clinical biochemistry test information

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    C l i n i c a l B i o c h e m i s t r y D e p a r t m e n t , U C L H o s p i t a l s N H S F o u n d a t i o n T r u s t

    CLINICAL BIOCHEMISTRY TEST INFORMATION

    Unique document number 411

    ocument n!me C"inic!" Bioc#emi$tr% Te$t In&orm!tion

    'er$ion no( 1)

    *roduced b% r +i"" Rum$b%

    A,,ro-ed b% r +i"" Rum$b%

    !te !cti-e M!% ./14

    !te &or re-ie0 A,ri" ./1

    Comment$ T#i$ i$$ue re,"!ce$ !"" ,re-iou$-er$ion$(

    UCL Hospitals NHS Foundation Trust / Clinical Biochemistry tests Version 17 May !1" #a$e 1 o% &1

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    +ENERAL INFORMATION

    +ENERAL EN2UIRIES3 020344 79405 (x79405); email:[email protected] EN2UIRIES3Call he numbe! abo"e and ask #o! he du$ biochemis. %le!nai"el$ email [email protected] someone &ill deal &ih $ou! en'ui!$ (onda$*!ida$ 0900+700)

    RE2UEST FORMS3 ,he !e'ues #o!ms ha"e an aached ba- #o! inse!ion and sealin- o# he blood samples. e'ues #o!ms should be #i!ml$ aached o p!e"iousl$ 24hou! u!ine. / iss!on-l$ ad"ised ha !e'uess a!e !es! iced o one sample $pe pe! #o!m. e'ues #o!ms mus al&a$s be #ull$ and le-ibl$ compleed. ,he case numbe! su!name #o!ename and dae o#bi!h mus be !eco!ded accu!ael$ #o! all paiens. 1sin- paien ideni#icaion labels is "e!$ desi!able. ,he locaion o# he paien &ih consulans name o! app!o"ed code mus beincluded #o! he !eu!n o# !esuls. lease clea!l$ sae he ess !e'ui!ed usin- hei! #ull names o! &idel$ acceped abb!e"iaions onl$. /# i is onl$ possible o obain a small sample heo!de! o# p!io!i$ #o! he ess !e'uesed should be indicaed. he!e special condiions a!e !e'ui!ed #o! a "alid !esul in#o!maion on imin- #asin- p!oocol and d!u- doses should be&!ien on he !e'ues #o!m.

    LABELLIN+ OF SAM*LES3 The Department will NOT analyse samples that have inadequate identification . %ll specimens 1, be labeled &ih he su!name and &o ohe! iems o#

    ideni#icaion #!om: 6ospial numbe!

    ae o# bi!h

    *o!ename

    SAM*LE CONTAINERS3 ,he sample $pes #o! each o# he ess a!e included in he abulaed in#o!maion lae!.

    TEST A'AILABILITY38o all o# he mo!e esoe!ic ess lised a!e a"ailable &ihin 1C6. ,hose #o! &hich 1C6 has o pa$ o be anal$sed else&he!e a!e subec o pa!icula! sc!uin$ anda!e likel$ o be !e#used unless a clea! clinical usi#icaion is p!o"ided.

    ,es name be-innin- &ih (C!l click):

    A B C D E F G ! "

    # $ % N O & ' ( ) T

    * + , - . /

    UCL Hospitals NHS Foundation Trust / Clinical Biochemistry tests Version 17 May !1" #a$e o% &1

    C"inic!" bioc#emi$tr% te$t in&orm!tion

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]
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    Needle )tic3 !n4uries0 Cu!!en -uidelines mus be #ollo&ed so as o a"oid sick inu!ies o hose akin- !anspo!in- and p!ocessin- samples. pecimens #o! anal$sis mus no be sen ohe labo!ao!$ in he o!i-inal s$!in-e. .

    !nfection (is30 ene!al !e'ui!emens and -ood p!acice:

    o no conaminae he !e'ues #o!m &ih he sample.

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    CLINICAL BIOCHEMISTRY TESTS

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    ,$me

    5ml blood -old op ube G52 1=

    %nion -ap calculaion +220 mmol= Calculaed #!om (8aNA)(ClNbica!bonae).

