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lysosomal-disorders-screen-interpretive.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 12/2024 Lysosomal Disorders Screen Interpretive Algorithm One of the following: ■ α-Mannosidosis ■ Aspartyglucosaminuria ■ β-Mannosidosis ■ Gaucher disease ■...
MCL Allergen Test Request MC076708
MCL Allergen Test Request Complete print Reset Form Allergen Test Request Client Information required Client Patient Information required Patient ID Medical Record
MCL Benign Hematology Test Request MC076707A
MCL Benign Hematology Test Request Complete print Reset Form Benign Hematology Test Request Client Information required Client Patient Information required Patient ID Medical
MCL Infectious Disease Serology Test Request MC076729
MCL Infectious Disease Serology Test Request Complete print Reset Form Infectious Disease Serology Test Request Client Information required Client Patient Information required Patient ID
MCL - Chain of Custody Request - MC1944
MCL - Chain of Custody Request
MCL Coagulation Test Request Form T753 MC076704A
MCL Coagulation Test Request Form T753 Complete print Reset Form Coagulation Test Request Client Information required Client Patient Information required Patient ID Medical Record
newborn-screen-follow-up-decreased-citrulline.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Reviewed 06/2025 Newborn Screen Follow-up for Decreased Citrulline Newborn screen result: Decreased citrulline Perform: Plasma ammonia, blood gas, glucose,...
antinuclear-antibody-interpretive-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. *Patterns reported only when clearly present 06/2025 Antinuclear Antibody Interpretive Algorithm NAIFA / Antinuclear Antibodies Hep-2 Substrate, IgG,...
newborn-screen-decreased-free-carnitineco.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 07/2025 Newborn screen result: ■ Decreased free carnitine (C0) Perform: Plasma ammonia, blood gas, glucose, electrolytes, creatine kinase, liver function...
MCL Viral Susceptibility Lymphoproliferation Hemophagocytic Lymphohistiocytosis Patient Information Complete print Reset Form Viral Susceptibility Lymphoproliferation Hemophagocytic Lymphohistiocytosis Patient Information Instructions...
MCL Request for Original Newborn Screening Card MC1235156
MCL Request Original Newborn Screening Card Complete print submit Request Original Newborn Screening Card Reset Form State Newborn Screening Laboratory Address Street
spinal-muscular-atrophy-testing-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 02/2024 Spinal Muscular Atrophy Testing Algorithm SMNDX / Spinal Muscular Atrophy Diagnostic Assay, Deletion/Duplication Analysis, Varies Clinical suspicion...
autoimmune-paraneoplastic-myelopathy-evaluation-algorithm-spinalfluid.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Myelopathy Evaluation Algorithm-Spinal Fluid ■ Amphiphysin antibody by immunoblot ■ Amphiphysin antibody by IF titer...
newborn-screen-follow-up-acid-sphingomyelinase-deficiency.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2023 Newborn screen result: decreased sphingomyelinase with or without abnormal 2nd-tier testing Order: ■ ASMW / Acid Sphingomyelinase, Leukocytes AND 1...
autoimmune-paraneoplastic-dysautonomia-evaluation-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Autoimmune/Paraneoplastic Dysautonomia Evaluation Algorithm 05/2024 ■ AP3B2 antibody by CBA ■ AP3B2 antibody by IF titer assay ■ PCA-2 IFA titer■ ANNA-1...
MCL Whole Genome Sequencing Ordering Checklist MC1235301
MCL Genome Sequencing Ordering Checklist Complete print Genome Sequencing Ordering Checklist Reset Form Instructions Select box test requested
MCL Congenital Disorders of Glycosylation Patient Information MC1235293
MCL Congenital Disorders Glycosylation Patient Information Complete print Reset Form Congenital Disorders Glycosylation Patient Information Instructions Complete information Send paperwork
eosinophilia-bone-marrow-diagnostic-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 06/2024 YES NO Eosinophilia: Bone Marrow Diagnostic Algorithm Eosinophilia identified via routine evaluation. Evaluate for secondary causes of eosinophilia....
