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Chemical Pathology: Course content (MLCP-514)

Course description

Sodium and water metabolism

  • Total water and sodium balance
  • Control of sodium and water balance
  • Distribution of water and sodium in the body
  • Biochemical test basis of treatment of sodium and water disturbances
  • Clinical feature of sodium and water disturbance Urinary sodium estimation

Potassium metabolism  and water balance:

  • Distribution of body fluids, were intake and output, dehydration and edema

The kidney and renal calculi

  • Clinical chemistry of Renal Disorder
  • Pathophysiology
  • Clinical syndrome of renal disease
  • Renal Calculi
  • Renal function tests used in clinical investigation.
  • Inulin and Creatinine clearance (GFR).
  • Para-aminohippurate clearance (renal plasma flow).
  • Maximum rate of tubular excretion of P-amino-hippurate (Tr-PAH) (measures excretory function of renal tubules).
  • Maximum rate of reabsorption of glucose (Tmg) (measures reabsorption function of renal tubules)
  • Classification of renal function tests used in clinical assessment of renal function.
  • Blood urea nitrogen.
  • Serum Urea.
  • The phenolsulfonphthalein (PSP) test.
  • Serum creatinine
  • Creatinine Clearance
  • Serum Uric Acid
  • Electrolytes

Urine

  • Composition of glomerular filtrate and change which occur in the tubules, normal urine, physical properties, and composition, pathological constituents and their determination,
  • Quantitative Analysis of Urine
  • Amino acids, Bence-Jones proteins, Calcium, Coproporphyrins, creatinine, glactose, phosphates, nitrogen, PH, specific gravity, Ca, p, Oxalates and urates. Determination of kidney function tests.

Investigation of renal, water, and Electrolytes disorder

Chemical Changes in Gastrointestinal tract

  • Digestion and digestive enzymes, their control and mechanism of secretion, bile Absoprtion of water, Minerals, Fats, Carbohydrate and proteins.
  • Amylase and lipase

Minerals:

  • Metabolism of Na, Ca, P, Fe, Cu, and Co, Electrolyte balance and imbalance.
  • Investigation of disorder of calcium metabolism.

Endocrine:

  • Pituitary gland
  • Anterior and Posterior pituitary hormones,
  • Hypothalamic hormones. Positive and negative feedback mechanism
  • Parathyroid Gland function and associated disorder
  • effects on Ca and phosphorus metabolism,
  • Thyroid functions and chemistry,
  • T3, T4, TSH,
  • Hyperthyroidism
  • Hypothyroidism
  • Adrenal Glands.
  • Hormones of the adrenal medulla and cortex.
  • Hypo and Hyper secretion. Cushing’s syndrome.
  • Addison’s disease
  • Pheochromocytoma
  • Male and Female sex hormones. (Testicular/ Ovarian/ Placental Hormones).
  • Synthesis, secretion, actions, metabolism.
  • A little information about Amenorrhea, Oligomenorrheoa, Hirsutism, Virilism, Spermatogenesis, Ovulation, Climacteric.
  • Insulin effects on Glucose metabolism, secretion, structure. Hyperglycemia, Diabetes Mellitus. Antagonistic hormones

Carbohydrates Metabolism

  • Definition and causes of hyperglycemia, Diabetes mellitus
  • Criteria for diagnosing of diabetes mellitus
  • Sample collection and processing for blood glucose determination
  • Method for determination of blood glucose
  • Method for interference and interpretation
  • Reference interval
  • Self-monitoring of blood glucose
  • Definition of glycosuria
  • Method of determination urinary glucose
  • Name of ketone bodies
  • Method for determination of ketone bodies in serum and urine
  • Name of different glycated protein
  • Method of determination of glycated protein
  • Definition of hypoglycemia and hyperglycemia
  • Lab diagnose of hypoglycemia and hyperglycemia.

