C6230 Clinical Biochemistry - laboratory course

Faculty of Science
Autumn 2019
Extent and Intensity
0/4/0. 4 credit(s). Type of Completion: z (credit).
Teacher(s)
doc. RNDr. Josef Tomandl, Ph.D. (lecturer)
Mgr. Jindra Smutná, Ph.D. (seminar tutor)
Mgr. Marie Tomandlová, Ph.D. (seminar tutor)
Guaranteed by
doc. RNDr. Josef Tomandl, Ph.D.
Department of Biochemistry – Chemistry Section – Faculty of Science
Contact Person: doc. RNDr. Josef Tomandl, Ph.D.
Supplier department: Department of Biochemistry – Theoretical Departments – Faculty of Medicine
Timetable of Seminar Groups
C6230/01: Tue 13:00–16:50 C15/212, J. Smutná, J. Tomandl
C6230/02: Tue 9:00–12:50 C15/212, J. Tomandl, M. Tomandlová
Prerequisites (in Czech)
NOW( C6220 Clinical Biochemistry )
Předpokladem zápisu je současné absolvování předmětu klinická biochemie (C6230). K zápisu je potřeba požádat o výjimku-souhlas učitele. Souhlas bude udělován v pořadí: Aplikovaná biochemie (předmět je povinný), Biochemie (předmět je povinně volitelný), ostatní.
Course Enrolment Limitations
The course is also offered to the students of the fields other than those the course is directly associated with.
The capacity limit for the course is 48 student(s).
Current registration and enrolment status: enrolled: 0/48, only registered: 0/48, only registered with preference (fields directly associated with the programme): 0/48
fields of study / plans the course is directly associated with
Course objectives
The laboratory course is designed to introduce the student to the principles and practices of clinical chemistry. Through laboratory experiences the student will develop the necessary skills to perform analytical procedures and evaluate laboratory data. The exercises familiarize the student with the performance of simple laboratory tests common in health care centers.

At the end of the course students should be able to:
understand basic principles of basic analytical parameters determination in blood serum and urine;
determine basic biochemical parameters in serum and urine;
interpret measured results in context of potential health/disease
Learning outcomes
Through laboratory experiences the student will develop the necessary skills to perform analytical procedures and evaluate laboratory data. The exercises familiarize the student with the performance of simple laboratory tests common in health care centers.

At the end of the course students should be able to:
understand basic principles of basic analytical parameters determination in blood serum and urine;
determine basic biochemical parameters in serum and urine;
interpret measured results in context of potential health/disease.
Syllabus
  • Principles of laboratory biosafety and biosecurity. Main phases of laboratory testing (collection and processing of blood/urine, requisition forms for testing, analytical phase. Interpretation of results - a reference interval, decision limit, critical difference). Biochemical analyzers.
  • Determination of triglycerides. Determination of cholesterol (total, HDL) in serum and blood. Calculation of LDL-cholesterol and derived parameters.
  • Determination of glucose in blood and serum. Oral glucose tolerance test (OGTT). Determination of glycated hemoglobin. Determination glucosuria and ketonuria.
  • Determination of total protein in serum. Electrophoresis of serum proteins and lipoproteins. Determination of serum albumin. Determination of serum proteins by ELISA. Determination of cardiomarkers by POCT. Estimation of C-reactive protein by agglutination test.
  • Determination of catalytic concentration of serum enzymes (ALT / AST, ALP isoenzymes, total CK, CK-MB) by kinetic and constant time methods, influence of temperature. Determination of the mass concentration of CK-MBmass.
  • Determination of nitrogen metabolites in serum/urine (total bilirubin, conjugated, uric acid, urea). Approximate evaluation of nitrogen balance.
  • Analysis of urinary proteins (proteinurias, microalbuminuria, Bence-Jones protein). Chemical dipstick testing.
  • Objective and physical examination urine. Determination of urine osmolality. Determination of serum/urine creatinine. Creatinine clearance and estimation of glomerular filtration rate. Fractional excretion and reabsorption of water.
  • Indicative chemical analysis of urinary stones.
  • Laboratory tests of saliva (rate of salivation, buffering capacity, lactate) Examination of gastrointestinal tract Laboratory examination of stomach (gastric acid output, confirmation of Helicobacter pylori by breath and urease tests). Laboratory test in pancreatic disease (α-amylase, secretin-CCK and NBT-PABA and MTG breath tests). Test of occult bleeding in GIT.
  • Solution of model cases.
  • Excursions to the Department of Clinical Biochemistry at the University Hospital Brno.
Literature
  • Podklady pro jednotlivá cvičení ve Studijních materiálech předmětu C6230 v IS MU
  • RACEK, Jaroslav. Klinická biochemie. 2., přeprac. vyd. Praha: Galén, 2006, 329 s. ISBN 8072623249. info
  • Klinická biochemie :požadování a hodnocení biochemických vyšetření. Edited by Jaroslav Masopust. 1. vyd. Praha: Karolinum, 1998, 429 s. ISBN 80-7184-648-1. info
Teaching methods
home preparation, laboratory courses
Assessment methods
class discussion, written protocols, credit
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
The course is taught annually.
Teacher's information
https://is.muni.cz/auth/el/1431/podzim2015/C6230/
The course is also listed under the following terms Spring 2008 - for the purpose of the accreditation, Spring 2011 - only for the accreditation, Spring 2001, Spring 2003, Spring 2004, Spring 2005, Spring 2006, Spring 2007, Spring 2008, Spring 2009, Spring 2010, Spring 2011, Autumn 2011, Autumn 2011 - acreditation, 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/sci/autumn2019/C6230