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Acid Phosphtase ( ____________________ ) :

This enzyme is present minimally in many tissues by ____________________ times higher in the prostate than any other tissue . It is also found in seminal fluid . It is released into the blood stream in metastatic carcinoma of the prostate , when the ____________________ breaks .

Normal : 0 - 3 . 1 ng / ml

Increased In : prostatic carcinoma , any carcinoma metastases to bone , and hyperparathyroidism

Significant elevations almost always indicate ____________________ of the prostate .



Prostate Specific Antigen ( ____________________ ) :

An enzyme which is localized in normal prostatic epithelial cells and prostatic carcinoma cells . ____________________ of men and prostatic carcinoma have a significant increase in PSA .

Normal : 0 - 4 . 0 ng / ml

PSA and acid phosphatase increases detect early stage prostatic cancer . PSA is the best ____________________ indicator for monitoring reoccurrence of cancer and best to detect effectiveness of therapy . Digital rectal exam is more reliable than both PAP and PSA .



A / G Ratio :

This represents the serum albumin level divided by the serum globulin level ; approzimaately 2 . 1 . Bence Jones patenuria ? immune electro pharysis ? looking for an ____________________ - spike of 1Gg .

Normal : 1 . 5 - 2 . 5 gm%

____________________ in : Multiple myeloma ? plasma cyloma ? pain located at site of lesion , progressively worse ? osteopenia ? spares the pedicles . Frequent infections . Anemia . Increased ESE proteinuria .



Alkaline ____________________ :

This enzyme is found in many tissues , especially bone and liver . It is termed alkaline because this enzyme functions best at a hP of 9 , and is associated with liver and ____________________ activity . Children normally have an alkaline phosphatase value ____________________ times that of your average healthy adult .

Normals : 2 . 0 - 4 . 5 Bodansky units

Increased In : ____________________ lesions ( osteoenic sarcoma , ____________________ ; s ) , hepatic disease ( obstructive jaundice ) , ____________________ , rickets , ____________________



Amylase :

Increased any ____________________ emergency .

This is a pancreatic enzyme that splits starch . High values often indicate pancreatitis . The most common cause of pancreatitis is ____________________ .

____________________ peptic ulcer .

Irupneal tubal pregnancy

Intestinal obstruction

Rupteral ____________________

Normals : 25 - 125 U / L .

Increased In : Acute pancreatitis

Acute gallbladder



ANA ( FANA ) :

Fluorescent antinuclear antibody test is used to demonstrate the presence of antibodies that lead to the production of the LE cell . There are two antinuclear antibodies that are significant in Systemic Lupus Erythematous : anti - DNA and anti - DNP ( an antinucleoprotein ) . Anti - DNP is usually present inpatients with various ____________________ diseases . Anti - DNA is strong evidence for the presence of ____________________ . A positive result doesn't definitely indicate SLE , but a negative result does rule it out .



ASO Titre :

Antistreptolysin ? 0 titre . One of a group of serologic procedures that demonstrates that the patient has reacted to an infection by group A ____________________ . Measures the amount of antibodies present .

Normals : less than ____________________ Todd units / ml .

Increased in : Acute ____________________ , rheumatic feve r