Liver Metabolism

  • Biochemical functions of the liver
  • Diseases of the liver, cholestasis, Acute Hepatitis, chronic hepatitis, cirrhosis, hepatocellular failure, hepatic invasion or infiltration, metabolic liver diseases, Hemolytic jaundice, Jaundice in new born
  • Lab diagnosis and interdiction of liver function test
  • Method of determination of serum bilirubin
  • Method of determination of liver enzymes

Plasma Lipid and lipoprotein

  • Fatty acid, Triglyceride, phospholipid and cholesterol
  • Lipoprotein metabolism
  • Exogenous Lipid Pathways, Chylomicron metabolism
  • Endogenous Lipid Pathways
  • VLDL, HDL metabolism
  • Disorder of Lipid metabolism
  • Hyperlipidemia
  • Hypercholesterolaemia,
  • Hypertrigycridaemia,
  • Mixed hyperlipidaemia   
  • Lab investigation of lipid profile

Bile Pigments and Urobillinogen in urine

  • Two types of bile pigments and their characteristics.
  • Constituents and derivation of bile which appear in the urine.
  • Derivation of Bile in urine
  • Routine screen test for bilirubin

Course description

Methods:

  • 1-Foam test, 2-Harrison focuchet method, 3- Harrison’s spot test, 4-Icto test (ames company), 5-Observant for standing of element of urine sediment
  • Determination of Urobilin in urine.
  • Determination of urobillinogen in the urine.
  • Semi quantitative methods of Watson or of Wallace and Diamond.

Haemoglobin, Myoglobin and Haemosiderin in Urine

  • Haematuria.
  • Detection of Haemoglobin in urine
  • Spectroscopic examination
  • Banzidins test
  • Guaiac test
  • Tablet test
  • Myglobinuria
  • Differentiation or separation from Haemoglobin.
  • Spectroscopic examination
  • Spectrophotometery
  • Precipitation by 80% saturated ammonium sulfate.
  • Haemosiderin
  • prussian blue reaction.

Other chemical tests

  • Indicanuria
  • Obermayer’s test
  • Porphyrinuria
  • Identification of Perphobilinogen.
  • Identification of uroperphyrins.
  • Identification of coproperphyrins: Method of Schwitz, Zeir and Watson.
  • Melanin
  • Ferric chloride test.
  • Bromine Water test.
  • Method of Blackberg and Wanger.
  • The Thormahlen test.
  • Chlorides
  • Frantus test.
  • Method of Schales and Schales
  • Phenylketonuria
  • Ferric Chloride test.
  • Phenistix
  • Metabolites of Salicylate and PAS
  • Screening test for Salicylates and PAS.
  • Ferric Chloride
  • Phenistix.

Urinary Calculi

  • Observations to be made of gross appearance.
  • Reagents and Scheme for detection.

Cardiac Profile

  • Cardiac Protein
  • Myoglobin
  • Troponin-I
  • Troponin –T
  • Cardiac Enzyme
  • AST
  • CPK
  • CKMB
  • CKB
  • LDH
  • Lab diagnose of Myocardial Infarction

Plasma Proteins

  • Name of Plasma Protein
  • Method of Determination of Proteins
  • Protein Electrophoresis

The cerebrospinal fluid

  • Procedure for examination of CSF

Biochemical effect of Tumour

Tumour Marker

Practicals

  • Specimen Collection and Processing
  • Collection of Samples
  • Blood
  • Urine
  • Feces
  • Transport of Samples
  • Anticoagulant
  • Preservatives
  • Problem associated with lipamic, hemolytic, and icteric samples
  • Collection of samples from neonates.
  • Calibration of different part of spectrophotometry
  • Plasma and Urine osmolality,
  • Electrolyte estimation principal
  • Method for determination of Blood gasses and Ph
  • Protein electrophoresis, determination of ,T3,T4,TSH
  • Determination of PTH, CA, mG
  • Determination of glucose, OGTT,GCT
  • Chemical test for urine (sugar, ketones Bodies, mucin)
  • Chemical examination of urine (Protine and Albumin0
  • Quantitative Analysis of Urine
  • Amino acids, Bence-Jones proteins, Calcium, Coproporphyrins, creatinine, galactose, phosphates, nitrogen, PH, specific gravity, Ca, p, Oxalates and urates.
  • Quantitative Analysis of Urine
  • Amino acids, Bence-Jones proteins, Calcium, Coproporphyrins, creatinine, galactose, phosphates, nitrogen, PH, specific gravity, Ca, p, Oxalates and urates.
  • Lipid Profile
  • Liver profile test
  • Cardic profile
  • Renal profile test
  • Special Chemistry