Reporting amino acids the requesting doctor Dr Ruth Ayling - - PowerPoint PPT Presentation

reporting amino acids the requesting doctor
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Reporting amino acids the requesting doctor Dr Ruth Ayling - - PowerPoint PPT Presentation

Reporting amino acids the requesting doctor Dr Ruth Ayling Consultant Chemical Pathologist Derriford Hospital, Plymouth Amino acid requests 2002 2003 2004 2005 Urine 68 57 70 (60) Plasma 52 46 57 (50) Issues for the requester


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Reporting amino acids the requesting doctor

Dr Ruth Ayling Consultant Chemical Pathologist Derriford Hospital, Plymouth

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Amino acid requests

(50) 57 46 52 Plasma (60) 70 57 68 Urine 2005 2004 2003 2002

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Issues for the requester

appropriate testing reliable analyses correct and user-friendly

interpretation

relevant action

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Appropriate requesting

A request for amino acid analysis should attempt to answer a question which the clinician has posed about the patient

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Appropriate reporting

adequate clinical information relevant guidelines

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Reliable analyses

laboratory issues

  • ther service aspects

cost, access

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Resource aspects

health economists laboratory manager

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Interpretation

correct user-friendly

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Relevant action

specialist laboratory

advice

referring laboratory

liaison

clinicians

management

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September 04-September 05

77 amino acid analyses

2 abnormal

(i) raised tyrosine

(i) raised ornithine

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Conclusions

requesting doctor

pleased with

Nature of reports Interaction with laboratory

concerned that

tests may not always be appropriate follow-up is sometimes omitted