    %nenaal sc!een (o&ns) 8o a"ailable #!om Clinical ?iochemis!$ conac %nenaalclinic

    %nicon"ulsans ee indi"idual d!u-s

    UCL Hospitals NHS Foundation Trust / Clinical Biochemistry tests Version 17 May !1" #a$e 7 o% &1

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    ,epine (#!ee) 5 m blood !ed op ube ?ach assa$ includes oal ca!bama>epine. %nal$sed a heha!macolo-$ and ,he!apeuic uni Chal#on 0+494 F0+ 423

    UCL Hospitals NHS Foundation Trust / Clinical Biochemistry tests Version 17 May !1" #a$e * o% &1

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    ,en 492+3 nmol 8% #o!med=min=m- olecula! 1!olo-$ es *o! dia-nosis o# p!ima!$ h$pe!oxalu!ia$pe 2

    onado!ophins ee *6 and 66 -ene (!ima!$h$pe!oxalu!ia $pe 2)

    4 m blood pu!ple op ube *ull !epo! issued olecula! 1!olo-$ es

    !o&h 6o!mone (6) 5ml blood !ed op ube ulsaile sec!eion means ha !andom samplin- has

    lile "alue% !andom "alue JF.7 u-= ends o exclude 6de#icienc$

    ?ached #o! anal$sis on seleced da$s.

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    ,ed) !anspo!ed o labimmediael$

    *ull !epo! -i"en e'uess a!e indi"iduall$ !e"ie&ed !esuls a!e a"ailable in 2 o 4&eeks.8.?. u-a! mus be in he die o be deeced%nal$sed a !mond . 02074059200 x5225

    UCL Hospitals NHS Foundation Trust / Clinical Biochemistry tests Version 17 May !1" #a$e ) o% &1

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    ,ahiop!inee'ues indi"iduall$ !e"ie&ed b$ senio! sa##. %nal$sed a ,020 7+GG GFG9

    ,hiopu!ine meh$l!ans#e!ase (,,)

    5 m pu!ple op ube 6i-h: J+50 m1=8o!mal: FG+50 m1=o&: 20F7 m1=e#icien: H+0 m1=8.?. chan-e in unis #!om F=G=+0

    e'ues indi"iduall$ !e"ie&ed b$ senio! sa##. esuls a"ailable&ihin + &eek. %nal$sed a ?i!min-ham Ci$ 6ospial.0+2+ 5075353esuls un!eliable unless a leas +20 da$s pos !ans#usion

    ,h$!o-lobulin 5ml blood -old op ube H5u-= (hen ,6 #ull$ supp!essed and &ih no!ecu!!ence.)

    *o! monio!in- dia-nosed h$!oid ca!cinoma onl$%nal$sed in house #!om 8o"embe! 20+2

    ,h$!oid 6o!mones inc. ,6and *,4

    ee indi"idual ess

    ,h$!oid !ecepo! %b (,!%b) 5 m blood -old op ube /ndex H20 is no!mal e'uess indi"iduall$ !e"ie&ed. %nal$sed a o$al Bico!ia8e&casle. 0+9+2G24559

    ,h$!oid imulain-6o!mone

    5 m blood -old op ube 0.274.20 m/1= 24 hou! a"ailabili$

    ,h$!oxine (*!ee,4) 5 m blood -old op ube +2.022.0 pmol= 24 hou! a"ailabili$,ia-ibine 5 m blood !ed op ube %nal$sed a he ha!macolo-$ and ,he!apeuic uni Chal#on

    0+494 F0+ 423

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    ,en as &hole blood

    %nal$sed in 8eu!omeabolic 1ni

    Biamin ?F (p$!idoxalphosphae)

    2 m pu!ple op. !oec #!omli-h

    +573 nmol= %nal$sed in 8eu!omeabolic 1ni

    Biamin 256 5ml blood !ed o! -old op ube H25 nmol= is 256 Biamin de#icien2550 nmol= is insu##icien 256 "iamin J200 nmol= conside! !educin- "iamin dose

    ?ached #o! anal$sis on seleced da$s

    Biamin +25 (calci!iol) 5ml blood -old op ube(a!dous)

    hie cell en>$mes 1nsepa!aed 5 m li-h -!eenube

    *ull ine!p!eai"e !epo! -i"en e'uess a!e indi"iduall$ !e"ie&ed !esuls a!e a"ailable in 2 o 4&eeks.%nal$sed a !mond . 02077F2F75+

    Winc 5m ,