Immunochemical Test LIMBACH-LABORATORY H E I D E L B E R G H J Roth H Schmidt-Gayk Estimated incidence of cancer in Europe and European Union, 2006 Limbach

More information

HARBOR-UCLA MEDICAL CENTER Torrance, California DEPARTMENT OF EMERGENCY MEDICINE POLICY AND PROCEDURE MANUAL

HARBOR-UCLA MEDICAL CENTER Torrance, California DEPARTMENT OF EMERGENCY MEDICINE POLICY AND PROCEDURE MANUAL 25.5 Point of Care Testing Occult Blood Testing by Physicians POLICY The Hemoccult test is a rapid convenient and virtually odorless qualitative method for detecting fecal occult blood. It is used as a

More information

JOHN H. STROGER HOSPITAL OF COOK COUNTY ANNUAL TRAINING HEMOCCULT

JOHN H. STROGER HOSPITAL OF COOK COUNTY ANNUAL TRAINING HEMOCCULT JOHN H. STROGER HOSPITAL OF COOK COUNTY ANNUAL TRAINING HEMOCCULT Syn: Fecal Occult Blood Test, Guiac Test PURPOSE: Hemoccult Test is a qualitative screening method for detecting fecal occult blood which

More information

REFERENCES HemaPrompt FG Product Information. June, Aerscher Diagnostics, Chestertown, MD.

REFERENCES HemaPrompt FG Product Information. June, Aerscher Diagnostics, Chestertown, MD. Applies To: SRMC Hospital and Clinics Responsible Department: Rapid Response Laboratory Revised: 3/2014 Procedure Patient Age Group: ( ) N/A (X ) All Ages ( ) Newborns ( ) Pediatric ( ) Adult DESCRIPTION/OVERVIEW

More information

Written By: Joann O Connor Date: 01/27/2017 Effective Date: 02/22/2017 1

Written By: Joann O Connor Date: 01/27/2017 Effective Date: 02/22/2017 1 Department Of Pathology Point of Care Testing POC.516.12 Hemoccult-LBH Version #12 Printed copies are for reference only. Please refer to the electronic copy for the latest version. A. PURPOSE: The Hemoccult

More information

Biomarkers of GI tract diseases. By Dr. Gouse Mohiddin Shaik

Biomarkers of GI tract diseases. By Dr. Gouse Mohiddin Shaik By Dr. Gouse Mohiddin Shaik Introduction The gastrointestinal (GI) tract is a complex system performing multiple biological functions which are anatomically distributed Site for food processing and absorption

More information

Bacteriology. Mycology. Patient: SAMPLE PATIENT DOB: Sex: MRN: Rare. Rare. Positive. Brown. Negative *NG. Negative

Bacteriology. Mycology. Patient: SAMPLE PATIENT DOB: Sex: MRN: Rare. Rare. Positive. Brown. Negative *NG. Negative Patient: SAMPLE PATIENT DOB: Sex: MRN: 3.2 0.9-26.8 U/g 1.2 0.2-3.3 mg/g 2.2 1.3-8.6 micromol/g 1.1 1.3-23.7 mg/g 1.1 0.2-3.5 mg/g Rare 1.0 0.2-8.8 mg/g Rare 4.4 2.6-32.4 mg/g 64.6 >= 13.6 micromol/g Bacteriology

More information

Comprehensive Stool Analysis / Parasitology x3

Comprehensive Stool Analysis / Parasitology x3 Comprehensive Stool Analysis / Parasitology x3 BACTERIOLOGY CULTURE Expected/Beneficial flora Commensal (Imbalanced) flora Dysbiotic flora 4+ Bacteroides fragilis group 1+ Enterobacter cloacae 2+ Bifidobacterium

More information

CLIA Complexity: Waived

CLIA Complexity: Waived CLIA Complexity: Waived INTENDED USE The QuickVue ifob (immunochemical Fecal Occult Blood) test is an immunochemical device intended for the qualitative detection of fecal occult blood by laboratories

More information

CLIA Complexity: WAIVED INTENDED USE SUMMARY AND EXPLANATION

CLIA Complexity: WAIVED INTENDED USE SUMMARY AND EXPLANATION CLIA Complexity: WAIVED INTENDED USE The QuickVue ifob (immunochemical Fecal Occult Blood) test is an immunochemical device intended for the qualitative detection of fecal occult blood by laboratories

More information

PERSISTENT DIARRHOEA. IAP UG Teaching slides

PERSISTENT DIARRHOEA. IAP UG Teaching slides PERSISTENT DIARRHOEA 1 DEFINITION Prolongation of acute diarrhoea / dysentery for more than 14 days Generally associated with weight loss. 2 PROTRACTED DIARRHOEA Prolongation of acute diarrhoea or dysentery

