Author Archives: د.حسام أبو فرسخ

(Leucine (Quantitative

:Normal range

Blood, umol/L*

Newborn: 75-200

Infants: 40-190

Children: 80-220

Adults: 75-200

Urine, umol/L*

Infants: < 25

Children: < 55

Adults: 16-123

Comment: Look amino acid in plasma & urine

Sample: 24hr urine, spot urine, plasma, (lithium heparin) separate immediately

Leishmania smear

Normal range: Negative

Comment: Test for visceral leishmaniasis (Kala-Azar). Leishmania is a unicellular parasite that causes diseases ranging from cutaneous lesions to systemic visceral

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leishmaniasis

Sample: From corresponding site

Leishmania Ab

Normal range: Negative

Comment: This screening test is positive in a high percentage of cases, although false positives have been found in a number of autoimmune conditions. It should be considered an adjunct to the diagnosis of Kala-Azar. Bone marrow aspiration is usually indicated to demonstrate the presence of the organism

Sample: Serum

Legionella pneumophilia

Normal range: Negative

Comment: Over 34 species in the Legionellaceae family of bacteria have been discovered since Legionella pneumophilia was first recognized. Thirteen species have been implicated pneumonia. A four fold rise in titer to > 1: 128 is evidence of recent infection. A single titer ³ 1: 256 is evidence of infection at an undetermined time in the past. However, due to the relatively high prevalence of antibodies to Legionella pneumophilia, acute and convalescent titers are preferred to a single sample. Most seroconversions can be documented within 3 weeks of onset

Sample: Serum

Lead, Urine

(Normal range: 0-3 mg/dL (or < 100/24 hr

Comment: Evaluate lead exposure and toxicity before and following chelation therapy

Sample: spot urine or 24 hr urine

Lead, Blood

:Normal range

Adult    : <40 mg/dL

Children: < 30 m g/dL

Comment: Lead is a cumulative poison. In the later stages it may produce abdominal discomfort, colic, vomiting, blue line in gums, encephalopathy and kidney damage. Regular blood levels (every 3-6 months) should be measured in workers exposed to lead

Sample: Heparin, whole blood

LDL cholesterol

:Normal range

Low risk               : < 130 mg/dL

Moderate risk      : 130-160 mg/dL

High risk               : >160 mg/dL

Comment: High levels may increase the risk of atherosclerosis. Often assayed in conjunction with HDL and Apolipoprotein-B to provide a comprehensive screen for risk of myocardial infarction

Increased in type II a, II b hyperlipoproteinemia, nephrotic syndrome, diabetes, familial & idiopathic hyperlipidaemia. High-risk values are more than 160 mg/dL

Sample: Serum