newborn-screen-follow-up-elevated-arginine.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 04/2025 Newborn screen result (NBS): Elevated arginine Perform plasma ammonia Order all of the following: ■ AAQP / Amino Acids, Quantitative, Plasma ■ OAU /...
newborn-screen-follow-up-elevated-methionine.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Reviewed 06/2025 Newborn screen result: Elevated methionine Order: ■ AAQP / Amino Acids, Quantitative, Plasma ■ HCYSP / Homocysteine, Total,...
newborn-screen-follow-up-elevated-phenylalanine.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Reviewed 06/2025 Newborn Screen Follow-up for Elevated Phenylalanine Newborn screen result: Elevated phenylalanine Order AAQP / Amino Acids, Quantitative,...
newborn-screen-follow-up-elevated-citrulline.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Reviewed 06/2025 Newborn Screen Follow-up for Elevated Citrulline Newborn screen result: Elevated citrulline Perform: ■ Plasma ammonia ■ Plasma...
MCL Renal Biopsy Procedure Handling Tissue Light Microscopy Immunoflorescent Histology Electron Microscopy Renal Biopsy Procedure Handling Tissue Light Microscopy Immunofluorescent Histology Electron Microscopy Biopsy specimens typically...
MCL Molecular Genetics Prenatal Patient Information MC1235306
MCL Molecular Genetics Prenatal Patient Information Complete print Molecular Genetics Prenatal Patient Information Reset Form Instructions accurate interpretation reporting genetic results
MCL Molecular Genetics Patient Information for Uniparental Disomy MC1235300
MCL Molecular Genetics Patient Information Uniparental Disomy Complete print Reset Form Molecular Genetics Uniparental Disomy Patient Information Instructions Accurate interpretation reporting genetic results
MCL Hereditary Renal Genetic Testing Patient Information Form MC1235292
MCL Hereditary Renal Genetic Testing Patient Information Form Complete print Hereditary Renal Genetic Testing Patient Information Reset Form Instructions accurate interpretation reporting genetic
glucose-6-phosphate-dehydrogenase-deficiency-diagnostic-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency Diagnostic Algorithm * If patient status is post-allogeneic stem cell transplant (HSCT), testing can...
anaplastic-large-cell-lymphoma-evaluation-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2023 Morphology suggests anaplastic large cell lymphoma (ALCL), order PATHC / Pathology Consultation Stains recommended: H&E, CD2, CD3, CD4, CD5, CD7,...
autoimmune-paraneoplastic-encephalopathy-evaluation-algorithm-serum.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Encephalopathy Evaluation Algorithm-Serum ■ ANNA-1 antibody by immunoblot ■ ANNA-2 antibody by immunoblot ■ ANNA-1...
autoimmune-paraneoplastic-gastrointestinal-dysmotility-evaluation-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Gastrointestinal Dysmotility Evaluation Algorithm ■ PCA-2 IFA titer■ ANNA-1 antibody by immunoblot ■ ANNA-2 antibody...
autoimmune-paraneoplastic-dementia-evaluation-algorithm-serum.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Dementia Evaluation Algorithm-Serum Glutamic acid decarboxylase (GAD65) antibody assay ■ Antineuronal nuclear...
sequential-maternal-serum-screening-testing-algorithm.pdf
03/2023© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Sequential Maternal Serum Screening Testing Algorithm Diagnostic testing should be offered Screen-positive: results...
newborn_screen_follow-up_for_glucose-6-phosphate_dehydrogenase__g-6-pd__deficiency.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2024 Decreased glucose-6-phosphate dehydrogenase (G6PD) Not G6PD deficiency. In infants with hyperbilirubinemia, consider repeat G6PD enzyme testing...
newborn-screen-elevated-c16-c18-acylcarnitine.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2023 Newborn screen result: ■ Elevated C16 acylcarnitine ■ Possible elevated 18:1 acylcarnitine Perform: Plasma ammonia, blood gas, glucose, electrolytes,...
autoimmune-paraneoplastic-epilepsy-evaluation-algorithm-serum.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Epilepsy Evaluation Algorithm-Serum ■ ANNA-1 antibody by immunoblot ■ ANNA-2 antibody by immunoblot ■ ANNA-2...
