By Jacques Wallach
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Eclampsia. , carbon tetrachloride). , malnutrition, pregnancy, alcoholic liver disease) Normal In Angina pectoris Coronary insufficiency Pericarditis Congestive heart failure without liver damage Varies <10 U/day in the same person. 8)1 AUTOHEMAGGLUTINATION, COLD Use Primary atypical (Mycoplasma) pneumonia (30–90% of patients): titer ³1:14–1:224. Not ruled out by negative titer. Increased In Atypical hemolytic anemia Paroxysmal hemoglobinuria Raynaud's disease Cirrhosis of the liver Trypanosomiasis Malaria Infectious mononucleosis Adenovirus infections Influenza Psittacosis Mumps Measles Scarlet fever Rheumatic fever Some cases of lymphoma BILIRUBIN See Chapter 8, Hepatobiliary Diseases and Diseases of the Pancreas.
Corticosteroids, trifluoperazine, antilipemic agents, some hyperalimentation) Cardiac surgery with cardiopulmonary bypass pump AMMONIA Use Increased in some inherited metabolic disorders, especially ornithine carbamoyltransferase deficiency, citrullinemia, argininosuccinic aciduria. Should be measured in cases of unexplained lethargy and vomiting, encephalopathy, or in any newborn with unexplained neurological deterioration. , in Reye's syndrome, hepatic function improves and ammonia level falls even in patients who finally die of this.
Generally, presence of IgG indicates past exposure and possible immunity. Congenital infections require serial sera from both mother and infant. Passively acquired antibodies in infant will decay in 2–3 mos. Antibody levels that are unchanged or increased in 2–3 mos indicate active infection. Absence of antibody in mother rules out congenital infection in infant. 0 nM/sec/L are definite for acute, intermittent porphyria See Chapter 12 1 Friedman GD, Golberg M, Ahuja JN, Siegelaub AB, Bassis ML, Collen MI.
Interpretation of Diagnostic Tests by Jacques Wallach