Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (1447 page)

BOOK: Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis
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RSV
respiratory syncytial virus
rT3
reverse triiodothyronine (T3)
SBE
subacute bacterial endocarditis
SD
standard deviation
SGOT
serum glutamic oxaloacetic transaminase (see aspartate aminotransferase, AST)
SGPT
serum glutamic pyruvic transaminase (see alanine aminotransferase, ALT)
SI
Systeme Internationale d’Unites
SIA
strip immunoblot assay
SIADH
syndrome of inappropriate antidiuretic hormone secretion
SLE
systemic lupus erythematosus
S/S
sensitivity/specificity
STD
sexually transmitted disease
T
3
triiodothyronine
T
4
thyroxine
TB
tuberculosis
TBG
thyroxine-binding globulin
TDM
therapeutic drug monitoring
TGT
thromboplastic generation time
THC
marijuana (delta-9- tetrahydrocannabinol)
TIBC
total iron-binding capacity
TLC
thin-layer chromatography
TMP/SMX
trimethoprim and sulfamethoxazole
TORCH
toxoplasma, others, rubella, cytomegalovirus, herpes simplex
TP
total protein
TPN
total parenteral nutrition
TRH
thyrotropin-releasing hormone
TSH
thyroid-stimulating hormone
TSI
thyroid-stimulating immunoglobulin
TT
thrombin time
TTP
thrombotic thrombocytopenic purpura
TTP/HUS
thrombotic thrombocytopenic purpura hemolytic uremic syndrome
U
unit
UIBC
unsaturated iron-binding capacity
ULN
upper limit of normal
URI
upper respiratory infection
UTI
urinary tract infection
UV
ultraviolet
V
variable
VCA
viral capsid antigen
VDRL
Venereal Disease Research Laboratory (test for syphilis)
VIP
vasoactive intestinal polypeptide
VLDL
very-low-density lipoprotein
VMA
vanillylmandelic acid
vWF
von Willebrand factor
VZV
varicella-zoster virus
WBC
white blood cell
WHO
World Health Organization
Z-E
Zollinger-Ellison (syndrome)

 

Glossary

Chromosome:
an individual portion of DNA containing some or all genes of a cell or virus. Humans have 23 pairs of chromosomes.
DNA:
deoxyribonucleic acid: double-helix strands composed of nucleotides (A, C, G, and T) with A on one strand paired with T and C paired with G on the other strand. The order of nucleotides determines genetic information.
FISH:
fluorescent in situ hybridization: technique for fluorescent staining of molecules (e.g., used for gene mapping and to identify chromosome abnormalities).
gene:
functional unit in genome of cells and viruses that encode RNA and proteins.
genotype:
an individual’s genetic makeup indicated by his or her DNA sequence.
haplotype:
group of adjacent alleles inherited together.
heterozygous:
two different alleles at a specific autosomal gene locus (or X chromosome in a female).
homozygous:
two identical alleles at a specific autosomal gene locus (or X chromosome in a female).
MoM:
multiples of the median: unit used to express marker concentrations in maternal serum that allows for variations in concentration during gestation and between laboratories (see α-fetoprotein).
mRNA:
messenger RNA: template for protein synthesis. Sequence of a strand of mRNA is based on sequence of a complementary strand of DNA.
mutation:
permanent change in structure of DNA.
nucleic acids:
chains of nucleotides that form DNA and RNA.
oncogene:
gene with ability to convert a noncancer cell to a cancer cell. Protooncogenes are genes able to contribute to formation of cancer due to mutations in nucleotide sequence or organization; for example, retroviral oncogenes are derived from protooncogenes.
PCR:
polymerase chain reaction: quick way to make unlimited number of copies of any piece of DNA.
phenotype:
clinical expression of specific genes and/or environmental factors, for example, hair color, presence of a disease.
retrovirus:
class of viruses—including HIV and RNA tumor viruses—that replicate by copying RNA genome into DNA form by reverse transcriptase.
reverse transcriptase:
enzyme that copies RNA into DNA carried by retroviruses. transcriptase
RNA:
ribonucleic acid: delivers DNA messages to cytoplasm of cell where proteins are made. Similar to a single strand of DNA but uracil (U) is substituted for (T) in genetic code. Order of nucleotides is usually determined by a corresponding sequence in DNA.
Southern blot:
named for Dr. Southern. Procedure used to identify and locate DNA sequences that are complementary to another piece of DNA (called a
probe).
tyrosine kinase:
enzymes that add phosphate to tyrosine in proteins (many encoded by protooncogenes). Some (e.g.,
ABL
and
EGF
receptor tyrosine kinases) are inhibited by anticancer drugs (e.g., Gleevec).
WB (Western blot):
procedure used to identify and locate proteins using specific antibodies that bind to these proteins.
Symbols
         >
greater than
         ≥
equal to or greater than
         <
less than
         ≤
equal to or less than; up to
         ×
times (e.g., 4× increase = fourfold increase)
         ±
plus or minus
         ~
approximately
↑ to ↑↑↑↑
increased to markedly increased
↓ to ↓↓↓↓
decreased to markedly decreased

