Introduction of Clinical Biochemistry
by : Eli Halimah
The Function of Clinical Laboratory
1. Supporting the diagnosis of disease 2. Monitoring the course of the disease (prognosis) 3. Monitoring therapy (effectiveness of treatment) 4. Screening of the diseases or risk factors 5. Check up (prevention) 6. Epidemiological studies 7. Supporting health research
The Clinical Laboratory
1. Chemistry 2. Hematology 3. Urine analysis 4. Microbiology 5. Imunoserology
6. Therapeutic drug monitoring
Samples
1. Blood / serum/ plasma 2. Urine 3. Faeces 4. Cerebrospinal fluid 5. Transudate / exudate
Examination in the Clinical Laboratory
1. 2. 3. 4. 5. 6.
7. 8. 9. 10. 11. 12. 13.
Metabolyte Enzym Electrolyte Proteine Hormone AntigenBacteri/virus Antibody Allergen Koagulation factors ABO/Rhesus HLA Drugs Trace elemen
The purpose of education
Examination of routine clinical chemistry : basic principles, methodology, instrumentation
ability to understand the biochemical consequences of a desease, the value of referral, pathophysiology, indications and interpretation of test results
Pathological Conditions
(patient)
Biochemical Changes
Biochemical Markers
(markers that could be examined in clinical laboratories)
Immuno-chemistry Methodes
Generation 1
: RIA
(1980 early)) Generation 2 (1980 medio
Generation 3 (1990)
: ELISA EMIT FPIA Nephelometry : IRMA ELISA Streptavidin-biotin MEIA CEDIA ICMA