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Test Code CYSQN Cystinuria Profile, Quantitative, 24 Hour, Urine

Reporting Name

Cystinuria Profile, QN, 24 hour

Useful For

Diagnosis of cystinuria using 24-hour urine collections

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Urine


Necessary Information


1. 24-Hour volume (in milliliters) is required.

2. Patient's age is required.

3. Include family history, clinical condition (asymptomatic or acute episode), diet, and drug therapy information.



Specimen Required


-Urine Tubes, 10 mL (T068)

-Diazolidinyl Urea (Germall) 5.0 mL (T822)

Specimen Volume: 5 mL

Collection Instructions:

1. Collect before intravenous pyelogram.

2. Add 5 g of diazolidinyl urea (Germall) as preservative at start of collection. If preservative is not available, refrigerate during collection.

3. Collect urine for 24 hours.

4. Mix well before taking 5-mL aliquot.

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens for multiple collections.


North Ottawa Community Hospital Note:
An entire 24-hour urine collection is also acceptable.

Note: 1. Starting and ending times of collection are required.

2. Follow instructions in Urine Collection in Specimen Collection and Preparation in General Information.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Frozen (preferred) 70 days
  Refrigerated  14 days

Reference Values

Cystine

3-15 years: ≤53 mcmol/24 h

≥16 years: ≤115 mcmol/24 h

 

Lysine

3-15 years: ≤140 mcmol/24 h

≥16 years: ≤290 mcmol/24 h

 

Ornithine

3-15 years: ≤16 mcmol/24 h

≥16 years: ≤70 mcmol/24 h

 

Arginine

3-15 years: ≤25 mcmol/24 h

≥16 years: ≤64 mcmol/24 h

 

Conversion Formulas:

Result in mcmol/24 hours x 0.24 =result in mg/24 h

Result in mg/24 hours x 4.17 =result in mcmol/24 h

Day(s) Performed

Monday through Friday

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

82136

LOINC Code Information

Test ID Test Order Name Order LOINC Value
CYSQN Cystinuria Profile, QN, 24 hour 90785-7

 

Result ID Test Result Name Result LOINC Value
TM38 Collection Duration 13362-9
VL36 Urine Volume 3167-4
3583 Cystine 13966-7
3589 Lysine 25464-9
3590 Ornithine 25491-2
3591 Arginine 25322-9
50447 Reviewed By 18771-6

Report Available

3 to 5 days

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Urine Preservative Collection Options

Note: The addition of preservative must occur prior to beginning the collection. If preservative is not available, refrigerate during and after collection.

 

Ambient (no additive)

No

Refrigerate (no additive)

OK

Frozen (no additive)

OK

50% Acetic Acid

No

Boric Acid

No

Diazolidinyl Urea

Preferred

6M Hydrochloric Acid

No

6M Nitric Acid

No

Sodium Carbonate

No

Thymol

No

Toluene

OK