11/18/09 6:03 PM Page 249 Aptara Inc. Site of bare area of liver. If the specific gravity is too high to get a reading, them it is necessary to make a 1:2 (one in two) dilution of urine using distilled water. In pericardiocentesis, a needle and syringe are inserted through the chest wall into the pericardial sac (as shown below). There are many levels of training required for hospital personnel depending upon their employment duties and employment risks. Download Graff's Textbook of Urinalysis and Body Fluids PDF book free online – From Graff's Textbook of Urinalysis and Body Fluids PDF: Retaining the wide array of full color photos, illustrations, and photomicrographs that have made Graff's Textbook of Urinalysis and Body Fluids a time-honored resource for students and laboratory professionals, this updated Third Edition is now even easier to use and easier to teach from. Graff's textbook of urinalysis and body fluids 3rd edition pdf pdf. Granular cylindroid (500). Once the specimen arrives in the laboratory, it is observed for liquefaction time. There are two separate color scales for erythrocytes and hemoglobin. This phenomenon will not occur if the red cells are grossly distorted by a hypotonic or hypertonic urine environment. Uric acid crystals: moderate. Notice the thin granular plates (200). 1, 3 Color and clarity. The "pass-through" phenomenon can occur so rapidly that it can be missed if not observed closely.
A urinalysis on a 70-year-old male revealed the find-. Antidiuretic hormone (ADH). Many conditions can contribute red blood cells to the urine. There is some question whether this correction is necessary, so few laboratories correct for protein and glucose. Multistix2 (5 WBCs/uL).
E. f. g. h. i. bilirubin blood glucose ketone leukocytes nitrite pH protein urobilinogen. Graff's textbook of urinalysis and body fluids 3rd edition pdf free download windows 10. 2-7 (page 16)) is the functional unit of the kidney and there are approximately 1 million or slightly more nephrons in each kidney. Describe the anatomy of the central nervous system. Pleural effusions may be primary or can be secondary to accumulation of peritoneal fluid (ascites). The base is drawn from 550 nm to 365 nm. Which of these specimens is best for the detection of. The zero setting of the instrument should be checked daily with distilled water, but it should rarely, if ever, need adjustment. G Galactosemia and galactosuria, 212 Gastrointestinal (GI) tract disorder of, 278 physiology, 278 Gerhardt's test, 308–309 GFR.
A complete index is especially helpful to those who rely on the book as a reference. The volume of the aspirate is usually recorded at bedside, but some laboratories may include volume in their reports as well. Several techniques and preservatives are used in the collection of urine, which should be used appropriately to allow for the most accurate results. Granular casts may be the result of the degeneration of cel-. Mission13 (25–50 mg/dL). Graff's Textbook of Routine Urinalysis and Body Fluids - Free Download PDF. Starch crystals under polarized light demonstrating the typical "Maltese-cross" formation (400). If a specimen is rather bloody, it may be diluted and less area may be counted. Waived tests: Simple laboratory tests and procedures that. Sodium urates have no clinical significance. BODY FLUID APPEARANCE.
Arterial end Capillary filtration pressure. These types of specimens include blood—alcohol levels, specimens from rape cases, specimens in paternity cases, and medical examiner's specimens. Moreover, 195. nitrogenous waste materials will build up in your blood as in hypertension above. Placing the penetration test set-up inside a closed cabinet helps keep it free. Graff's textbook of urinalysis and body fluids 3rd edition pdf download free. Polarized, compensated light (400). CELLS Cells that can be present in the urine include erythrocytes (RBCs), leukocytes (white blood cells or WBCs), and epithelial cells from anywhere in the urinary tract from the tubules to the urethra or as contaminants from the vagina or vulva. The technologist had an obligation to inform the student of the splash and guide her through the proper safety measures as in 1-1-2 above.
REGULATIONS AND REGULATORY AGENCIES GOVERNING THE CLINICAL LABORATORY Various federal, state, county, and city regulations apply to the clinical laboratory. To receive payment from Medicare or Medicaid a laboratory must be licensed under this act. Rapid convenience urine tests: their use and misuse. Renal column (of Bertin) Renal pelvis. 22 Because the plasma phenylalanine level increases first, the required screening test is performed on blood before the newborn is discharged from the hospital, provided that the infant has been on milk feedings for at least 24 hours. Lab Med 1979;10:351–355. These colors, however, are easily distinguishable from the colors obtained with ketone bodies. A slightly elevated white blood cell count was noted, however. Calcium sulfate is also extremely soluble in acetic acid. The addition of ultrasound has helped make this procedure safer especially if performed after 14 weeks of gestation.
Use proper PPE as the samples may be mixed with broken glass. Figure 10-10 (page 250) illustrates the pericardium surrounding the heart. Changes Occurring to Unpreserved Urine. Within a week of antibiotic therapy, the CSF leukocyte count decreases and the differential count shifts back to lymphocytes and monocytes. Concern in the premature birth. 3 More commonly, CSF protein electrophoresis is performed to detect oligoclonal bands in the gamma region.
Most laboratories have established a critical values list, with test results that are important enough to be called to the physician immediately. The freed hemoglobin will react with the reagent and will result in green spots on a yellow or orange background. Proficiency testing: Quality control is established between clinical laboratories by these unknown samples that are sent to a group of laboratories for analysis with comparison of results between laboratories. Infants may have darkly stained diapers with a strong odor. Normal liquefaction occurs between 30 and 60 minutes. Lipids as compared to plasma. The amount collected is usually 10–20 mL (maximum 30 mL), with collection into several different syringes to prevent the contamination of all specimens with the blood from initial puncture.
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