More information

URINE DIPSTICK AND SULPHOSALICYLIC ACID TEST. Špela Borštnar UREX 2015, Ljubljana, Slovenia

URINE DIPSTICK AND SULPHOSALICYLIC ACID TEST. Špela Borštnar UREX 2015, Ljubljana, Slovenia URINE DIPSTICK AND SULPHOSALICYLIC ACID TEST Špela Borštnar UREX 2015, Ljubljana, Slovenia KIDNEY DISEASE? severity of kidney disease = estimating GFR cause of kidney disease = urinalysis URINE EXAMINATION

More information

Microscopic Examination of Urine

Microscopic Examination of Urine Download http://www.vetlab.com/kova.htm Definition of urine sediment: all solid materials suspended in the urine - a semiquantative evaluation of the urine sediment Significance of formed elements in the

More information

Urine Sediment Photomicrographs/Photographs

Urine Sediment Photomicrographs/Photographs Urine Sediment Photomicrographs/Photographs Case History CMP-17 This urine sample is from a 48-year-old male with a 30-year history of diabetes mellitus and new onset renal failure. Laboratory data include:

More information

GI Micro Lab. B- After that the stool sample should be cultured on different types of media

GI Micro Lab. B- After that the stool sample should be cultured on different types of media GI Micro Lab A- Stool sample is taken and added to Selenite broth to: - 1- Inhibit growth of normal flora bacteria 2- Enhance growth of pathogenic bacteria B- After that the stool sample should be cultured

More information

Stool Collection Guidelines

Stool Collection Guidelines Stool Collection Guidelines Your child s stool (bowel movement) must be tested so we can plan the treatment for your child. You will need to collect the stool specimen at home. Bring it to a Laboratory

More information

COMPREHENSIVE STOOL ANALYSIS

COMPREHENSIVE STOOL ANALYSIS COMPREHENSIVE STOOL ANALYSIS Intestinal parasites: Normal value = 0 (not marked) Reference range: 0 (negative) - 4 (heavy presence) Specimens fixed and transported in SAF and concentrated using CONSED

More information

What is Colorectal Cancer?

What is Colorectal Cancer? COLORECTAL CANCER (CRC) What is Colorectal Cancer? Colorectal cancer (also known as colon cancer) is cancer of the colon and/or rectum and occurs when a growth in the lining of the colon or rectum becomes

More information

Malabsorption: etiology, pathogenesis and evaluation

Malabsorption: etiology, pathogenesis and evaluation Malabsorption: etiology, pathogenesis and evaluation Peter HR Green NORMAL ABSORPTION Coordination of gastric, small intestinal, pancreatic and biliary function Multiple mechanisms Fat protein carbohydrate

More information

TEST PATIENT. Date of Birth : 12-Jan-1999 Sex : M Collected : 25-Oct TEST DRIVE. Lab id :

TEST PATIENT. Date of Birth : 12-Jan-1999 Sex : M Collected : 25-Oct TEST DRIVE. Lab id : COMPLETE DIGESTIVE STOOL ANALYSIS - Level 2 MACROSCOPIC DESCRIPTION Stool Colour Brown Brown Colour - Brown is the colour of normal stool. Other colours may indicate abnormal GIT conditions. Stool Form

More information

Physical Characteristics of

Physical Characteristics of Physical Characteristics of Urine Bởi: OpenStaxCollege The urinary system s ability to filter the blood resides in about 2 to 3 million tufts of specialized capillaries the glomeruli distributed more or

More information

Michelle Moy, MAd Ed, MT(ASCP)SC Program Director Clinical Laboratory Science Program Loyola University Chicago, Illinois

Michelle Moy, MAd Ed, MT(ASCP)SC Program Director Clinical Laboratory Science Program Loyola University Chicago, Illinois Reviewers Lorraine Doucette, MS, MLS(ASCP)CM Associate Professor and Medical Laboratory Technician Program Coordinator Anne Arundel Community College Arnold, Maryland Pamela B. Lonergan, MS, MT(ASCP)SC

More information

PROCEDURE. Sekisui Diagnostics OSOM ifob Rapid Test. Title: Procedure #: Institution: Prepared by: Date: Title: Accepted by: Date adopted: Title:

PROCEDURE. Sekisui Diagnostics OSOM ifob Rapid Test. Title: Procedure #: Institution: Prepared by: Date: Title: Accepted by: Date adopted: Title: SAMPLE PROCEDURE This Sample Procedure is not intended as a substitute for your facility s Procedure Manual or reagent labeling, but rather as a model for your use in customizing for your laboratory s

More information

Stool bench. Cultures: SARAH

Stool bench. Cultures: SARAH Stool bench The bacteria found in stool are representative of the bacteria that are present in the digestive system (gastrointestinal tract). Certain bacteria and fungi called normal flora inhabit everyone's

