1. How is the sedimentation rate used clinically ?
2. If you forgot to read the ESR results at the 60 minutes mark and discovered your mistake at 95 minutes mark, what action do you take and how do you interpret the results?
1. How is the sedimentation rate used clinically ?
2. If you forgot to read the ESR results at the 60 minutes mark and discovered your mistake at 95 minutes mark, what action do you take and how do you interpret the results?
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QUESTIONS TO ANSWER:
1.Looking at Janeâs lab profile, it is indicative of what condition?
2.What are the two most common causes of this condition?
3.Which lab result is critical in the diagnosis of this disease?
4.Discuss the significance of the Hematology results?
Jane L) a 30-year-old woman, was seen in the ER with severe epigastric pain radiating to the back that woke her from sleep. She also complained of nausea and vomiting. The chemistry and hematology tests shown in Tables 2â8 and 2â9 were ordered.
Jane L. Reference Range
Sodi um | 140 | 135-145 mEq/L | |||||||
Potassium | 3.6 | 3.6â5.0 mEq/L | |||||||
Chloride | 106 | 98-107 mEq/L | |||||||
C02 | 29.0 | 24.0-34.0 mEq/L | |||||||
Glucose | 116 | 80-120 mg/dl, | |||||||
Bilirubin, total | 0.2 | 0.2â1.9 mg/dL | |||||||
AST ALP Protein | 26 53 6.8 | 5-40 IU/L 30-157 IU/L 6.0-8.4 gidL | |||||||
2120 | 2121 | Reference Range | |||||||
BUN | 13 | 7â24 mg/dL | |||||||
Creatinine | 1.2 | 1.2 | 0.5â1.2 mg/dL | ||||||
Calcium | 9.0 | 8.8 | 8.5â10.5 mg/dL | ||||||
Albumin | 4.2 | 3.5-5.0 g/dL | |||||||
ALT | 23 | NT | 5â40 IU/L | ||||||
Amylase | 738 | 265 | 10-110 IU/L | ||||||
Lipase | 3970* | 320 | 31-186 IU/L | ||||||
335 | NT | 13-86 IU/L | |||||||
Cholesterol | NT | 165 | Recommended (desirable): < 200 mg/dL | ||||||
Triglyceride | NT | 155 | Recommended (desirable): < 250 mg/dL | ||||||
2120 | 2121 | Reference Range | |
WBC RBC ESR | 12.1 4.93 40 | 10.8 4.76 | 5-10 x 109/1. 4.0-5.0 x 0â20 mm/h |
HDL 35 Recommended (desirable): 60 mg/dL LDL NT 99 Recommended (desirable): 130 mg/dL *Lipemic sample, results rechecked.
Abbreviations: ALT, alanine aminotransferase; ]GT, gamma glutamyltransferase; HDL, high-density lipoprotein; LDL, low-density lipoprotein; NT, not tested.
Table 2-9 " HEMATOLOGY
Abbreviations.' ESR, erythrocyte sedimentation rate; NT, not tested.
Experiment 2: Analysis of phosphate acquisition mutants of E. coli.
Present the table from the handout on which you recorded your results. (No marks, will be used as a guide for marking Q2) â¨
Strain | Growth on Pi plates(yes/no) | Growth on G3P plates (yes/no) | AP-ase assay colour |
1 | No | Yes | Yellow |
2 | No | Yes | None |
3 | Yes | Yes | Yellow |
4 | Yes | Yes | None |
Use your results to determine the genotype of each strain (bacteria are haploid, so you would use the terms â(loss of function) mutantâ or âwild typeâ) and complete the table below. (1 mark) â¨
Genotype | ||
Strain | Alkaline phosphatase | Pi transporter |
1 | ||
2 | ||
3 | ||
4 |
Explain how you reached your conclusions for the genotype of each strain. (1 mark) â¨
Why is growth on G3P is an important control for this experiment? (2 marks) â¨
Suppose the DNA sequences for the alkaline phosphatase and the Pi transporter genes from â¨strain 1 were determined. If both genes are found to contain a single base change compared to the wild type sequences, what could you conclude about the effect of each mutation on the encoded protein? (2 marks) â¨