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Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics - E-Book

Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics - E-Book

Carl A. Burtis | David E. Bruns

(2014)

Additional Information

Book Details

Abstract

A condensed, easier-to-understand student version of the acclaimed Tietz Textbook of Clinical Chemistry and Molecular Diagnostics, Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics, 7th Edition uses a laboratory perspective in providing the clinical chemistry fundamentals you need to work in a real-world, clinical lab. Coverage ranges from laboratory principles to analytical techniques and instrumentation, analytes, pathophysiology, and more. New content keeps you current with the latest developments in molecular diagnostics. From highly respected clinical chemistry experts Carl Burtis and David Bruns, this textbook shows how to select and perform diagnostic lab tests, and accurately evaluate results.

  • Authoritative, respected author team consists of two well-known experts in the clinical chemistry world.
  • Coverage of analytical techniques and instrumentation includes optical techniques, electrochemistry, electrophoresis, chromatography, mass spectrometry, enzymology, immunochemical techniques, microchips, automation, and point of care testing.
  • Learning objectives begin each chapter, providing measurable outcomes to achieve after completing the material.
  • Key words are listed and defined at the beginning of each chapter, and bolded in the text.
  • A glossary at the end of the book makes it quick and easy to look up definitions of key terms.
  • More than 500 illustrations plus easy-to-read tables help you understand and remember key concepts.
  • New chapters on molecular diagnostics include the principles of molecular biology, nucleic acid techniques and applications, and genomes and nucleic acid alterations, reflecting the changes in this rapidly evolving field.
  • New content on clinical evaluation of methods, kidney function tests, and diabetes is added to this edition.
  • NEW multiple-choice review questions at the end of each chapter allow you to measure your comprehension of the material.
  • NEW case studies on the Evolve companion website use real-life scenarios to reinforce concepts.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contents IFC1
Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics iii
Copyright iv
Dedication to Seventh Edition v
Contributors vii
Foreword xiii
Preface xv
Contents xvii
Part I - Principles of Laboratory Medicine 1
Chapter 1 - Clinical Chemistry, Molecular Diagnostics, and Laboratory Medicine 1
Laboratory Medicine 1
Clinical Chemistry and Laboratory Medicine 2
Molecular Diagnostics 3
Ethical Issues in Laboratory Medicine 3
Review Questions 5
Part II Analytical Techniques and Instrumentation 129
Chapter 9 - Optical Techniques* 129
Photometry and Spectrophotometry 131
Instrumentation 133
Reflectance Photometry 138
Atomic Absorption Spectrophotometry 138
Fluorometry 139
Phosphorimetry 146
Luminometry 146
Nephelometry and Turbidimetry 147
Review Questions 149
References 150
Chapter 10 - Electrochemistry and Chemical Sensors* 151
Potentiometry 152
Voltammetry/Amperometry 158
Conductometry 162
Coulometry 163
Optical Chemical Sensors 163
Biosensors 164
Review Questions 169
References 170
Chapter 11 - Electrophoresis 171
Basic Concepts and Definitions 172
Theory of Electrophoresis 172
Description of Technique 172
Types of Electrophoresis 175
Technical Considerations 180
Review Questions 181
References 182
Chapter 12 - Chromatography* 183
Basic Concepts 184
Separation Mechanisms 187
Planar Chromatography 189
Column Chromatography 190
Qualitative and Quantitative Analyses 198
Review Questions 200
References 201
Chapter 13 - Mass Spectrometry* 202
Basic Concepts and Definitions 203
Instrumentation 205
Clinical Applications 213
Review Questions 214
References 215
Chapter 14 - Enzyme and Rate Analyses* 216
Basic Principles 217
Enzyme Kinetics 223
Analytical Enzymology 229
Review Questions 234
References 235
Chapter 15 - Immunochemical Techniques* 236
Basic Concepts and Definitions 237
Antigen-Antibody Binding 238
Qualitative Methods 240
Quantitative Methods 242
Other Immunochemical Techniques 252
Review Questions 252
References 253
Chapter 16 - Automation 254
Basic Concepts 255
Automation of Analytical Processes 255
Integrated Automation forthe Clinical Laboratory 263
Other Areas of Automation 269
Review Questions 270
References 270
Chapter 17 - Point-of-Care Instrumentation 272
Analytical and Technological Considerations 273
Implementation and Management Considerations 280
Review Questions 284
References 285
Part III Analytes 286
Chapter 18 - Amino Acids, Peptides, and Proteins* 286
Amino Acids 287
Peptides and Proteins 292
Analysis of Proteins 293
Plasma and Serum Proteins 299
Review Questions 317
References 317
Chapter 19 - Serum Enzymes 318
Basic Concepts 319
Muscle Enzymes 319
Liver Enzymes 322
Pancreatic Enzymes 328
Other Clinically Important Enzymes 331
