Clinical biochemistry as an instrument to assist in the diagnosis of illnesses. The fundamentals of analytical methodology and correct handling of data obtained in a clinical laboratory along with an overall description of the evaluation of the function of different organs and tissues.
In the daily work of any physician , hospital , clinic , in his office, requesting a multitude of analytical explorations both in samples of blood, urine , and so on to check and orientation in the resolution of certain diagnoses . In fact the analysis of blood, urine and other samples that the doctor asks to confirm , rule or guide the diagnostic suspicion he sensed after the completion of the clinical history and / or physical examination are more than half of the data flowing in health centers . You could even say that the laboratory data involved in over 70% of clinical decisions made ¿¿by the doctor . From these data we can realize the importance of Clinical Biochemistry in the physician's role and relationship with patients.
Historically it has been considered , especially since the vast automation , mechanization and computerization of laboratories that began in the 70s , that such a large number of results generated in the laboratory only contribute to the diagnosis , treatment or prevention , along with clinical history , physical examination and other diagnostic tests. However, at present, in which begins the era of molecular diagnosis of disease, laboratory alone sometimes may even star and diagnosis. In fact, many diseases are caused by the alteration of proteins encoded by different genes , which we have access through the techniques of molecular biology. In pregnancy , using screening techniques ( screening) prenatal , we can find out with a very low probability of being wrong , and using a simple analysis that the child to be born will be free of diseases such as Down syndrome , spina bifida or other genetic diseases . It also begins the era of personalized treatment of diseases , and can be measured by microchips that detect various genetic polymorphisms , the appropriateness of treatment and / or dose according to the patient or his body is fast or slow metabolizer of such treatment. Important in patients suffering from cancer or in patients with psychiatric treatments . So today's clinical laboratory charges a great importance , as it had not been until today. Arguably, the day is not far that the biochemical and molecular analysis performed after blood sampling , it might even make the same patient , could answer many questions and even venture the same diagnosis .
From the above it follows that any physician is key provided with the basic knowledge to make appropriate use of this tool , the Clinical Laboratory , that can help you throughout your career to make sound clinical decisions over 70% of them. The investment is significantly profitable , not only to the same doctor , but also for hospital management if he knows what he has to ask the head of the laboratory . Acquire the knowledge inherent in the Laboratory of Clinical Biochemistry , will be of great use to throughout the physician's professional life , and it will use virtually all patients.
In this course , our goal is for students to acquire basic knowledge inherent in the clinical laboratory sciences , as well as the variability of the tests. In this case , not only the analytical variability , but also the variability prior to analysis and intra -individual biological and theories of population reference values ¿¿and diagnostic value of the tests. All this experience acquired through numerous examples and practical problems obtained in the day to day of a university hospital . In addition , the physician will know how to apply them and, importantly , how to apply certain tests to the laboratory and how to interpret them. Significantly, special emphasis will be made in relation to urgent tests . The student will receive all necessary knowledge about how to use analytical explorations from the Emergency Department of the Hospital . There will also be special emphasis on primary care. In addition there are certain pieces of knowledge , such as endocrinology or autoimmunity, which will be reviewed from a laboratory point of view , they are sciences in which the overlap is key with these specialty lab , the great importance of measuring hormone levels or markers of autoimmunity in these diseases.
A small section of the course will cover management . Why? Because certain management tools such as the balanced scorecard , not only should be used by health managers but by every medical professional . In the time of crisis in which we live , diagnostic efficiency , it is not just a duty or obligation of managers, it will be the duty of every health professional every day of his professional life and in every clinical decision. And in this course will explain the management tool scorecard applied to the laboratory, but from a point of view that will be transferable to any medical specialty.
Such knowledge, basic and necessary , and that is not currently taught in the core subjects of the medical course , make a difference not only in the first year of active life as a physician in the emergency department , but what throughout professional life . Provide the physician with a basis and security in handling analytical explorations , helping to make the prognosis and treatment, only possible if you study and reinforce that knowledge.