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UEBF<br />

81834<br />

BWOR<br />

82840<br />

urinary tract, such as stones, enlarged prostate gland, tumors).<br />

Useful For: The determination of serum BUN currently is the most widely used screening test for the<br />

evaluation of kidney function. The test is frequently requested along with the serum creatinine test since<br />

simultaneous determination of these two compounds appears to aid in the differential diagnosis of<br />

prerenal, renal and postrenal hyperuremia.<br />

Interpretation: Serum BUN determinations are considerably less sensitive than BUN clearance (and<br />

creatinine clearance) tests, and levels may not be abnormal until the BUN clearance has diminished to less<br />

than 50%. Clinicians frequently calculate a convenient relationship, the urea nitrogen/creatinine ratio:<br />

serum bun in mg/dL/serum creatinine in mg/dL. For a normal individual on a normal diet, the reference<br />

interval for the ratio ranges between 12 and 20, with most individuals being between 12 and 16.<br />

Significantly lower ratios denote acute tubular necrosis, low protein intake, starvation or severe liver<br />

disease. High ratios with normal creatinine levels may be noted with catabolic states of tissue breakdown,<br />

prerenal azotemia, high protein intake, etc. High ratios associated with high creatinine concentrations may<br />

denote either postrenal obstruction or prerenal azotemia superimposed on renal disease. Because of the<br />

variability of both the BUN and creatinine assays, the ratio is only a rough guide to the nature of the<br />

underlying abnormality. Its magnitude is not tightly regulated in health or disease and should not be<br />

considered an exact quantity.<br />

Reference Values:<br />

Males<br />

1-17 years: 7-20 mg/dL<br />

> or =18 years: 8-24 mg/dL<br />

Reference values have not been established for patients that are less than 12 months of age.<br />

Females<br />

1-17 years: 7-20 mg/dL<br />

> or =18 years: 6-21 mg/dL<br />

Reference values have not been established for patients that are less than 12 months of age.<br />

Clinical References: Tietz Textbook of Clinical Chemistry. 4th edition. Edited by C. Burtis, E.<br />

Ashwood, and D. Bruns. WB Saunders Company, Philadelphia, 2006; 24:801-803.<br />

Blood Urea Nitrogen, Body Fluid<br />

Clinical Information: Not available<br />

Useful For: Not established<br />

Interpretation: None available<br />

Reference Values:<br />

Not applicable<br />

Clinical References: Tietz Textbook of Clinical Chemistry. Edited by Burtis and Ashwood.<br />

Philadelphia, WB Saunders Co, 1994<br />

Blood Worm, IgE<br />

Clinical Information: Clinical manifestations of immediate hypersensitivity (allergic) diseases are<br />

caused by the release of proinflammatory mediators (histamine, leukotrienes, and prostaglandins) from<br />

immunoglobulin E (IgE)-sensitized effector cells (mast cells and basophils) when cell-bound IgE<br />

antibodies interact with allergen. In vitro serum testing for IgE antibodies provides an indication of the<br />

immune response to allergen(s) that may be associated with allergic disease. The allergens chosen for<br />

testing often depend upon the age of the patient, history of allergen exposure, season of the year, and<br />

clinical manifestations. In individuals predisposed to develop allergic disease(s), the sequence of<br />

sensitization and clinical manifestations proceed as follows: eczema and respiratory disease (rhinitis and<br />

bronchospasm) in infants and children less than 5 years due to food sensitivity (milk, egg, soy, and wheat<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 280

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