Enzymes as Cardiovascular Risk Markers 334
Review Questions 335
References 335
Chapter 20 - Tumor Markers and Cancer Genes 337
Cancer 339
Clinical Applications 339
Evaluating Clinical Utility 341
Clinical Guidelines 342
Analytical Methods 342
Enzymes 342
Hormones 347
Oncofetal Antigens 349
Cytokeratins 351
Carbohydrate Markers 352
Blood Group Antigens 354
Proteins 355
Receptors 357
Circulating Tumor 358
Genetic and Molecular Markers 358
Other Molecular Tests 362
Microarray-Based Markers 362
Review Questions 363
Part IV Pathophysiology 608
Chapter 33 - Diabetes 608
Classification 610
Hormones that Regulate Blood Glucose Concentration 611
Measurement of Insulin, Proinsulin, C-Peptide,and Glucagon 614
Pathogenesis of Type 1 Diabetes Mellitus 616
Pathogenesis of Type 2 Diabetes Mellitus 617
Diagnosis of Diabetes 618
Chronic Complications of Diabetes Mellitus 620
Role of the Clinical Laboratory in Diabetes Mellitus 620
Self-Monitoring of Blood Glucose 621
Alternatives to Meters for Monitoring of Blood Glucose 623
Ketone Bodies 623
Glycated Proteins 625
Urinary Albumin Excretion 629
Review Questions 630
References 631
Chapter 34 - Cardiovascular Disease 632
Anatomy and Physiology of the Heart 633
Cardiac Disease 635
Cardiac Biomarkers 638
Review Questions 649
References 650
Chapter 35 - Kidney Disease* 651
Anatomy 653
Kidney Function 655
Kidney Physiology 658
Pathophysiology of Kidney Disease 663
Other Diseases of the Kidney 671
Renal Replacement Therapy 675
Review Questions 678
References 679
Chapter 36 - Physiology and Disorders of Water, Electrolyte, and Acid-Base Metabolism 680
Total Body Water—Volume and Distribution 681
Electrolytes 682
Acid-Base Physiology 688
Conditions Associated with Abnormal Acid-Base Status and Abnormal Electrolyte Composition of the Blood5,10,11 692
References 699
Chapter 37 - Liver Disease* 700
Anatomy of the Liver 702
Biochemical Functions of the 704
Clinical Manifestations of Liver Disease 707
Diseases of the Liver 710
Diagnostic Strategy 720
Review Questions 722
References 722
Chapter 38 - Gastrointestinal and Pancreatic Diseases 724
Anatomy 725
The Digestive Process 726
Gastrointestinal Regulatory Peptides13 728
Stomach, Intestinal, and Pancreatic Diseases and Disorders 730
Review Questions 740
References 740
Chapter 39 - Disorders of Bone and Mineral Metabolism* 741
Overview of Bone and Mineral Metabolism 743
Calcium 744
Phosphate 749
Magnesium 751
Hormones Regulating Mineral Metabolism 753
Integrated Control of Mineral Metabolism 760
Biochemical Markers of Bone Turnover 761
Metabolic Bone Diseases 765
Review Questions 767
References 767
Chapter 40 - Disorders of the Pituitary* 769
Hypothalamic Regulation2-5,8 772
Hormones of the Adenohypophysis2-5,8 772
Hormones of the Neurohypophysis2,7-10 779
Assessment of Anterior Pituitary Lobe Reserve 782
Review Questions 783
References 783
Chapter 41 - Disorders of the Adrenal Cortex* 785
General Steroid Chemistry 786
Adrenocortical Steroids 788
Dynamic Tests of Adrenal Function 793
Laboratory Evaluation of Adrenocortical Function 800
Review Questions 805
References 805
Chapter 42 - Thyroid Disorders* 806
Thyroid Hormones 808
Thyroid Disorders 812
Review Questions 822
References 822
Chapter 43 - Reproduction-Related Disorders* 824
Male Reproductive Biology 826
Female Reproductive Biology 830
Infertility 841
Analytical Methodology 843
Review Questions 846
References 847
Chapter 44 - Pregnancy and Prenatal Testing* 848
Human Pregnancy9 850
Maternal Adaptation 853
Functional Development of the Fetus 854
Maternal and Fetal Health Assessment 855
Complications of Pregnancy 856
Prenatal Screening for Fetal Defects 859
Analytical Methodology 863
Review Questions 868
References 869
Chapter 45 - Newborn Screening and Inborn Errors of Metabolism* 870
Inheritance Pattern of Metabolic Disorders 872
Newborn Screening 872
Inborn Errors of Metabolism 873
Diagnostic Tests for Inherited Disorders of Metabolism 882
Review Questions 883
References 884
Chapter 46 - Pharmacogenetics 885
Defining Pharmacogenetic Targets 887
Approaches to Pharmacogenetic Testing 887
Clinical Applications of Pharmacogenetic Testing 888
Drug Metabolism and Pharmacogenomics 889
Review Questions 897
References 897
Part V Molecular Diagnostics 899
Chapter 47 - Principles of Molecular Biology 899
Landmark Developments in Genetics and Molecular Diagnostics 901
The Essentials 902
Nucleic Acid Structure and Organization 902
Nucleic Acid Physiology and Functional Regulation 906
Genetics and Epigenetics 909
Beyond the Nuclear Genome 911
Understanding Our Genome 912
Review Questions 913
References 914
Chapter 48 - Nucleic Acid Techniques and Applications 915
Nucleic Acid Enzymes 918
Amplification Techniques 919
Detection Techniques 924
Discrimination Techniques 924
Review Questions 944
References 945
Chapter 49 - Genomes and Nucleic Acid Variations 946
Genomes and Nucleic Acid Variations 947
Review Questions 950
References 950
Part VI Reference Information 951
Chapter 50 - Reference Information for the Clinical Laboratory* 951
Glossary 995
Index 1031
IBC IBC