Tietz Textbook of Laboratory Medicine

Gastric, intestinal, and pancreatic function

Abstract Background The stomach, intestinal tract, and pancreas are closely related both anatomically and functionally. The clinical manifestations, such as diarrhea or malabsorption, may be associated with disease of any of these organs. It is therefore appropriate to discuss them…

Liver disease

Abstract Background The liver is the largest and most complex organ in the body. The anatomy of the liver is intricate, and its function is dependent on the close interaction of resident cell lineages; the arterial, venous, and portal vasculature;…

Disorders of water, electrolytes, and acid-base metabolism

Abstract Background A complex yet elegant system of chemical buffers together with highly specialized mechanisms of the lungs and kidneys continuously work in tandem to ensure a precise balance of water, electrolytes, and pH in both the intracellular and extracellular…

Kidney disease

Abstract Background The kidneys play a central role in homeostasis, and reduced renal function strongly correlates with increasing morbidity and mortality. Laboratory investigations are central to the diagnosis and management of kidney disease and investigations of kidney function constitute a…

Cardiac function

Abstract Background Increases in cardiac biomarkers of myocardial injury and particularly cardiac troponin (cTn), in the absence of analytical confounders, define the presence of myocardial injury which in the proper clinical situation can lead to the diagnosis of acute myocardial…

Diabetes mellitus

Abstract Background Diabetes mellitus is a common disorder in which patients develop hyperglycemia due to inadequate insulin secretion, defective insulin action, or both. There are two major forms of diabetes, namely type 1 and type 2. The estimated global prevalence…

Nutrition: Laboratory and clinical aspects

Abstract Background Nutrition is relevant to every specialty within overall medical practice. Adequate nutrition, both qualitatively and quantitatively, is essential for normal development, growth, function, and health. Both excessive and insufficient intake of individual nutrients can have adverse consequences. Also,…

Body fluids

Abstract Background Body fluids are collected and analyzed either to gain insight into the processes that contribute to the accumulation of that fluid within a body compartment or to provide diagnostic information to investigate pathophysiologic processes. Content In the preanalytical…

Toxic elements

Abstract Background Elements have been recognized as toxins for centuries. Many elements are essential for life but if an individual’s exposure exceeds a certain threshold, toxicity may develop. When identified early, disease caused by elemental exposure is readily treatable with…

Clinical toxicology

Abstract Background Toxicology is a broad, multidisciplinary science where the goal is to determine the effects of chemical agents on living systems. Innumerable potential toxins can inflict harm, including pharmaceuticals, herbals, household products, environmental agents, occupational chemicals, drugs of abuse,…