Laboratory Diagnosis

  • K. Owen Ash
  • John M. Matsen
  • Gerald Rothstein


The decision to set up and maintain an office laboratory is complex. The interest and expertise of the individual physician, availability of suitable laboratory services, appropriate paramedical help, economic considerations, and the specific needs of the patient population are among parameters that influence the decision. Unless the physician has the time and interest to become actively and regularly involved, the office laboratory should not be considered. (Additional discussion of theoretical and practical considerations regarding the office laboratory is found in Chap. 94.)


Nitrite Ketone Oxalate Straw Lactose 


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  1. 1.
    Henry JB (ed): Clinical Diagnosis by Laboratory Methods. 16th ed. Philadelphia, Saunders, 1979.Google Scholar
  2. 2.
    Tietz NW (ed): Fundamentals of Clinical Chemistry. Philadelphia, Saunders, 1976.Google Scholar
  3. 3.
    Henry RJ, Cannon DC, Winkelman JW (eds): Clinical Chemistry: Principles and Technics. Hagerstown, Md, Harper & Row, 1974.Google Scholar
  4. 4.
    Brown SS, Mitchell FL, Young DS: Chemical Diagnosis of Disease. New York, Elsevier/North-Holland Biomedical Press, 1979.Google Scholar
  5. 5.
    Free AH, Free HM: Urinalysis in Clinical Laboratory Practice. Cleveland, CRC Press, 1975.Google Scholar
  6. 6.
    Cowen, JB: Results of a Survey of Physician’s Offices in Northwest Illinois. IMJ 149: 377, 1976.PubMedGoogle Scholar
  7. 7.
    National Survey of Physicians’ Office Laboratories: Bureau of Quality Assurance, United States Public Health Service, Rockville, Md, 1975: (HSM) 11072341.Google Scholar
  8. 8.
    Shephard MDS, Penberthy LA, Fräser CG: Short-and long-term biological variation in analyses of urine of apparently healthy individuals. Clin Chem 27:569573, 1981.Google Scholar
  9. 9.
    James GP, Bee DE, Fuller JB: Accuracy and precision of urine pH determinations using two commercially available dipsticks. Am J Clin Pathol 70: 368–374, 1978.PubMedGoogle Scholar
  10. 10.
    Miller SE: Examination of urine. In: Miller SE (ed.) A Textbook of Clinical Pathology. 7th ed. Baltimore, Williams & Wilkins, 1966.Google Scholar
  11. 11.
    Grant GH, Kachmar JF: The proteins of body fluids. In: Tietz NW (ed.) Fundamentals of Clinical Chemistry. Philadelphia, Saunders, 1976, pp. 298–377.Google Scholar
  12. 12.
    Date JW: Quantitative determination of some carbohydrates in normal urine. ScandJ Clin Lab Invest, 10: 155, 1958.CrossRefGoogle Scholar
  13. 13.
    James GP, Bee KE: Glucosuria: accuracy and precision of laboratory diagnosis by dipstick analysis. Clin Chem 25: 996–1001, 1979.PubMedGoogle Scholar
  14. 14.
    Wright WT: Cell counts in urine. Arch Intern Med 103: 76, 1959.Google Scholar
  15. 15.
    Cook MH, Free HM, Free AH: The detection of blood in urine. Am J Med Technol 22: 218, 1956.PubMedGoogle Scholar
  16. 16.
    Relman AS, Levinsky, NG: Clinical examination of renal function. In: Strauss MB, Welt LG (eds) Diseases of the Kidney. Boston, Little, Brown, 1971.Google Scholar
  17. 17.
    Strauss MB, Welt LG (eds): Diseases of the Kidney. Vols 1 and 2, Boston, Little, Brown, 1971.Google Scholar
  18. 18.
    Levinsky NG: The interpretation of proteinuria and the urinary sediment. In: Disease-a-Month. Chicago, Yearbook Medical, 1967.Google Scholar
  19. 19.
    Lippman RW: Urine and the Urinary Sediment. 2nd ed. Springfield, IL, Charles C Thomas, 1957.Google Scholar
  20. 20.
    Freeman JA, Beeler MF: Laboratory Medicine—Clinical Microscopy. Philadelphia, Lea & Febiger, 1974, pp. 31–60.Google Scholar
  21. 21.
    Kubilis P, Rosenbloom AL: Accurate home glucose monitoring without a meter. Diabetes Care 3: 640–641, 1980.PubMedGoogle Scholar
  22. 22.
    Ferguson SD, Prosser R: Are reflectance meters necessary for home blood glucose monitoring? Br Med J 281: 912, 1980.PubMedCrossRefGoogle Scholar
  23. 23.
    Ward Laboratory Syllabus, Department of Medicine, University of Utah School of Medicine, 1980.Google Scholar
  24. 24.
    Halsted JA, Halsted CH (eds.) The Laboratory in Clinical Medicine—Interpretation and Application. 2nd ed. Philadelphia, Saunders, 1981.Google Scholar
  25. 25.
    Kunin CM: Detection, Prevention, and Management of Urinary Tract Infections. 3rd ed. Philadelphia, Lea & Febiger, 1979.Google Scholar
  26. 26.
    Stamey TA: Pathogenesis and Treatment of Urinary tract Infections. Baltimore, Williams & Wilkins, 1980.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1983

Authors and Affiliations

  • K. Owen Ash
  • John M. Matsen
  • Gerald Rothstein

There are no affiliations available

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