More information

HMCL223 Clinical Diagnostic Techniques

HMCL223 Clinical Diagnostic Techniques HMCL223 Clinical Diagnostic Techniques Session 8: Stool Testing Endeavour College of Natural Health endeavour.edu.au 1 Session Objectives Stool Testing o GIT integrity, inflammation and immunity o Culture

More information

CLIA Complexity: WAIVED

CLIA Complexity: WAIVED CLIA Complexity: WAIVED INTENDED USE The QuickVue ifob (immunochemical Fecal Occult Blood) test is an immunochemical device intended for the qualitative detection of fecal occult blood by laboratories

More information

!Comprehensive Stool Analysis

!Comprehensive Stool Analysis !Comprehensive Stool Analysis BACTERIOLOGY CULTURE Expected/Beneficial flora Commensal (Imbalanced) flora Dysbiotic flora 3+ Bacteroides fragilis group 2+ Enterobacter cloacae 3+ Bifidobacterium spp. 1+

More information

Collecting Stool Specimens for Culture Collecting Stool Specimens For Parasitology Collection of 72 Hour Stool Fat

Collecting Stool Specimens for Culture Collecting Stool Specimens For Parasitology Collection of 72 Hour Stool Fat Stool Collection Instructions: Click on the title of the Patient Information sheet(s) you would like to read Table of Contents Collecting Stool Specimens for Culture 814902 Collecting Stool Specimens For

More information

Ever wonder what s really happening on the inside?

Ever wonder what s really happening on the inside? For Practitioners Ever wonder what s really happening on the inside? Are your patients suffering from diarrhea, constipation, bloating, gas or indigestion? Rocky Mountain Analytical is now offering Gut-Well

More information

BCH472 [Practical] 1

BCH472 [Practical] 1 BCH472 [Practical] 1 Physical Examination Chemical Examination 2 ph Color Specific Gravity Volume Odor Appearance Acidic: -Diabetic Ketoacidosis. -Starvation. -UTIs (E. coli). Alkaline: -UTIs (ureasplitting

More information

Ingestion Digestion- Absorption- Elimination

Ingestion Digestion- Absorption- Elimination DIGESTIVE SYSTEM 1 FUNCTIONS Organization GI tract==mouth anus Accessory organs Salivary glands, liver, pancreas, gallbladder Major Functions: Ingestion-mouth, teeth, tongue Digestion- chemical and mechanical

More information

Nursing Principles & Skills II. Bowel Sounds Constipation Fecal Impaction

Nursing Principles & Skills II. Bowel Sounds Constipation Fecal Impaction Nursing Principles & Skills II Bowel Sounds Constipation Fecal Impaction Bowel Sounds Definitionthe noise or sounds made by the peristaltic waves of the intestinal muscle contracting and relaxing Bowel

More information

1101 First Colonial Road, Suite 300, Virginia Beach, VA Phone (757) Fax (757)

1101 First Colonial Road, Suite 300, Virginia Beach, VA Phone (757) Fax (757) 1101 First Colonial Road, Suite 300, Virginia Beach, VA 23454 www.vbgastro.com Phone (757) 481-4817 Fax (757) 481-7138 1150 Glen Mitchell Drive, Suite 208 Virginia Beach, VA 23456 www.vbgastro.com Phone

More information

MLAB 1211 Body Fluids BF Differentials - pretest

MLAB 1211 Body Fluids BF Differentials - pretest MLAB 1211 BF Differentials - pretest Instructor: Carolyn Ragland MLAB 1211 pre-test #2 Spring No Extra Materials Needed Name Date Instructions: Neatly write your answer in the space provided. Unless otherwise

More information

CHRONIC DIARRHEA DR. PHILIP K. BLUSTEIN M.D. F.R.C.P.(C) DEFINITION: *LOOSE, WATERY STOOLS *MORE THAN 3 TIMES A DAY *FOR MORE THAN 4 WEEKS

CHRONIC DIARRHEA DR. PHILIP K. BLUSTEIN M.D. F.R.C.P.(C) DEFINITION: *LOOSE, WATERY STOOLS *MORE THAN 3 TIMES A DAY *FOR MORE THAN 4 WEEKS DR. PHILIP K. BLUSTEIN M.D. F.R.C.P.(C) 415 14 TH ST. NW. CALGARY AB T2N2A1 PHONE (403) 270-9555 FAX (403) 270-7479 CHRONIC DIARRHEA DEFINITION: *LOOSE, WATERY STOOLS *MORE THAN 3 TIMES A DAY *FOR MORE

More information

Collection (Specimen Source Required on all tests) Sputum: >5 ml required. First morning specimen preferred.