firstline-screening-autoimmune-liver-disease-algorithm.pdf
05/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. First-Line Screening for Autoimmune Liver Disease Algorithm Consider: ■ PBC2 / SP100 and GP210 Antibodies, IgG, Serum ■ LKM / Liver/Kidney...
autoimmune-paraneoplastic-myelopathy-evaluation-algorithm-serum.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Myelopathy Evaluation Algorithm-Serum ■ TRIM46 antibody by CBA ■ TRIM46 antibody by IF titer assay ■ Amphiphysin...
breast-gynecological-and-prostate-cancer-testing-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2023 Breast, Gynecological and Prostate Cancer Testing Algorithm Test ID Test description FMTT Familial Variant Targeted Testing; Order for individuals...
inflammatory-bowel-disease-diagnostic-testing-algorithm.pdf
YES <50 mcg/g <50 mcg/g Abnormal >50 mcg/g Normal ANCA present ASCA IgG and IgA absent ANCA absent ASCA IgG or IgA present ANCA absent ASCA IgG or IgA absent >120 mcg/g50-120 mcg/g NO Assessing a patient with diarrhea when differential...
celiac-disease-comprehensive-cascade-test-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2022 Celiac Disease Comprehensive Cascade Test Algorithm Selective IgA deficiency ■ Tissue transglutaminase antibody, IgG ■ Gliadin (deamidated)...
autoimmune-paraneoplastic-axonal-neuropathy-evaluation-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Axonal Neuropathy Evaluation Algorithm ■ AGNA immunoblot ■ AGNA IFA Titer ■ GFAP antibody CBA ■ GFAP antibody IFA...
newborn-screen-follow-up-elevated-c5-oh.pdf
05/2023© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Newborn Screen Follow-up for Elevated C5-OH Newborn screen result: Elevated 3-hydroxyisovaleryl- /2-methyl-3-hydroxybutyryl-carnitine...
MCL Molecular Genetics SERPINA1 Gene Patient Information MC1235299
MCL Molecular Genetics SERPINA1 Gene Patient Information Complete print Reset Form Molecular Genetics SERPINA1 Gene Patient Information Instructions Accurate interpretation reporting genetic results
MCL Children s Oncology Group COG Test Request Form MC076720
MCL Children Oncology Group COG Test Request Form Complete print Reset Form Children Oncology Group Test Request Client Information required Client Patient Information required Patient
lysosomal-disorders-diagnostic-algorithm-part1.pdf
Order: IDUAW / Alpha-L-Iduronidase, Leukocytes Order 1 of the following: ■ BGA / Beta-Galactosidase, Leukocytes ■ MPS4B ■ MPS4W Order: FUCW / Alpha-Fucosidase, Leukocytes Order 1 of the following: ■ MPS4W / Mucopolysaccharidosis IV...
lysosomal-disorders-diagnostic-algorithm-part2.pdf
If deficient, MLD confirmed One of the following suspected: ■ Aspartylglucosaminuria ■ α-Mannosidosis ■ β-Mannosidosis ■ Pompe disease ■ Sandhoff disease ■ Schindler disease ■ Sialidosis1 ■ Galactosialidosis1,2 ■ α-Fucosidosis2 ■...
MCL Therapeutics Test Request Form MC076719
MCL Therapeutics Test Request Form Complete print Reset Form Therapeutics Test Request Client Information required Client Client Account Client Phone Street Address
MCL Hereditary Dyslipidemia Patient Information MC1235295
MCL Hereditary Dyslipidemia Patient Information Complete print Reset Form Hereditary Dyslipidemia Patient Information Instructions Accurate interpretation reporting genetic results contingent
MCL Renal Diagnostics Test Request MC076711
MCL Renal Diagnostics Test Request Complete print Reset Form Renal Diagnostics Test Request Client Information required Client Patient Information required Patient ID Medical
beckwith-wiedemann-and-russell-silver-syndrome-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2025 Beckwith-Wiedemann and Russell-Silver Syndromes: Laboratory Approach to Diagnosis Order BWRS / Beckwith-Wiedemann Syndrome/Russell-Silver Syndrome,...