Urinalysis and Body Fluids

311 Pages·2009·43.45 MB·English

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©2008 F. A. Davis
Urinalysis
and Body Fluids
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©2008 F. A. Davis
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©2008 F. A. Davis
Urinalysis
and Body Fluids
Fifth Edition
Susan King Strasinger, DA, MT(ASCP) Marjorie Schaub Di Lorenzo, BS,
Faculty Associate MT(ASCP)SH
The University of West Florida Adjunct Instructor
Pensacola, Florida Division of Laboratory Sciences
Clinical Laboratory Science Program
University of Nebraska Medical Center
Omaha, Nebraska
Phlebotomy Program Coordinator
Health Professions
Nebraska Methodist College
Omaha, Nebraska
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©2008 F. A. Davis
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Library of Congress Cataloging-in-Publication Data
Strasinger, Susan King.
Urinalysis and body fluids / Susan King Strasinger, Marjorie Schaub Di Lorenzo ; photography by Bo Wang …
[et al.] ; illustrations by Sherman Bonomelli. — 5th ed.
p. ; cm.
includes bibliographical references and index.
ISBN 978-0-8036-1697-4 (alk. paper)
1. Urine—Analysis. 2. Body fluids—Analysis. 3. Diagnosis, Laboratory. I. Di Lorenzo, Marjorie Schaub,
1953- II. Title.
[DNLM: 1. Urinalysis—methods. 2. Body Fluids—chemistry. QY 185 S897u 2008]
RB53.S87 2008
616.07’566—dc22 2007017271
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific
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separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service is:
8036-1698/08 (cid:1)$.10.
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©2008 F. A. Davis
To Harry, you will always be my Editor-in-Chief
SKS
To my husband, Scott, and my children,
Michael, Christopher, and Lauren
MSD
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©2008 F. A. Davis
Preface
As will be apparent to the readers, the fifth edition of Urinal- analysis of bronchioalveolar lavage specimens, an area of the
ysis and Body Fluids has been substantially revised and clinical laboratory that has been expanding in recent years.
enhanced. However, the objective of the text—to provide This fifth edition has been redesigned to include exten-
concise, comprehensive, and carefully structured instruction sive multiple choice questions at the end of each chapter for
in the analysis of nonblood body fluids—remains the same. student review. In response to readers’ suggestions, the num-
This fifth edition has been redesigned to meet the ber of color slides has been significantly increased, and the
changes occurring in both laboratory medicine and instruc- slides are included within the text to increase user friendli-
tional methodology. ness. The text has been extensively supplemented with tables,
To meet the expanding technical information required summaries, and procedure boxes, and many figures are now
by students in laboratory medicine, all of the chapters have in full color. Case studies in the traditional format and clini-
been updated. Chapter 1 is devoted to overall laboratory cal situations relating to technical considerations are included
safety and the precautions relating to urine and body fluid at the end of the chapters. Answers to the study questions,
analysis. Chapter 7 addresses quality assessment and man- case studies, and clinical situations are also included at the
agement in the urinalysis laboratory. Preanalytical, analytical, end of the book. Terms in bold italicsappear in the Glossary;
and postanalytical factors, procedure manuals, current regu- abbreviations in bold are listed in Abbreviations. Additional
latory issues, and methods for continuous quality improve- support is provided to adopting instructors in the form of
ment are stressed. In Chapter 8 the most frequently accompanying test-generating software, an instructor’s man-
encountered diseases of glomerular, tubular, interstitial, and ual with criticial thinking exercises for each chapter, and
vascular origin are related to their associated laboratory tests. PowerPoint presentations.
To accommodate advances in laboratory testing of cere- We have given consideration to the suggestions of our
brospinal, seminal, synovial, serous, and amniotic fluids, all previous readers and believe these valuable suggestions have
of the individual chapters have been enhanced, and addi- enabled us to produce a text to meet the needs of all users.
tional anatomy and physiology sections have been added for
each of these fluids. Appendix A provides coverage of the Susan King Strasinger
ever-increasing variety of automated instrumentation avail-
able to the urinalysis laboratory. Appendix B discusses the Marjorie Schaub Di Lorenzo
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©2008 F. A. Davis
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©2008 F. A. Davis
Reviewers
Ellen P. Digan, MA, MT(ASCP) Cynthia A. Martine, MEd, MT(ASCP)
Professor of Biology Assistant Professor
Coordinator of Medical Laboratory Technology Program Department of Clinical Laboratory Sciences
Manchester Community Tech College University of Texas Medical Branch
Department of Math, Science, and Health Careers School of Allied Health
Manchester, Connecticut Galveston, Texas
Brenda L. M. Franks, MT(ASCP) Ulrike Otten, MT(ASCP)SC
Point of Care Testing Coordinator University of Nebraska Medical Center
Methodist Hospital Pathology Division of Laboratory Sciences
Omaha, Nebraska Clinical Laboratory Science Program
Omaha, Nebraska
Stephen M. Johnson, MS, MT(ASCP)
Kathleen T. Paff, MA, CLS(NCA), MT(ASCP)
Program Director
Program Director
Medical Technology
Medical Laboratory Technology
Saint Vincent Health Center
Kellogg Community College
Erie, Pennsylvania
Battle Creek, Michigan
Rhoda S. Jost, MSH, MT(ASCP)
Kristy Shanahan, MS, NCA, MT(ASCP)
Faculty Program Director
Associate Professor
Medical Laboratory Technology
Medical Laboratory Technology
Florida Community College at Jacksonville
Oakton Community College
Jacksonville, Florida
Des Plaines, Illinois
Pam Kieffer, MS, CLS(MCA), MT(ASCP) Amber G. Tuten, MEd, CLDir(NCA), MT(ASCP)
Program Director Program Director
Clinical Laboratory Science Medical Laboratory Technology
Rapid City Regional Hospital Okefenokee Technical College
Rapid City, South Dakota Waycross, Georgia
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