Collection (Specimen Source Required on all tests) Sputum: >5 ml required. First morning specimen preferred. Type Acid Fast (Mycobacteria) Sputum: >5 ml required. First morning specimen preferred. For blood, sodium heparin tube preferred. Lithium heparin acceptable. Do not centrifuge.. delay. Swabs are not appropriate

More information

Christina Tennyson, M.D. Division of Gastroenterology

Christina Tennyson, M.D. Division of Gastroenterology Diarrhea Christina Tennyson, M.D. Assistant Professor of Medicine Division of Gastroenterology Columbia University DIARRHEA Symptom: stool frequency, liquidity Sign: > 200-250 g/day Acute Chronic Time

More information

2/26/2009. Diarrhea. Christina Tennyson, M.D. Assistant Professor of Medicine Division of Gastroenterology Columbia University

2/26/2009. Diarrhea. Christina Tennyson, M.D. Assistant Professor of Medicine Division of Gastroenterology Columbia University Diarrhea Christina Tennyson, M.D. Assistant Professor of Medicine Division of Gastroenterology Columbia University 1 Symptom: Sign: DIARRHEA stool frequency, liquidity > 200-250 g/day Acute Chronic Time

More information

MICROBIOLOGY SPECIMEN COLLECTION MANUAL

MICROBIOLOGY SPECIMEN COLLECTION MANUAL Lee Memorial Health System Lee County, FL CLINICAL LABORATORY MICROBIOLOGY SPECIMEN COLLECTION MANUAL ACID FAST CULTURE Specimen Type see Specimen Chart ACID FAST STAIN see Specimen Chart Acid Fast stain

More information

PROCEDURE MANUAL. Prepared By Date Adopted Supersedes Procedure # Review Date Revision Date Signature

PROCEDURE MANUAL. Prepared By Date Adopted Supersedes Procedure # Review Date Revision Date Signature Procedure #: Procedure: CLIA Complexity: Waived Prepared By Date Adopted Supersedes Procedure # Review Date Revision Date Signature Distributed to # of Copies Distributed to # of Copies This Procedural

More information

COMPLETE DIGESTIVE STOOL ANALYSIS - Level 5

COMPLETE DIGESTIVE STOOL ANALYSIS - Level 5 COMPLETE DIGESTIVE STOOL ANALYSIS - Level 5 MACROSCOPIC DESCRIPTION Stool Colour Brown Result Range Brown Markers Colour - Brown is the colour of normal stool. Other colours may indicate abnormal GIT conditions.

More information

1. The ingredients of food contain some components that are needed by our body. These components are called

1. The ingredients of food contain some components that are needed by our body. These components are called Class: VI Subject: Biology Topic: Components of Food No. of Questions: 20 Duration: 60 Min Maximum Marks: 60 1. The ingredients of food contain some components that are needed by our body. These components

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy Fecal Analysis in the Diagnosis of Intestinal Dysbiosis File Name: Origination: Last CAP Review: Next CAP Review: Last Review: fecal_analysis_for_intestinal_dysbiosis 5/2001 5/2018

More information

Digestion and Absorption

Digestion and Absorption Digestion and Absorption Digestion and Absorption Digestion is a process essential for the conversion of food into a small and simple form. Mechanical digestion by mastication and swallowing Chemical digestion

More information

Occult GI Bleed. July 2015

Occult GI Bleed. July 2015 Occult GI Bleed July 2015 Occult GI Bleed Occult vs Obscure Occult positive FOB and/or IDA, but no evidence of visible blood loss to pt or physician Obscure GI bleed that persist/ recurs without obvious

More information

Professor Diane Hilker

Professor Diane Hilker Professor Diane Hilker I. Exp. 19: Water Analysis for Fecal Contamination II. Exp. 20: Quantitative Analysis of H 2 O Purpose: To learn & perform the 3 stage standard H 2 O analysis test for fecal contamination

More information

ifob Test Rev. P5576-A, 04/16 5. Read the result in 5-10 minutes. RESULTS AFTER 10 MINUTES. Important: DO NOT READ

ifob Test Rev. P5576-A, 04/16 5. Read the result in 5-10 minutes. RESULTS AFTER 10 MINUTES. Important: DO NOT READ ifob Test Rev. P5576-A, 04/16 OSOM ifobt ID C T S 1. Shake the stool collection tube vigorously for 20-30 seconds to ensure the sample is well mixed with the buffer. Some small amount of sample may not

More information

Comprehensive Stool Analysis / Parasitology x3

Comprehensive Stool Analysis / Parasitology x3 BACTERIOLOGY CULTURE Expected/Beneficial flora Commensal (Imbalanced) flora Dysbiotic flora 4+ Bacteroides fragilis group 1+ Enterobacter cloacae complex 3+ Campylobacter jejuni 4+ Bifidobacterium spp.

