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Biochemistry

Referred Work (108)

Blood Sciences - Biochemistry referred work. These tests are available via the standard electronic and paper request cards. Site specific processing will be detailed in the test information. These tests are referred to other laboratories for analysis.
Referred Work

Solihull Biochemistry Laboratory (2)

Solihull Blood Sciences - Biochemistry - Test menu. These tests are available routinely on the Solihull Hospital site and/or may required site specific sample processing. All other biochemistry tests are available, but site specific processing may be required. This section details those tests
Solihull Biochemistry Laboratory

Heartlands Biochemistry Laboratory (27)

Heartlands Blood Sciences - Biochemistry - Test menu. These tests are available routinely on the Heartlands site and/or may required site specific sample processing. All other biochemistry tests are available, but site specific processing may be required. This section details those tests
Heartlands Biochemistry Laboratory

Good Hope Biochemistry Laboratory (2)

Good Hope Blood Sciences - Biochemistry - Test menu. These tests are available routinely on the Good Hope site and/or may required site specific sample processing. All other biochemistry tests are available, but site specific processing may be required. This section details those tests
Good Hope Biochemistry Laboratory
Trimethylamine (Quantitative)

Trimethylamine (Quantitative)

Provided by referral laboratory

 

Please note from 13 Feb 2017 new reference ranges and tests reported for TMA profile. TMA/TMA-n-oxide result has been replaced by % N-oxidationDimethylamine is no longer routinely analysed as part of the TMA profile - if it is required it should be requested separately.

 

PLEASE NOTE FROM JANUARY 2018 TOTAL TMA/CREATININE RATIO WILL NO LONGER BE REPORTED.  The parameter is not directly required for diagnosis and is an assessment of the amount of dietary choline going through the pathway, which aids in the interpretation of results.  The parameter will still be measured but not reported, rather a comment will be added if the value is low indicating insufficient stressing of the pathway which could lead to a false negative.  

Troponin I - High Sensitive

Troponin I - High Sensitive

The cut-off values used for the Abbott Alinity Troponin I assay are based on 99th percentiles and are as below:

  • Male <34 ng/L
  • Female <16 ng/L

Unsaturated Iron Binding Capacity (UIBC)

UIBC: 12-43 µmol/L (Males), 13-56 µmol/L (Females)

(Source : Abbott Diagnostics)


TIBC: 45-72 µmol/L (TIBC = Iron + UIBC)

For diagnostic purposes, UIBC should always be assessed in conjunction with the patient’s medical history, clinical examinations and other findings.

Urea (Serum)

Urea (Serum)

Neonates (<4weeks)    0.8-5.5 mmol/L

Infant (4wks-1yr)          1.0-5.5 mmol/L

1-16yrs                       2.5-6.5 mmol/L

Adult                          2.5-7.8 mmol/L

(Source : Pathology Harmony Recommendations)

Urea (Urine)

Urea (Urine)

428-714 mmol/24h

Source : Abbott Diagnostics

Urine Citrate

Urine Citrate

Provided by Reference Laboratory:

24 hour excretion:

Males : 0.6 ‑ 4.8 mmol/24 h

Females : 1.3 ‑ 6.0 mmol/24 h.

Random excretion (Citrate/creatinine ratio):

Males : 0.04 ‑ 0.33 mmol/mmol creatinine

Females :0.11 ‑ 0.55 mmol/mmol creatinine

Urine Electrolytes

None Given. The results must be interpreted together with serum electrolytes and clinical details.

Urine Manganese

Urine Manganese

Provided by Reference Laboratory.

Urine: < 1µg / g creatinine (< 2 μmol/mol creatinine)

Urine Metanephrines

Urine Metanephrines

 

Table 1. 24hr Urine Metadrenaline Ranges

Analyte

Age

Collection

µmol/ 24 hr

Source

Normetadrenaline

Adult

24 hr

<4.9

Locally derived

0-2 months

24 hr

<0.85

Tietz

3-5 months

24 hr

<0.61

6-8 months

24 hr

<0.6

9-11 months

24 hr

<0.56

1yr

24 hr

<0.65

2-5 yr

24 hr

<0.6

6-9 yr

24 hr

<0.96

10-15 yr

24 hr

<1.59

Metadrenaline

Adult

24 hr

<2.0

Tietz

0-2 months

24 hr

<0.19

3-8 months

24 hr

<0.21

9-11 months

24 hr

<0.51

1 yr

24 hr

<0.26

2-5 yr

24 hr

<0.5

6-9 yr

24 hr

<0.7

10-15 yr

24 hr

<1.23

3 MT

Adult

24 hrs

<2.75

Measurement of urinary metanephrines   to screen for pheochromocytoma in an unselected hospital referral   population. Shine   Bet al. Clin Chem 2006 Nov;52(11):2060-4. Epub 2006 Sep 21