Index

1,5-Anhydroglucitol (1,5-AG)

1,25-Dihydroxvitamin D, hypercalcemia

1,25-Dihydroxyvitamin D3, hyperparathyroidism

2-Hour glucose tolerance test, ovulatory disorders

2-Hydroxypropanoic acid.
See
Blood lactate

5,10-Methylenetetrahydrofolate reductase (MTHFR) molecular assay

5-Fluorocytosine, antimicrobials, TDM

5-Hydroxyindoleacetic acid (5-HIAA)

diarrhea
urine

5’-Nucleotidase (5’-ribonucleotidephosphohydrolase, 5’-NT)

cholestasis

6-Acetylmorphine

11-Deoxycortisol

17-Ketosteroids, urine (17-KS)

24-Hour urinary aldosterone excretion, primary hyperaldosteronism

24-Hour urine calcium excretion

hypercalcemia
hyperparathyroidism

25-Hydroxyvitamin D

cirrhosis
hypercalcemia

25-Hydroxy-vitamin D3 level

A

AA.
See
Aplastic anemia (AA)

AAT.
See
Alpha1-antitrypsin

A1ATD.
See
Alpha-1 antitrypsin deficiency (A1ATD)

Abdominal pain

acute
amylase
arteriography
beta-hCG levels
CBC
CT
lactic acid level
lipase
radiographic studies
chronic
esophagus disorders
gallbladder and biliary tree diseases
pancreas disorders
stomach disorders

Abetalipoproteinemia

Apo B-48
Apo B-100
β-lipoprotein
cholesterol
ESR
LDL-C
RBCs, abnormal
serum carotene
TC
TG
VLDL

ABGs.
See
Blood gas, arterial

ABO blood transfusion

Abscesses, CNS

Absolute neutrophil

Absorption, drug

ACA.
See
Anticardiolipin antibodies (ACAs)

Acanthocytes

Accuracy (trueness)

Acetaminophen

Acetylsalicylic acid.
See
Salicylates (aspirin)

ACH.
See
Achondroplasia (ACH)

AChE (true cholinesterase)

Achlorhydria

atrophic (type A gastritis)
stomach carcinoma

Achondroplasia (ACH)

AChR antibodies

myasthenia gravis
primary autoimmune autonomic failure

Acid alpha-glucosidase deficiency.
See
Glycogen storage disease (GSD), type II

Acid beta-glucosidase deficiency.
See
Gaucher disease

Acid ceramidase deficiency.
See
Farber disease

Acid lipase deficiencies

LDL cholesterol (LDL-C)
TG

Acid maltase deficiency.
See
Glycogen storage disease (GSD), type II

Acid phosphatase

Acid-base disorders

analysis
buffer systems
respiratory and metabolic systems

Acid-fast bacillus (AFB) smear

chromogenic stain
culture and staining

Acid-fast bacillus (AFB) smear

fluorogenic stain
interpretation
limitations
mycobacterial diseases
nontuberculous mycobacteria (NTM)
TB
tuberculosis, renal
use

Acid-fast bacterial pathogens

Mycobacterium tuberculosis
Nocardia
infection
nontuberculous mycobacteria

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