More information

Chronic diarrhea. Dr.Nasser E.Daryani Professor of Tehran Medical University

Chronic diarrhea. Dr.Nasser E.Daryani Professor of Tehran Medical University 1 Chronic diarrhea Dr.Nasser E.Daryani Professor of Tehran Medical University Timing Acute diarrhea: 4 weeks Definitions Derived from Greek

More information

Gastrointestinal Markers

Gastrointestinal Markers Gastrointestinal Markers Session 2 Gastrointestinal System Reference Ranges Optimal Range Ttl Total Protein ti 69 6.9 74 7.4 Globulin 2.4 2.8 BUN 10 16 Creatinine 0.8 1.1 Phosphorous 3.0 4.0 Eosinophils

More information

Rapid-VIDITEST FOB Blister

Rapid-VIDITEST FOB Blister Rapid-VIDITEST FOB Blister One Step Fecal Occult Blood Blister test. Instruction manual Producer: VIDIA spol. s r.o., Nad Safinou II 365, Vestec, 252 42 Jesenice, Czech Republic, Tel.: +420 261 090 565,

More information

Chapter 19: The Cardiovascular System: The Blood. Copyright 2009, John Wiley & Sons, Inc.

Chapter 19: The Cardiovascular System: The Blood. Copyright 2009, John Wiley & Sons, Inc. Chapter 19: The Cardiovascular System: The Blood Blood Liquid connective tissue 1. Transportation - Gases, nutrients, hormones, and waste. 2. Regulation - ph, body temperature, and blood pressure. 3. Protection

More information

Clinical Laboratory Science: Urinalysis

Clinical Laboratory Science: Urinalysis Clinical Laboratory Science: Urinalysis Urine is produced by the kidney to maintain constant plasma osmotic concentration; to regulate ph, electrolyte and fluid balances and to excrete some 50 grams of

More information

Hompes Method. Practitioner Training Level II. Lesson Seven Part A DRG Pathogen Plus Interpretation

Hompes Method. Practitioner Training Level II. Lesson Seven Part A DRG Pathogen Plus Interpretation Hompes Method Practitioner Training Level II Lesson Seven Part A DRG Pathogen Plus Interpretation Health for the People Ltd not for reuse without expressed permission Hompes Method is a trading name of

More information

Agenda. Components of blood. Blood is Fluid Connective Tissue. Blood: General functions

Agenda. Components of blood. Blood is Fluid Connective Tissue. Blood: General functions Agenda Chapter 19: Blood Major functions Major Components Structure of RBCs and WBCs ABO Blood Types, and Rh Factor Lab 34.1 and Blood Typing Blood: General functions Transport of dissolved gases, nutrients,

More information

Microscopic Sediment Miscellaneous

Microscopic Sediment Miscellaneous Miscellaneous urine sediment structures Mucous - threadlike, transparent. Low light is needed in order to be able to see mucous threads. Usually a vaginal contaminant. Do not confuse with casts. Mucous

More information

COMPLETE DIGESTIVE STOOL ANALYSIS - Level 2

COMPLETE DIGESTIVE STOOL ANALYSIS - Level 2 COMPLETE DIGESTIVE STOOL ANALYSIS - Level 2 MACROSCOPIC DESCRIPTION Stool Colour Brown Brown Colour - Brown is the colour of normal stool. Other colours may indicate abnormal GIT conditions. Stool Form

More information

Pediatric Gastroenterology Referral Guidelines

Pediatric Gastroenterology Referral Guidelines Suggested Pre-Referral Workup This is a general suggestion of possible testing to confirm a suspected diagnosis. Although referrals will be accepted without the suggested work up being complete, to ensure

More information

Case Log Number(s) Veterinarian or VTS Accurately report test results, using appropriate units of measurement Quality Control/Assurance Date Mastered

Case Log Number(s) Veterinarian or VTS Accurately report test results, using appropriate units of measurement Quality Control/Assurance Date Mastered AVCPT Skills List Candidate: Understanding of test methodology, techniques and ability to perform testing must be applied to each skill. The overall goal is to provide accurate and valid results to assist

More information

M.D.IPA, M.D.IPA Preferred, Optimum Choice and Optimum Choice Preferred STAT Laboratory List Revised Jan. 5, 2017

M.D.IPA, M.D.IPA Preferred, Optimum Choice and Optimum Choice Preferred STAT Laboratory List Revised Jan. 5, 2017 M.D.IPA, M.D.IPA Preferred, Optimum Choice and Optimum Choice Preferred STAT Laboratory List Revised Jan. 5, 2017 If laboratory results are required on a STAT basis, the designated commercial medical laboratory

More information

Bacteriology. Mycology. Genova Diagnostics SAMPLE REPORT. Rare. Rare. Negative. Brown. Negative *NG. Negative