0- 4 years

24 hrs

<0.62

Paediatric   Reference Values for Urinary Catecholamine Metabolites Evaluated by High

Performance Liquid   Chromatography and Electrochemical Detection1

5-15 years

24 hrs

<1.26


                        Table 2. Random Urine Metadrenaline Ranges

 Analyte  Age  Collection  umol/mmol creatinine

Source

Normetadrenaline

Adult

Random

<0.35

Locally derived

0-2 months

Random

<1.32

Chromsystems Dialog Magazine, 2009,   http://chromsystems.com/en-gb/news/dialog

3-5 months

Random

<0.91

6-11 months

Random

<0.57      

1yr

Random

<0.35

2-4 yr

Random

<0.24

5-9 yr

Random

<0.16

10-15 yr

Random

<0.11

Metadrenaline

Adult

Random

<0.11

Locally derived

0-5 months

Random

<0.21

Chromsystems Dialog Magazine, 2009,   http://chromsystems.com/en-gb/news/dialog

6-11 months

Random

<0.13

1 yr

Random

<0.12

2-4 yr

Random

<0.11

5-9 yr

Random

<0.10

10-15 yr

Random

<0.07

3MT

Adult

Random

<0.15

Locally derived

<1yr

Random

<1.5

Annales de Biologie Clinique. Volume   60, Numéro 1, 15-36, Janvier - Février 2002

1 yr

Random

<0.75

2-15 yr

Random

<0.36

 

 

Urine Nickel

Urine Nickel

Normal range:

< 5 μmol/mol creatinine
< 5 μg/24 hr
< 85 nmol/24 hr

Urine NTX (N-telopeptide; bone marker/bone markers)

Urine NTX (N-telopeptide; bone marker/bone markers)

Reference ranges provided by referral laboratory (July 2014).

NB: Results are expressed as nmol bone collagen equivalent (BCE)/mmol creatinine.

 

Adult males:                               15-40 nmol BCE/mmol
Adult females:
   pre-menopause 20-39 yrs    12-36 nmol BCE/mmol
   pre-menopause >39 yrs        14-38 nmol BCE/mmol      
   post-menopause                   15-57 nmol BCE/mmol
Urine NTX (N-telopeptide; bone marker/bone markers)

Urine NTX (N-telopeptide; bone marker/bone markers)

Reference ranges provided by referral laboratory (July 2014).

NB: Results are expressed as nmol bone collagen equivalent (BCE)/mmol creatinine.

 

Adult males:                               15-40 nmol BCE/mmol
Adult females:
   pre-menopause 20-39 yrs    12-36 nmol BCE/mmol
   pre-menopause >39 yrs        14-38 nmol BCE/mmol      
   post-menopause                   15-57 nmol BCE/mmol
Urine Oxalate

Urine Oxalate

From 10/5/2018 refernce ranges will be:

100 - 460 umol/24 hour (adults, correct to 1.73m2for children)

Age related ref ranges for oxalate:creatinine ratio:

0-6 months  <291µmol/mmol

7-23 months  <220µmol/mmol

2-4 years  <143µmol/mmol

5-11 years  <76µmol/mmol

12 -17 years  <44µmol/mmol

18+ female    <45µmol/mmol

18+ male       <33µmol/mmol

Urine Protein:Creatinine ratio (Random urine)

Urine Protein:Creatinine ratio (Random urine)

  • <15 mg/mmol Creatinine = Normal
  • 15 – 49 mg/mmol Creatinine = Trace Proteinuria. Consider ACEI or ARB in diabetes.
  • 50 – 99 mg/mmol Creatinine = Significant proteinuria. Repeat using early am sample. Consider ACEI or ARB in hypertension.
  • 100 – 300 mg/mmol Creatinine = High proteinuria. If new finding, seek nephrology advice regardless of eGFR.
  • >300 mg/mmol Creatinine = “Nephrotic range” proteinuria. If new finding, seek nephrology advice regardless of eGFR.
                                      
Proteinuria is a risk factor for cardiovascular disease and for decline in GFR in CKD
UK CKD Guidelines suggest if PCR is >100 mg/mmol patient should be referred to Nephrologists irrespective of GFR.
 

