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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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PALB<br />

9005<br />

FPRGA<br />

57110<br />

methylation defects. In cases where methylation-sensitive MLPA suggests either deletion or duplication,<br />

FISH can be used to confirm type I and type II deletions or characterize the disease mechanism,<br />

respectively. In cases where methylation-sensitive MLPA suggests abnormal methylation in the absence<br />

of a deletion or duplication, UPD studies can be used to characterize the disease mechanism. Assessment<br />

of patients found to have a deletion in the PWS/AS critical region on routine cytogenetic analysis includes<br />

confirmation of the deletion by FISH analysis and MLPA analysis to define parent of origin. See<br />

Prader-Willi and Angelman Syndromes: Laboratory Approach to Diagnosis in Special Instructions for<br />

additional information.<br />

Useful For: Confirmation of diagnosis in patients suspected of having either Prader-Willi syndrome<br />

(PWS) or Angelman syndrome (AS) based on clinical assessment or previous laboratory analysis<br />

Prenatal diagnosis in families at risk for PWS/AS<br />

Interpretation: An interpretive report will be provided.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: 1. Buiting K: Prader-Willi syndrome and Angelman syndrome. Am J of Med<br />

Genet Part C 2010;154C:365-376 2. Williams CA, Beaudet AL, Clayton-Smith J, et al: Angelman<br />

syndrome 2005: updated consensus for diagnostic criteria. AM J Med Genet 2006:140A:413-418 3.<br />

Gunay-Aygun M, Schwartz S, Heeger S, et al: The changing purpose of Prader-Willi syndrome clinical<br />

diagnostic criteria and proposed revised criteria. Pediatrics 2001;108(5):e92 4. Nygren AOH, Ameziane<br />

N, Duarte HM, et al: Methylation-specific MLPA (MS-MLPA): simultaneous detection of CpG<br />

methylation and copy number changes of up to 40 sequences. Nucleic Acids Res 2005;33:128 5. Procter<br />

M, Chou L, Tang W, et al: Molecular diagnosis of Prader-Willi and Angelman syndromes by<br />

methylation-specific multiplex ligation-dependent probe amplification. Clin Chem 2006;52:1276-1283<br />

Prealbumin (PAB), Serum<br />

Clinical Information: Prealbumin is synthesized in the liver and acts as a binding protein for<br />

thyroxine and retinol-binding protein. The serum concentration of prealbumin reflects the synthesis<br />

capacity of the liver and is markedly diminished in malnutrition and other conditions. Due to its short<br />

half-life of approximately 2 days, prealbumin can be used for monitoring the nutritional status and<br />

efficacy of parenteral nutrition.<br />

Useful For: Assessing nutritional status, especially in monitoring the response to nutritional support<br />

in the acutely ill patient<br />

Interpretation: Values of 0 ng/dL to 5 mg/dL, 5 mg/dL to 10 mg/dL, and 10 mg/dL to 15 mg/dL<br />

indicate severe, moderate, and mild protein depletion.<br />

Reference Values:<br />

19-38 mg/dL<br />

Clinical References: 1. Haider M, Haider SQ: Assessment of protein-calorie malnutrition. Clin<br />

Chem 1984;30:1286-1299 2. Grant JP, Custer PB, Thurlow J: Current techniques of nutritional<br />

assessment. Surg Clin North Am 1981;61:437-463 3. Bernstein LH, Leukhardt-Fairfield CJ, Pleban W,<br />

et al: Usefulness of data on albumin and prealbumin concentrations in determining effectiveness of<br />

nutritional support. Clin Chem 1989;35:271-274 4. Kanakoudi F, Drossou V, Tzimouli V, et al: Serum<br />

concentrations of 10 acute-phase proteins in healthy term and pre-term infants from birth to age 6<br />

months. Clin Chem 1995;41:605-608<br />

Pregabalin (Lyrica)<br />

Reference Values:<br />

Therapeutic and toxic ranges have not been established.<br />

Expected steady state pregabalin concentrations in patients<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1469

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