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From: Les Culank <[log in to unmask]>
Date: Fri, 06 Jun 2003 14:04:28 +0100
To: PETER HUDSON <[log in to unmask]>
Subject: Re: Lipuria
Has anyone found any evidence basis for interpreting "?-lipuria" results,
whether qualitative or quantitative?
Is it just prejudice-based medicine, or orthopaedic old wives tales, hoping
in vain to confirm their clinical suspicion of fat embolism for example?
Should we be monitoring cytokines instead, in this situation?
I too have searched for evidence, but no luck yet.
Best wishes,
Les
> From: PETER HUDSON <[log in to unmask]>
> Reply-To: PETER HUDSON <[log in to unmask]>
> Date: Fri, 6 Jun 2003 11:13:31 +0100
> To: [log in to unmask]
> Subject: Lipuria
>
> Concidentally with a query about urine myoglobin appearing on the mailbase,
> here is another one about an occasionally requested urine test.
>
> Now and then we get a request for 'fat droplets in urine'. The reason for the
> request is usually suspicion of a post-traumatic fat embolism. The method we
> use is to mix some urine with Oil Red O and look for red blobs under the
> microscope. As I remember the method was developed 'in house' quite a number
> of years ago with advice from our Histology department.
>
> We would welcome the views of colleagues as to whether this represents the
> 'state of the art', whether we could do better, or whether we are wasting our
> time (apart from reminding biochemistry staff what a microscope is used for!).
>
> All I could find on PubMed were a few case reports and only a single entry in
> the mailbase archives.
>
> Thanks in anticipation
>
> Peter Hudson
>
>
>
> Peter Hudson
> Principal Biochemist
> Wrexham Maelor Hospital
> Wales, UK. LL13 7TD
> [log in to unmask]
>
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