2550 A Case-Oriented Review of Clinical Chemistry
8:30 am - 4:30 pm 6.5 CMLE Credits
Roger L. Bertholf, PhD
Director of Clinical Chemistry, Toxicology, and Point of Care Testing: Professor of Pathology, University of Florida College of Medicine/Jacksonville, Jacksonville, FL
Attend this workshop to refresh and expand your chemistry knowledge. Patients presenting with generalized or ambiguous symptoms are a dilemma for medical staff. In chemistry, your role in patient care is crucial, especially since test results contribute essential information to the diagnosis. Gain the information that you need to communicate abnormal results and/or teach colleagues, as you become familiar with respiratory, renal, hepatic, and cardiac disease states. Focus will be on the pathophysiology of the disease, the relevant clinical methods, and the application of laboratory data to the diagnosis. Case studies will be used throughout to illustrate the integration of laboratory tests with an understanding of disease processes. To challenge your knowledge, you will have the opportunity to suggest appropriate tests, pose differential diagnoses, and interpret laboratory data.
Following this workshop, you will be able to:
- Describe the physiology of the respiratory system, as well as the laboratory methods to assess respiratory function.
- Explain renal anatomy and function and appropriate clinical tests.
- Describe the use of biochemical markers for metastatic disease, including their specificity and value for detecting recurrent disease.
- Discuss cardiac physiology, cardiac markers, and the most up-to-date methods for the triage and evaluation of chest pain.
“By far one of the most interesting and captivating seminars I have ever attended. The speaker was both knowledgeable and engaging. I would strongly recommend this workshop.”
4532 Get LEAN in the Laboratory
8:30 am - 4:30 pm 6.5 CMLE Credits
Karen C. Young, MPM, CSSBB(ASQ), SC(ASCP)
Masters Project Management, Managing Partner Strategic Solutions and Associates, LLC; Adjunct Professor of Lean Six Sigma, Villanova University; Senior Examiner Georgia Oglethorpe Award; Preliminary Judge ASQ International Team Excellence Award (ITEA); CAP Volunteer Inspector, Atlanta, GA
A successful Lean Six Sigma program requires continuing involvement by the laboratorians on the front line in their day-to-day activities. Attend this workshop to discover how you don’t have to be a “Belt” to be an effective member of the Lean Team! This session will address the roles that mid-level management and non-management personnel can play in a healthcare organization’s Lean Six Sigma journey, emphasizing the importance of the role of the workforce at the bench level. Topics will include an overview of Lean Six Sigma, the tool kit, defining the improvement opportunity, identifying and eliminating waste in the laboratory, workspace organization, and more. Discussion and hands-on exercises will reinforce the information presented.
Following this workshop, you will be able to:
- Perform waste walks to identify the 8 types of waste in the workplace.
- Plan a Lean event.
- Execute a Lean plan.
- Effectively map a process “as is.”
“Everything I've learned is valuable because it will benefit my work and my personnel.” “I found the presentation of Lean integration with other areas of the hospital most insightful.”
5566 Hematology: Lymphocyte Morphological Challenges
8:30 am - 4:30 pm 6.5 CMLE Credits
Steven M. Marionneaux, MS, MT(ASCP)
Manager, Clinical Hematology Laboratories, Memorial Sloan Kettering Cancer Center; Instructor of Medicine, New York Medical College; Adjunct Lecturer, Hunter College, New York, NY; Adjunct Professor, University of Medicine and Dentistry of New Jersey, Newark, NJ
Although variant lymphocytes are a common finding when performing peripheral blood smear review, they are often morphologically challenging! Not only do you need to distinguish variant lymphocytes from other hematopoietic cells such as normal lymphocytes and monocytes, but you also must differentiate malignant lymphoid cells in circulation from reactive lymphocytes. The type and number of malignant lymphocytes are crucial pieces of information that you must effectively communicate to the healthcare team in order to support the best patient care.
This workshop will provide an extensive review of the numerous morphologic presentations of lymphocytes in normal, reactive and malignant conditions. A review of lymphocyte function, especially as a result of antigenic stimulation, will explain the causes of reactive lymphocyte morphology. The WHO classification of the lymphoid malignancies will be discussed. The results from flow cytometry and genetic tests will be correlated with lymphocyte morphology to illustrate the identification and categorization of acute and chronic malignant lymphocyte neoplasms. You will discover a systematic approach for identifying variant lymphocytes and differentiating reactive vs malignant lymphocyte forms, along with suggestions for assigning appropriate descriptive terminology for these cells.
Following this workshop, you will be able to:
- Describe the stages of lymphopoiesis and discuss normal function of B, T, and NK lymphocytes.
- Define lymphocytosis in relative and absolute terms.
- Differentiate normal and variant lymphocytes from other hematopoietic cells.
- Correlate variant lymphocyte morphology associated with reactive and malignant conditions.
- Correlate peripheral blood morphology with flow cytometry, karyotyping, and molecular test results in order to classify lymphoid malignancies according to the WHO scheme.
“Clearer understanding of using reactive/atypical/variant when encountering not-normal-appearing lymphocytes.” “Liked the correlation between the peripheral smear, bone marrow aspirate, flow, and cytogenetics.”