Bacteriology. Mycology. Genova Diagnostics SAMPLE REPORT. Rare. Rare. Negative. Brown. Negative *NG. Negative Completed: November 2010 Genova Diagnostics eceived: October 2010 Collected: October 2010 oute Number:7 4.2 0.9-26.8 U/g 0.9 0.2-3.3 mg/g 0.8 1.3-8.6 micromol/g 42.7 1.3-23.7 mg/g 1.7 0.2-3.5 mg/g are

More information

Definition of bilirubin Bilirubin metabolism

Definition of bilirubin Bilirubin metabolism Definition of bilirubin Bilirubin metabolism obilirubin formation otransport of bilirubin in plasma ohepatic bilirubin transport oexcretion through intestine Other substances conjugated by glucuronyl transferase.

More information

Contents. Approved by: Kent Lewandrowski, M.D. 6/1/2005 Written/Updated by: Gino Pagnani Date: 4/3/09

Contents. Approved by: Kent Lewandrowski, M.D. 6/1/2005 Written/Updated by: Gino Pagnani Date: 4/3/09 POCT Program Massachusetts General Hospital - Pathology Service 55 Fruit Street, Boston, MA 02114 Title: Hemoccult Sensa Fecal Occult Blood Procedure Cross References: Hemoccult Sensa Fecal Occult Blood

More information

ifob Test Rev. P /15 6. Read the result in 5-10 minutes. RESULTS AFTER 10 MINUTES. Important: DO NOT READ

ifob Test Rev. P /15 6. Read the result in 5-10 minutes. RESULTS AFTER 10 MINUTES. Important: DO NOT READ Rev. P5576 04/15 ID OSOM ifobt Control Position C Test Position S Sample Well T B-2575p ifob Test 6. Read the result in 5-10 minutes. Important: DO NOT READ RESULTS AFTER 10 MINUTES. OSOM ifobt ID C T

More information

Chapter 17 Worksheet Code It

Chapter 17 Worksheet Code It Class: Date: Chapter 17 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. CPT laboratory codes include collection of the specimen. 2. A dipstick is a small piece of

More information

A Clinician's Guide: Tips on

A Clinician's Guide: Tips on The following reprint is provided with the compliments of Cenogenics Corporation, 620 Route 520, Morganvile, NJ 07751 (908) 536-6457. A Clinician's Guide: Tips on Fecal Occult Blood Testing Questions from

More information

Urine bench. Urine test for: SARAH Sugar

Urine bench. Urine test for: SARAH Sugar Urine bench Urine test for: Sugar It's normal to occasionally have a small amount of sugar in your urine during pregnancy, but if you have elevated levels at a couple of prenatal visits in a row or a very

More information

FECAL OCCULT BLOOD TEST

FECAL OCCULT BLOOD TEST MEDICAL POLICY For use with the UnitedHealthcare Laboratory Benefit Management Program, administered by BeaconLBS FECAL OCCULT BLOOD TEST Policy Number: CMP - 023 Effective Date: January 1, 2018 Table

More information

Biology. Magic Doctor. Magic Doctor. Topic Two: Immunity. 1) The first line of defense in our immune system is composed of what?

Biology. Magic Doctor. Magic Doctor. Topic Two: Immunity. 1) The first line of defense in our immune system is composed of what? Biology Topic Two: Immunity Magic Doctor 1) The first line of defense in our immune system is composed of what? Skin, nose, eye lashes, eyelids. 2) White blood cells and red blood cells are produced in

More information

COMPLETE DIGESTIVE STOOL ANALYSIS - (CDSA) Level 4

COMPLETE DIGESTIVE STOOL ANALYSIS - (CDSA) Level 4 Macroscopic Appearance Colour Brown Consistency Semi-formed Fibres 0-2 Food Remnants 0-2 2 3 Brown Formed Microscopic Appearance Starch Cells 0 0Ref 0 Fat Globules 0 0 0 Meat Fibres 0 Ref Vegetable Fibres

More information

POST GRADUATE DIPLOMA IN FOOD SCIENCE AND TECHNOLOGY (PGDFT)

POST GRADUATE DIPLOMA IN FOOD SCIENCE AND TECHNOLOGY (PGDFT) i) it Total No. of Questions : 7] [Total No. of Printed Pages : 2 POST GRADUATE DIPLOMA IN FOOD SCIENCE AND TECHNOLOGY (PGDFT) Term-End Examination June, 2014 : FOOD CHEMISTRY AND NUTRITION Time : 3 Hours]

More information

Chronic Diarrhea in Dogs

Chronic Diarrhea in Dogs Chronic Diarrhea in Dogs Basics OVERVIEW A change in the frequency, consistency, and volume of bowel movement (feces) for more than 3 weeks Can be either small bowel (small intestine) diarrhea, large bowel