Source of Reference Range: NICE guideline CG73 (2008) and UK eCKD guidelines 2009.)

 

Urine PYD and DPD (bone marker/bone markers)

Urine PYD and DPD (bone marker/bone markers)

Reference ranges provided by referral laboratory (July 2014).  All ranges expressed as nmol/mmol creatinine.

 

  Males Females
  PYD/Cre DPD/Cre PYD/Cre DPD/Cre
4-5 yrs 58.7-85.0 17.4-24.3 63.7-85.1 17.2-25.1
5-6 yrs 54.7-83.0 15.9-22.5 55.7-82.9 14.8-22.1
6-7 yrs 53.0-76.7 14.8-22.3 57.6-77.5 13.8-21.2
7-8 yrs 51.6-72.2 14.6-22.1 55.3-75.1 15.2-21.0
8-9 yrs 46.1-63.4 12.0-16.1 49.9-66.9 12.6-18.4
9-10yrs 49.5-67.3 12.3-16.3 58.5-79.4 15.7-22.4
10-11 yrs 45.7-67.4 12.6-18.8 47.3-71.5 13.2-18.9
11-12 yrs 45.5-66.3 12.4-18.6 50.6-88.8 14.9-25.3
12-13 yrs 43.6-56.6 11.7-17.4 46.3-73.6 13.1-22.1
13-14 yrs 42.6-84.5 11.2-23.9 44.1-65.3 11.9-18.2
14-15 yrs 40.7-89.3 10.9-25.6 35.3-52.5 8.7-17.6
15-16 yrs 35.4-84.3 9.8-22.2 26.5-48.8 5.1-14.9
16-17 yrs 28.8-68.3 7.1-18.7 19.6-37.1 3.0-9.4
Adult 5.0-21.8 0.4-6.4 pre-menopause 20-39yrs: 7.8-20.4 1.8-6.4
      pre-menopause >40 yrs: 8.1-21.2 2.1-6.7
      post-menopause: 7.1-31.8 1.5-8.6

 

Urine PYD and DPD (bone marker/bone markers)

Urine PYD and DPD (bone marker/bone markers)

Reference ranges provided by referral laboratory (July 2014).  All ranges expressed as nmol/mmol creatinine.

 

  Males Females
  PYD/Cre DPD/Cre PYD/Cre DPD/Cre
4-5 yrs 58.7-85.0 17.4-24.3 63.7-85.1 17.2-25.1
5-6 yrs 54.7-83.0 15.9-22.5 55.7-82.9 14.8-22.1
6-7 yrs 53.0-76.7 14.8-22.3 57.6-77.5 13.8-21.2
7-8 yrs 51.6-72.2 14.6-22.1 55.3-75.1 15.2-21.0
8-9 yrs 46.1-63.4 12.0-16.1 49.9-66.9 12.6-18.4
9-10yrs 49.5-67.3 12.3-16.3 58.5-79.4 15.7-22.4
10-11 yrs 45.7-67.4 12.6-18.8 47.3-71.5 13.2-18.9
11-12 yrs 45.5-66.3 12.4-18.6 50.6-88.8 14.9-25.3
12-13 yrs 43.6-56.6 11.7-17.4 46.3-73.6 13.1-22.1
13-14 yrs 42.6-84.5 11.2-23.9 44.1-65.3 11.9-18.2
14-15 yrs 40.7-89.3 10.9-25.6 35.3-52.5 8.7-17.6
15-16 yrs 35.4-84.3 9.8-22.2 26.5-48.8 5.1-14.9
16-17 yrs 28.8-68.3 7.1-18.7 19.6-37.1 3.0-9.4
Adult 5.0-21.8 0.4-6.4 pre-menopause 20-39yrs: 7.8-20.4 1.8-6.4
      pre-menopause >40 yrs: 8.1-21.2 2.1-6.7
      post-menopause: 7.1-31.8 1.5-8.6

 

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