Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (824 page)

BOOK: Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis
5.62Mb size Format: txt, pdf, ePub
   Interpretation

Increased In

   Renal patients receiving erythropoietin agents
   ESRD patients undergoing hemodialysis
   Very heavy drinkers of beer with added cobalt
   Individuals with deteriorating metal implants

Decreased In

   NA.
   Limitations
   Diet, medications, supplements (nutritional and mineral), B
12
, or B-complex vitamins may interfere test results. Recommend avoid 3 days prior to testing.
   False-positive test results may occur from using noncertified trace element collection tubes.
   High concentrations of gadolinium and iodine are known to interfere (should wait 96 hours to clear).
   Analysis of cobalt concentration is of little use in the determination of vitamin B
12
deficiency.
   To assess occupational exposure, sample should be collected at the end of the shift on the last day of workweek.
COCAINE
*
   Definition

Other books

Heat Wave by Orwig, Sara
That Way Lies Camelot by Janny Wurts
Lonely This Christmas by LaBaye, Krissie
B for Buster by Iain Lawrence
The Calling of the Grave by Simon Beckett
New Title 1 by Jeffrey, Shaun