More information

PHYSICAL PROPERTIES AND DETECTION OF NORMAL CONSTITUENTS OF URINE

PHYSICAL PROPERTIES AND DETECTION OF NORMAL CONSTITUENTS OF URINE PHYSICAL PROPERTIES AND DETECTION OF NORMAL CONSTITUENTS OF URINE - OBJECTIVES: 1- The simple examination of urine. 2- To detect some of the normal organic constituents of urine. 3- To detect some of the

More information

How to interpret your urine sample results

How to interpret your urine sample results How to interpret your urine sample results Chronic UTI Info Factsheet Series Once you have submitted your urine sample for analysis, it will be sent off to the local laboratory or hospital laboratory if

More information

SAMPLE. Collecting a faeces specimen

SAMPLE. Collecting a faeces specimen 7. Perform steps 10 16 of the common steps (see pp. 39 43). Evidence base: PHE (2014a) To ensure that: the patient is safe and comfortable. the specimen has been correctly collected and documented in the

More information

Chapter 19: The Cardiovascular System: The Blood. Copyright 2009, John Wiley & Sons, Inc.

Chapter 19: The Cardiovascular System: The Blood. Copyright 2009, John Wiley & Sons, Inc. Chapter 19: The Cardiovascular System: The Blood Blood Liquid connective tissue 3 general functions 1. Transportation Gases, nutrients, hormones, waste products 2. Regulation ph, body temperature, osmotic

More information

Foodborne Disease in the Region of Peel

Foodborne Disease in the Region of Peel Foodborne Disease in the Region of Peel HIGHLIGHTS The incidence of selected foodborne diseases was generally higher in Peel than in Ontario between 1993 and 22. A higher incidence was observed in Peel

More information

NCD for Fecal Occult Blood Test

NCD for Fecal Occult Blood Test NCD for Fecal Occult Blood Test Applicable CPT Code(s): 82272 Blood, occult, by peroxidase activity (e.g., guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal

More information

Lower Gastrointestinal Tract KNH 406

Lower Gastrointestinal Tract KNH 406 Lower Gastrointestinal Tract KNH 406 Lower GI Tract A&P Small Intestine Anatomy Duodenum, jejunum, ileum Maximum surface area for digestion and absorption Specialized enterocytes from stem cells of crypts

More information

e. Undigested material is compacted and stored until the colon is full. When the colon is full, a signal to empty it is sent by sensors in the walls

e. Undigested material is compacted and stored until the colon is full. When the colon is full, a signal to empty it is sent by sensors in the walls Digestive System 1. General a. Animals obtain energy by breaking food molecules into smaller pieces. b. The basic fuel molecules are amino acids, lipids and sugars c. Digestion is the chemical breakdown

More information

Esophageal Disorders. Gastrointestinal Diseases. Peptic Ulcer Disease. Wireless capsule endoscopy. Diseases of the Small Intestine 7/24/2010

Esophageal Disorders. Gastrointestinal Diseases. Peptic Ulcer Disease. Wireless capsule endoscopy. Diseases of the Small Intestine 7/24/2010 Esophageal Disorders Gastrointestinal Diseases Fernando Vega, MD HIHIM 409 Dysphagia Difficulty Swallowing and passing food from mouth via the esophagus Diagnostic aids: Endoscopy, Barium x ray, Cineradiology,

More information

FACT OR ARTIFACT LEARN THE KEYS TO DIFFERENTIATE PARASITES FROM ARTIFACTS

FACT OR ARTIFACT LEARN THE KEYS TO DIFFERENTIATE PARASITES FROM ARTIFACTS FACT OR ARTIFACT LEARN THE KEYS TO DIFFERENTIATE PARASITES FROM ARTIFACTS ACMLT CONFERENCE OCTOBER 1, 2005 PRESENTED BY PAULINE TOMLIN Public Health Microbiology 2 FACT OR ARTIFACT Many body sites and

More information

Interpretive Guide INFECTION INFLAMMATION INSUFFICIENCY IMBALANCE. Infection Box Inflammation Box Insufficiency Box Imbalance Box

Interpretive Guide INFECTION INFLAMMATION INSUFFICIENCY IMBALANCE. Infection Box Inflammation Box Insufficiency Box Imbalance Box Interpretive Guide Interpretive Guide The GI Effects Interpretive Guide has been created to provide a high-level approach to the GI Effects profile, biomarker interpretation, and therapeutic considerations.

More information

Biliary Atresia. Who is at risk for biliary atresia?

