Full Description
This book is written for hospital doctors, nurses, biochemists, medi cal laboratory scientific officers and phlebotomists involved with the biochemical investigation of patients. It is hoped, also, that general practitioners and medical students will find it of help. Whilst the vast majority of biochemical tests assess the level of constituents in blood and urine at a given point in time, an impor tant additional parameter is the assessment of physiological reserve function by means of loading tests, prOlonged fasting, exercise and clearance studies. The protocol and interpretation of response of each of these stress tests form the main basis of the text. An attempt has been made to be reasonably comprehensive in the range of tests described; hence, not only have some rather older ones been re tained, but also some very recently introduced ones included. It is appreciated that practice varies widely from laboratory to labora tory with respect to protocol, sample collection, methodology and quotation of reference ranges, and no doubt also from clinician to clinician, particularly regarding interpretation of results. In paedi atric work, micromethods will demand much smaller volumes of blood than those stated here, which relate generally to adult medi cine. The account, therefore, must be seen as a guide to practice rather than as a recipe; it is in no wayan attempt to standardise procedures, which depend on the local requirements.
Contents
L-Alanine load test.- Ammonium chloride load test.- Antipyrine clearance test.- L-Arginine infusion test.- Bile acid breath test.- Bovril stimulation test.- Bromsulphthalein (BSP) excretion test.- Butter fat absorption test.- Calcium deprivation (sodium phytate) test.- Calcium infusion test-for calcitonin (CT) release.- Calcium infusion test-for gastrin release.- Calcium tolerance test.- Calorie restriction test.- Chlorpromazine stimulation test.- Clomiphene stimulation test.- Clonidine stimulation test.- Corticotrophin-releasing factor (CRF) stimulation test.- Creatinine clearance test.- Desferrioxamine chelation test.- Desmopressin acetate (1-deamino-8-D-arginine vasopressin, DDAVP) response test.- Dexamethasone suppression test (DST)-multiple high dose.- Dexamethasone suppression test (DST)-single low dose for Cushing's syndrome.- Dexamethasone suppression test (DST)-single low dose for depression.- L-Dopa stimulation test.- Elsworth-Howard test (modified).- Ethylenediamine tetra-acetic acid (EDTA) chelation test.- Fasting test.- Fat balance test.- 9?-Fludrocortisone suppression test.- Fluorescein dilaurate (Pancreolauryl, International Laboratories Ltd.) test.- Formiminoglutamic acid (FIGLU) test.- Fructose tolerance test.- Galactose tolerance test.- Glucagon stimulation test-for glycogen storage diseases.- Glucagon stimulation test-for growth hormone (GH) deficiency.- Glucagon stimulation test-for insulinoma.- Glucose-insulin provocation test.- Glucose tolerance test (GTT)-intravenous procedure.- Glucose tolerance test (GTT)-oral procedure.- Gonadotrophin-releasing hormone (Gn-RH, luteinizing hormone/ follicle-stimulating hormone-releasing hormone, LH/FSH-RH) stimulation test.- Growth hormone (GH) suppression test.- Heparin test.- Human chorionic gonadotropin(HCG) stimulation test.- Hydrocortisone suppression test.- Hydrogen breath test.- Hypothalamic-pituitary (anterior) function (combined hypothalamic-releasing hormone/insulin) test.- Insulin stress test-for hypothalamic-pituitary (anterior) assessment.- Insulin stress (Hollander) test-for vagotomy assessment.- Inulin clearance test.- Iron absorption test.- Ischaemic exercise test.- Lactose tolerance test.- L-Leucine sensitivity test.- Lundh test.- L-Methionine load test.- Metyrapone (Metopirone) stimulation test.- Oleic acid and triolein absorption test.- D-Penicillamine chelation test.- Pentagastrin stimulation test-for calcitonin (CT) release.- Pentagastrin stimulation test-for gastric acid secretion.- Pentolinium tartrate suppression test.- Phosphate excretion indices test.- Pituitary (anterior) function (combined hypothalamic-releasing hormone/arginine vasopressin) test.- Potassium load test.- Protein clearance (selectivity index) test.- Secretin stimulation test.- Secretin/cholecystokinin-pancreozymin (CCK-PZ) stimulation test.- Sweat test.- Tetracosactrin (Synacthen, Cortrosyn) stimulation test-five hour procedure.- Tetracosactrin (Synacthen, Cortrosyn) stimulation test-prolonged procedure.- Tetracosactrin (Synacthen, Cortrosyn) stimulation test-short procedure.- Thiazide challenge test.- Thyrotrophin-releasing hormone (TRH) stimulation test-intravenous procedure.- Thyrotrophin-releasing hormone (TRH) stimulation test-oral procedure.- L-Tryptophan load test.- Vitamin A absorption test.- Vitamin B12 absorption (Dicopac, Amersham International plc) test.- Vitamin B12 absorption (Schilling) test.- Vitamin C saturation test.- Water deprivation test.- Water load test.- Whisky stimulation test.- D-Xylose absorption test.- Zinc tolerance test.- Appendices.- I Preparationof the patient and patient after-care.- II Specimen collection, handling and transportation-general principles.- III Specimen collection, handling and transportation-specific details.- IV Table.- References.
