How To Develop Your Skill For Great Success And Happiness Including Become CPA? | Additional special tips From Admin
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17-Hydroxyprogesterone, Urine
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The reference range of urinary 17-hydroxyprogesterone (17-OHPG) in children is as follows: [1, 2, 3]
Age 3 days to 1 year: Up to 50 ng/24 hours
Age 1-8 years: Up to 300 ng/24 hours
The following is the reference of urinary 17-OHPG in adults:
Males: Up to 2 µg/24 hours
Females: Up to 4.5 µg/24 hours
Elevated urinary 17-hydroxyprogesterone (17-OHPG) levels are associated with the following:
Congenital adrenal hyperplasia (CAH)
Polycystic ovarian syndrome (PCOS)
Specifics for collection and panels are as follows:
Specimen type: Urine
Collection method: 24-hour urine collection (see image below)
Specimen volume: 10 mL
Other instructions: Record duration and total volume
An elevated level of 17-OHPG, an intermediate in the synthesis of adrenocortical hormones, is the distinguishing characteristic of 21-hydroxylase (CYP21) deficiency, the most common form of CAH.
Urine 17-OHPG is also frequently elevated in patients with PCOS or idiopathic hirsutism.
CAH is a general term for a group of inherited disorders in which a defect in cortisol biosynthesis results in overproduction of adrenocorticotropin hormone (ACTH), with secondary adrenal hyperplasia as a consequence. Classic CAH is generally recognized at birth or in early childhood because of ambiguous genitalia, salt wasting, or early virilization. Nonclassic adrenal hyperplasia is generally recognized at or after puberty because of oligomenorrhea or virilizing signs in females.
Indications for testing of urinary 17-OHPG include the following:
In a male child with premature sexual development
In females with hirsutism, other signs of virilization, oligomenorrhea, or infertility
Patients should avoid use of corticosteroids, ACTH, estrogen, or gonadotropin medication for at least 48 hours before the start of urine collection.
Burris CA, Ashwood ER, Burns DE. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 4th ed. St. Louis: Elsevier Saunders; 2006.
McPherson RA, Pincus MR. Henry’s Clinical Diagnosis and Management by Laboratory Methods. 22nd ed. Philadelphia: Elsevier Saunders; 2011.
Wallach J. Interpretation of Diagnostic Tests. 6th ed. New York: Little, Brown; 1996.
Muhammad Bader Hammami, MD Fellow in Inflammatory Bowel Disease, St Louis University School of Medicine
Disclosure: Nothing to disclose.
Thomas M Wheeler, MD Chairman, Department of Pathology and Immunology, WL Moody, Jr, Professor of Pathology, Professor of Urology, Baylor College of Medicine
Thomas M Wheeler, MD is a member of the following medical societies: Alpha Omega Alpha, American Association for Cancer Research, American Medical Association, American Society for Clinical Pathology, American Society of Cytopathology, American Thyroid Association, American Urological Association, College of American Pathologists, United States and Canadian Academy of Pathology, International Society of Urological Pathology, Harris County Medical Society
Disclosure: Received stock from PathXL for medical advisory board. for: PathXL, Inc.
Judy Lin, MD
Disclosure: Nothing to disclose.
17-Hydroxyprogesterone, Urine
Research & References of 17-Hydroxyprogesterone, Urine |A&C Accounting And Tax Services
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A note for you if you pursue CPA licence, KEEP PRACTICE with the MANY WONDER HELPS I showed you. Make sure to check your works after solving simulations. If a Cashflow statement or your consolidation statement is balanced, you know you pass right after sitting for the exams. I hope my information are great and helpful. Implement them. They worked for me. Hey.... turn gray hair to black also guys. Do not forget HEALTH?
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