Biliary Atresia. Who is at risk for biliary atresia? Biliary Atresia Biliary atresia is a life-threatening condition in infants in which the bile ducts inside or outside the liver do not have normal openings. Bile ducts in the liver, also called hepatic

More information

Animal Nutrition Human Digestion

Animal Nutrition Human Digestion Animal Nutrition Human Digestion 2006-2007 What do animals need to live? Animals make energy using: food food oxygen Animals build bodies using: food for raw materials amino acids, sugars, O fats, nucleotides

More information

Clinical Evaluation of CHRONIC DIARRHEA. By Dr. Mohamed El-Awady

Clinical Evaluation of CHRONIC DIARRHEA. By Dr. Mohamed El-Awady Clinical Evaluation of CHRONIC DIARRHEA By Dr. Mohamed El-Awady Definition Stool weight of more than 300 gm / 24 h more than 4 weeks (Feldman et al 2002) CLINICAL CLASSIFICATION 1) Large-Volume Versus

More information

Glencoe Health. Lesson 3 The Digestive System

Glencoe Health. Lesson 3 The Digestive System Glencoe Health Lesson 3 The Digestive System Health espotlight Video BIG IDEA The digestive system provides nutrients and energy for your body through the digestion of food. New Vocabulary mastication

More information

BIO 116 Practice Assignment 1 The Endocrine System and Blood This is not a required assignment but it is recommended.

BIO 116 Practice Assignment 1 The Endocrine System and Blood This is not a required assignment but it is recommended. BIO 116 Practice Assignment 1 The Endocrine System and Blood This is not a required assignment but it is recommended. 1. Match the following glands of the endocrine system with the appropriate label 1.

More information

Chapter 8. Other Important Tests and Procedures. Mosby items and derived items 2011, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.

Chapter 8. Other Important Tests and Procedures. Mosby items and derived items 2011, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 8 Other Important Tests and Procedures 1 Introduction Additional important diagnostic studies include: Sputum examination Skin tests Endoscopic examination Lung biopsy Thoracentesis Hematology,

More information

Chronic Diarrhea. Christina Surawicz, MD, MACG Professor of Medicine University of Washington. Annual ACG Postgraduate Course

Chronic Diarrhea. Christina Surawicz, MD, MACG Professor of Medicine University of Washington. Annual ACG Postgraduate Course Chronic Diarrhea Christina Surawicz, MD, MACG Professor of Medicine University of Washington Annual ACG Postgraduate Course Oct. 30, 2011 Diagnostic Approach to Chronic Diarrhea Bloody Fatty Watery 1 Diarrhea

More information

It s not just water! What is Urinalysis?

It s not just water! What is Urinalysis? It s not just water! An introduction to Urinalysis What is Urinalysis? Urinalysis or the analysis of urine is one of the oldest laboratory procedures in the practice of medicine. It is a good test for

More information

CrackCast Episode 30 GI Bleeding

CrackCast Episode 30 GI Bleeding CrackCast Episode 30 GI Bleeding Episode overview: 1) List 5 causes of UGIB in adults and pediatrics 2) List 5 causes of LGIB in adults and pediatrics 3) Describe your management approach for severe UGIB

More information

Unit Seven Blood and Immunity

Unit Seven Blood and Immunity Unit Seven Blood and Immunity I. Introduction A. Definition Blood is a sticky fluid that is heavier and thicker than water. Blood is a type of, whose cells and suspended in a liquid intercellular material.

More information

Fecal Analysis in the Diagnosis of Intestinal Dysbiosis

Fecal Analysis in the Diagnosis of Intestinal Dysbiosis Fecal Analysis in the Diagnosis of Intestinal Dysbiosis Policy Number: 2.04.26 Last Review: 7/2018 Origination: 7/2006 Next Review: 7/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will

More information

Diet, Nutrition and Inflammatory

Diet, Nutrition and Inflammatory Diet, Nutrition and Inflammatory Bowel Disease Sumner Brooks, MPH, RDN, LD March 11, 2017 Objectives Identify factors that may alter nutritional status in IBD Understand the role of diet and nutrition

More information

Giardiasis. Table of Contents

Giardiasis. Table of Contents Table of Contents Case Definition... Error! Bookmark not defined. Reporting Requirements... 2 Etiology... Error! Bookmark not defined. Clinical Presentation... Error! Bookmark not defined. Diagnosis...

More information

How to interpret your urine sample results

How to interpret your urine sample results How to interpret your urine sample results Chronic UTI Info Factsheet Series Once you have submitted your urine sample for analysis, it will be sent off to the local laboratory or hospital laboratory if

More information

6. Production or formation of plasma protein and clotting factors and heparin.

6. Production or formation of plasma protein and clotting factors and heparin. Liver function test Clinical pathology dr. Ali H. Liver function test The liver has many vital physiologic functions involving synthesis, excretion, and storage. When a disease process damages cells within

More information