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Sorted By Test Name - Mayo Medical Laboratories

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FSED<br />

91811<br />

SEU<br />

9793<br />

bicarbonate secretion. Secretin also stimulates secretion of bile, release of Insulin, and release of Gastric<br />

Pepsin in the stomach. Secretin inhibits Glucagon release, intestinal motility, and prevents the uptake of<br />

water and sodium ions by the intestine. In normal patients, Secretin has little effect on Gastrin levels, but<br />

stimulates Gastrin greatly in Zollinger-Ellison patients. Secretin is also elevated in Zollinger-Ellison<br />

patients and in patients with duodenal ulcer. Secretin levels are low in patients with pernicious anemia and<br />

achlorhydria. Secretin secretion can be suppressed by Somatostatin, Cimetidine, and<br />

Methionine-Enkephalin.<br />

Reference Values:<br />

12-75 pg/mL (mean=25)<br />

This test was developed and its performance characteristics determined by Inter Science Institute. It has<br />

not been cleared or approved by the US Food and Drug Administration. The FDA has determined that<br />

such clearance or approval is not necessary.<br />

<strong>Test</strong> Performed by: Inter Science Institute<br />

944 West Hyde Park<br />

Inglewood, CA 90302<br />

Sedative Hypnotic Panel, Urine-Forensic<br />

Reference Values:<br />

Ethyl Alcohol is screened by an enzymatic method; positive<br />

results are confirmed by Gas Chromatography (GC).<br />

Drugs are screened by Immunoassay; positive results are<br />

confirmed by Gas Chromatography with Mass Spectrometry<br />

(GC/MS). The following threshold concentrations are used<br />

for this analysis.<br />

Drug Screening Threshold Confirmation Threshold<br />

Ethyl Alcohol 0.020 gm/dL 0.020 gm/dL<br />

Barbiturates 300 ng/mL 100 ng/mL<br />

Benzodiazepines 100 ng/mL 75 ng/mL<br />

Flunitrazepam 100 ng/mL 300 ng/Ml<br />

Ketamine<br />

Gamma-Hydroxybutyric Acid (GHB): Negative<br />

<strong>Test</strong> Performed <strong>By</strong>: Medtox <strong>Laboratories</strong>, Inc.<br />

402 W. County Road D<br />

St. Paul, MN 55112<br />

Selenium, 24 Hour, Urine<br />

Clinical Information: Selenium is an essential element. It is a cofactor required to maintain<br />

glutathione peroxidase (GSH-Px) activity, an enzyme that catalyzes the degradation of organic<br />

hydroperoxides. The absence of selenium correlates with loss of GSH-Px activity and is associated with<br />

damage to cell membranes due to accumulation of free radicals. In humans, cardiac muscle is the most<br />

susceptible to selenium deficiency. With cell membrane damage, normal cells are replaced by fibroblasts.<br />

This condition is known as cardiomyopathy and is characterized by an enlarged heart whose muscle is<br />

largely replaced by fibrous tissue. In the United States, deficiency is related to use of total parenteral<br />

nutrition. This is therapy administered to patients with no functional bowel, such as after surgical removal<br />

of the small and large intestine because of cancer, or because of acute inflammatory bowel disease such as<br />

Crohn's disease. Selenium supplementation to raise serum concentration >90 ng/mL is the usual<br />

treatment. Serum monitoring done on a semiannual basis checks the adequacy of supplementation.<br />

Selenium toxicity has been observed in animals when daily intake exceeds 4 parts per million (ppm).<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1567

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