VLKB091 Clinical Biochemistry

Faculty of Medicine
autumn 2019
Extent and Intensity
2/0/0. 3 credit(s). Type of Completion: k (colloquium).
Teacher(s)
MUDr. Dana Bučková, Ph.D. (lecturer)
MUDr. Zdeňka Čermáková, Ph.D. (lecturer)
doc. MUDr. Milan Dastych, CSc., MBA (lecturer)
MUDr. Miroslava Hlaváčová, Ph.D. (lecturer)
MUDr. Michaela Králíková, Ph.D. (lecturer)
MUDr. Ondřej Kyselák, Ph.D., EuSpLM (lecturer)
prof. MUDr. Vladimír Soška, CSc. (lecturer)
doc. RNDr. Josef Tomandl, Ph.D. (lecturer)
MUDr. Hana Vinohradská (lecturer)
Mgr. Radomíra Bednářová (assistant)
MUDr. Milan Dastych (assistant)
doc. RNDr. Jiří Dostál, CSc. (assistant)
Mgr. Miroslav Fiala (assistant)
MUDr. Lenka Gescheidtová, Ph.D. (assistant)
Mgr. et Mgr. Zuzana Handlová (assistant)
Iva Křípalová (assistant)
Lenka Nerudová (assistant)
RNDr. Hana Paulová, CSc. (assistant)
MUDr. RNDr. Michal Řiháček, Ph.D., EuSpLM (assistant)
Mgr. Jiří Slanina, Ph.D. (assistant)
prof. RNDr. Eva Táborská, CSc. (assistant)
Mgr. Ladislav Václavík, Ph.D. (assistant)
Guaranteed by
doc. MUDr. Milan Dastych, CSc., MBA
Department of Biochemistry – Theoretical Departments – Faculty of Medicine
Contact Person: Lenka Nerudová
Supplier department: Department of Biochemistry – Theoretical Departments – Faculty of Medicine
Timetable
Fri 4. 10. 14:00–16:50 B11/114, Fri 11. 10. 14:00–16:50 B11/114, Fri 18. 10. 14:00–16:50 B11/114, Fri 25. 10. 14:00–16:50 B11/114, Fri 1. 11. 14:00–16:50 A16/215, Fri 8. 11. 14:00–16:50 B11/114, Fri 15. 11. 14:00–16:50 B11/114, Fri 22. 11. 14:00–16:50 B11/114, Fri 29. 11. 14:00–16:50 B11/114, Fri 6. 12. 14:00–16:50 B11/114, Fri 13. 12. 14:00–15:40 B11/114
Prerequisites
( VLFA08222p Farmacology II - lecture || VLFA0722p Pharmacology - L )
Completion of subjects VLFA0822p || VLFA0722p
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
After this course the participant should be able to: - choose biochemical tests suitable for diagnostics of diseases - know the basic problems of common biochemical diagnostic tests - know how to collect biological material and how to treat it to prevent false results - to assess reliability of laboratory results.
Learning outcomes
Student will be able to:
purposefully indicate laboratory biochemical tests
correctly interpret laboratory results
evaluate laboratory tests with regard to their sensitivity and specificity
use knowledge of the uncertainty of the evaluated parameter
to focus on possible pre-analytical influences and interferences
Syllabus
  • Analytical sources of variation, accuracy and precision. Diagnostic accuracy, sensitivity, specificity, and efficiency of diagnostic tests. Reference ranges, decision values. Collection and processing of specimens, special requirements, general safety rules.
  • Assessment and monitoring of nutritional status. Blood plasma proteins. Acute-phase reactants. Principles of nutritional support, enteral and parenteral nutrition. Dietary constituents providing a sufficient energy intake.
  • Energy output, nitrogen balance. Indications for nutritional support. Oxygen, transport and metabolism, tissue hypoxia.
  • Disorders of lipid and lipoprotein metabolism.
  • Ischemic heart disease, congestive cardiac failure. Potassium and magnesium homeostasis.
  • Iron and essential microelements metabolism.
  • Disturbances of water and sodium balance. Plasma and urine osmolality. Plasma electrolytes in acid-base disorders.
  • Assessment of acid-base balance. Investigating an acid-base status, indications for blood acid-base and oxygen measurements, interpretation of results.
  • Laboratory evaluation of kidney function. Biochemical monitoring of acute and chronic renal failure, and of patients receiving haemodialysis. Urine sediment.
  • Investigation of liver and biliary tract diseases. Signs of the liver injury, differentiating of hyperbilirubinaemias, syndrome of biliary obstruction.
  • Clinical biochemistry of the GIT. Gastric acid secretion, maldigestion and malabsorption, assessment of pancreatic function.
  • Disorders of saccharide metabolism, diabetes mellitus.
  • Calcium and phosphate metabolism. Biochemical markers of bone metabolism (in the assessment of osteoporosis).
  • Uric acid, hyperuricaemia. Renal tract stones.
  • Laboratory assessment of thyroid and adrenal functions.
  • Tumour markers. Biological causes of variation of test results, effects of drugs on chemical tests.
Literature
    required literature
  • RACEK, Jaroslav. Klinická biochemie. 2., přeprac. vyd. Praha: Galén, 2006, 329 s. ISBN 8072623249. info
    recommended literature
  • SCHNEIDERKA, Petr. Kapitoly z klinické biochemie. 1. vyd. Praha: Karolinum, 2000, 284 s. ISBN 8024601400. info
  • JABOR, A. Vnitřní prostředí. 1st ed. Praha: Grada Publishing,a.s., 2008, 2009, 560 pp. ISBN 978-80-247-1221-5. info
  • MASOPUST, Jaroslav. Klinická biochemie. Požadování a hodnocení biochemických vyšetření. (Clinical chemistry.). 1st ed. Praha: Karolinum, 1998, 832 pp. část I. a část II. ISBN 80-7184-649-3. info
  • Tietz fundamentals of clinical chemistry. Edited by Carl A. Burtis - Edward R. Ashwood - David E. Bruns - Barbara G. Sawye. 6th ed. St. Louis: Saunders/Elsevier, 2008, xx, 952. ISBN 9780721638652. info
  • Clinical chemistry : techniques, principles, correlations. Edited by Michael L. Bishop - Edward P. Fody - Larry E. Schoeff. 6th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010, xx, 732. ISBN 9780781790451. info
Teaching methods
lectures, audio-visual study materials, pp-presentations,commentated videos, interactive inputs
Assessment methods
written test, the test consists of 40 questions,25 correct answers is needed to pass; colloquium
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
The course is taught annually.
Information on the extent and intensity of the course: 30.
Information on course enrolment limitations: kromě studentů LF maximálně 3 studenti MU v jednom běhu
Listed among pre-requisites of other courses

Zobrazit další předměty

The course is also listed under the following terms Autumn 2000, Autumn 2001, Autumn 2002, Autumn 2003, Autumn 2004, Autumn 2005, Autumn 2006, Spring 2007, Autumn 2007, Spring 2008, Autumn 2008, Spring 2009, Autumn 2009, Autumn 2010, Autumn 2011, Autumn 2012, Autumn 2013, Autumn 2014, Autumn 2015, Autumn 2016, Autumn 2017, autumn 2018, autumn 2020, autumn 2021, autumn 2022, autumn 2023, autumn 2024.
  • Enrolment Statistics (autumn 2019, recent)
  • Permalink: https://is.muni.cz/course/med/autumn2019/VLKB091