Vacutainer tubes in low temperature Increased volume of blood aspirated
2. UV light source Mercury/Sodium vapour lamp Xenon lamp Deuterium/Hydrogen lamp 3. Visible to near infrared Tungsten 4. Visible and UV Mercury/Sodium vapour lamp Hollow cathode lamp (AAS) 5. Osmolal gap mOsm= 2 Na + Glucose + BUN 5-10 mOsm/kg (Bishop) kg 20 3 0-10 mOsm/kg (L&R, Polansky) 6. Low anion gap Decrease in unmeasured anion, increase in unmeasured cation 7. Enzyme that is significant when decreased Cholinesterase TOTAL CHOLESTEROL Desirable: <200 Borderline high: 200-239 High: ≥240 LDL-CHOLESTEROL Optimal: <100 Near-optimal: 100-129 Borderline high: 130-159 High: 160-189 Very high: ≥190 HDL CHOLESTEROL Low: <40 High: ≥60 TAG Normal: <150 Borderline high: 150-199 High: 200 – 499 Very high: ≥500 8. Disinfection of centrifuge Done weekly 9. Analyte that assess liver synthesis and renal Albumin excretion 10. Body mass index Underwieght: <18.5kg/m2 Normal: 18.5-24.9kg/m2 Overweight: 25-29.9 kg/m2 Obese: ≥30 kg/m2 11. Increased plasma renin results to Hypertension 12. Separates colloid from crystalloid Utrafiltration/Dialysis 13. Glomerula Filtration: Cockgroft-gault: A. Clearance Tests: CrCl = (140-age) (body wt. in kg) 1. Urea – old 72 x serum crea (mg/dl) 2. Creatinine – most common *** multiply to 0.085 if female 3. Inulin – gold standard/reference method MDRD-IDMS: GFR = 175 x serum crea-1154 x age-0.203 *** multiply to 0.742 if female *** multiply to 1.202 if African/American 14. Tubular reabsorption test: A. Concentration test 1. Fishberg (obsolete): no water intake for 24 hours (SG = 1.026) 2. Mosenthal(obsolete): compares the SG of day and night urine samples 15. ≥50mg/dl ascorbic acid may inhibit reaction Glucose 16. Oxidizing contaminants, ≥5mg/dl ascorbic Blood acid may inhibit reaction 17. ≥25mg/dl of ascorbic acid may inhibit Nitrite reaction 18. Anticoagulant for synovial fluid Liquid heparin ***Powdered AC should not be used because they may produce artifacts that interfere with crystal analysis 19. Stain for neutral fat 95% ethanol with Sudan III 20. MANY sperm in urine of male Report as it may have significance 21. In parasitology lab, how many stool samples 3 stool samples are needed to be examined? 22. Metachromatic stain Stain for mucopolysaccharides (+) blue spot 23. ROWR: RBC, OFC, WBC, RTE Average/10 HPF 24. CrAbCa: abnormal crystals, casts Average/10 LPF 25. TTBYN: Transitional EC, Trichomonas, Bacteria, Rare, few, moderate, many/ HPF Yeasts, Normal crystals 26. MucuSECS: Mucus strands, Squamous EC Rare, few, moderare, many/ LPF 27. Sperm motility grading: 4 ------ a ------- Rapid, straight line motility -------- mobile, strong linear progression 3 ------ b ------- slower speed, some lateral movement ----- Mobile, moderate linear progression 2 ------ b ------- slow forward progression, noticeable lateral movement --- Mobile, slow non-directional motility 1 ------ c ------- no forward progression ------ Mobile, no forward progression 0 ---- d ------- no movement ------- immobile
28. SUMMARY OF URINARY CRYSTALS
CRYSTAL pH COLOR SOLUBILITY Cystine Acid Colorless Ammonia, dilute HCl Cholesterol Acid Colorless, notched Chloroform rectangles Leucine Acid, neutral Yellow Alkali and heat, alcohol Tyrosine Acid, neutral Colorless-yellow Alkali or heat Bilirubin Acid Yellow Acetic acid, HCl NaOH, ether, chloroform, acetone Sulfonamides Acid, neutral Colorless, yellow-brown Ampicillin Acid, neutral Colorless Radiographic dye Acid Colorless 29. Calcium phosphates vs. Sulfonamides Urine + dilute acetic acid Calcium phos = soluble Sulfonamides = insoluble 30. Urine transported in ice pack produced pink Warm the urine precipitate. What is the remedy? *** Pink precipitate = amorphous urates ***White precipitate = amorphous phosphate 31. Gastric acid secretion G cells ---food- Gastrin - Parietal cells -- HCl HCl - pepsinogen to pepsin ***pepsin then digests proteins 32. Pernicious anemia Achlorhydria/Anacidity (No HCl) BAO: MAO = 0 Anti-parietal cell Ab Anti-IF Ab 33. Zollinger-Ellison syndrome Hyperchlorhydria/Hyperacidity Highest BAO:MAO Non-beta islet cell adenoma of pancreas Malignant; produces gastrin 34. Sperm concentration ***Sperm/ul = sperm counted x DF (20) x area factor (1/2) x depth factor (10) ***Sperm/ml = sperm/ul x 1,000 35. Sperm count Sperm/ejaculate = sperm concentration (sperm/ml) x specimen volume (ml) 36. Sigma by Counting Methodology Sigma Defects per Efficiency Performance Level/Metric million (DPM) 1 sigma 690, 000 31.0000% Poor 2 sigma 308,000 69.2000% Poor 3 sigma 66,800 93.3200% Good 4 sigma 6,210 99.3790% Good 5 sigma 200 99.9770% Excellent 6 sigma 3.4 99.9997% World Class 37. BIOSAFETY CABINETS TYPE AIRFLOW CLASS I In at front, rear and top through HEPA filter CLASS IIa 70% reticulated through HEPA, exhaust through HEPA CLASS IIb-1 30% reticulated through HEPA, exhaust via HEPA and hard-ducted CLASS IIb-2 No recirculation: total exhaust via HEPA and hard- ducted CLASS B3(now designated Class Same as IIA, but is surrounded by plenums under IIA2) negative pressure CLASS III Exhaust air is incinerated and HEPA filtered or double HEPA filtered (2 HEPA filters) prior to being exhausted) 38. Hyponatremia (<135mmol/L) Increased Sodium loss Increased H2O retention Water imbalance Hypoadrenalsim Renal failure Excess water intake Potassium deficiency Nephrotic syndrome SIADH Diuretic use Hepatic cirrhosis Pseudohyponatremia Ketonuria Congestive Heart failure Salt-losing nephropathy Prolonged vomiting or diarrhea Severe burns Hyponatremia can also be classified according to plasma/serum osmolality