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Urinary ammonium testing: John Lieske, M.D. episode artwork

Mar 15, 2022 9 min

Urinary ammonium testing: John Lieske, M.D.

from Answers from the Lab Hosted by Mayo Clinic Laboratories

(:52) Would you mind starting off with telling us a little bit about yourself and your background? (1:29) Can you help us understand how knowing urinary ammonium levels help you manage your patients on a day-to-day basis? (2:58) Can you help the audience understand the evolution of laboratory tests used to determine urinary ammonium levels and why nephrologists are now recommending using tests that directly measure urinary ammonium instead of the widely accepted urinary ammonium gap estimate? (6:17) Can you share a little more information about the tests that we have available and how, and when they should be used in clinical practice? (7:57) Finally, what advice do you have for nephrologists that be converting from urine anine gap to direct ammonium testing?

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John Lieske, M.D., discusses Mayo Clinic Laboratories' urinary ammonium testing. A test that takes the guesswork out of determining acid base disorders by giving nephrologists a true understanding of a patient’s true urinary ammonium level.

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