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INTRODUCTION TO CLINICAL
CHEMISTRY
Overview
• Introduction
• Clinically important enzymes
• Overview of tests
• Full blood count
• Liver function test
Introduction
• Clinical Biochemistry is based on the biochemical events and
parameters in the body.
• The aim of the biochemical analysis is to determine the state of the
body of human by comparing the obtained values with standard
parameters.
Clinically important enzymes
• Alanine aminotransferase
• Alkaline phosphatase
• Amylase
• Aspartate aminotransferase
• Cholinesterase
• Creatine kinase
• Gamma-glutamyl transferase
• Lactate dehydrogenase
• 5’ – nucleotidase
• Trypsine
Overview of tests
• Typical biochemical tests divided into 3 categories based on
specificity:
1. Full blood count, Liver function test, Urea and electrolytes, Bone
profile
2. Folate, Hormones, Vitamins, Trace elements
3. Auto-antibodies, Tumor markers
Full blood count
•Analysis of several components of blood:
• White blood cells
• Red blood cells
• Hemoglobin
• Hematocrit
• Platelets
Liver function test
• Based on measuring the levels of proteins, liver enzymes or bilirubin
in blood in order to determine the state of the liver.
• alanine transaminase (ALT),
• aspartate aminotransferase (AST),
• alkaline phosphatase (ALP),
• albumin,
• bilirubin tests
Rennal function test
• Kidney function tests
• Creatinine clearance test
• Urea clearance test
• Urine osmolality test
• Urine protein test
• Blood urea nitrogen test
• Creatinine test
Collection of samples (Blood)
Collection of samples (urine)
Biochemistry presentation
Biochemistry presentation

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Biochemistry presentation

  • 2. Overview • Introduction • Clinically important enzymes • Overview of tests • Full blood count • Liver function test
  • 3. Introduction • Clinical Biochemistry is based on the biochemical events and parameters in the body. • The aim of the biochemical analysis is to determine the state of the body of human by comparing the obtained values with standard parameters.
  • 4. Clinically important enzymes • Alanine aminotransferase • Alkaline phosphatase • Amylase • Aspartate aminotransferase • Cholinesterase • Creatine kinase • Gamma-glutamyl transferase • Lactate dehydrogenase • 5’ – nucleotidase • Trypsine
  • 5. Overview of tests • Typical biochemical tests divided into 3 categories based on specificity: 1. Full blood count, Liver function test, Urea and electrolytes, Bone profile 2. Folate, Hormones, Vitamins, Trace elements 3. Auto-antibodies, Tumor markers
  • 6. Full blood count •Analysis of several components of blood: • White blood cells • Red blood cells • Hemoglobin • Hematocrit • Platelets
  • 7. Liver function test • Based on measuring the levels of proteins, liver enzymes or bilirubin in blood in order to determine the state of the liver. • alanine transaminase (ALT), • aspartate aminotransferase (AST), • alkaline phosphatase (ALP), • albumin, • bilirubin tests
  • 8. Rennal function test • Kidney function tests • Creatinine clearance test • Urea clearance test • Urine osmolality test • Urine protein test • Blood urea nitrogen test • Creatinine test