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Order Code OSMOF Osmolality, Feces


Ordering Guidance


This test is only clinically valid if performed on watery specimens. In the event a formed fecal specimen is submitted, the test will not be performed.



Specimen Required


Patient Preparation: No barium, laxatives, or enemas may be used for 96 hours prior to start of, or during, collection.

Supplies: Stool containers - 24, 48, 72 Hour Kit (T291)

Container/Tube: Stool container

Specimen Volume: 10 g

Collection Instructions: Collect a very liquid stool specimen.


Useful For

Measurement of osmolality for the workup of cases of chronic diarrhea

 

Diagnosis of factitious diarrhea (where patient adds fluid to stool to simulate diarrhea)

Method Name

Freezing Point Depression

Reporting Name

Osmolality, F

Specimen Type

Fecal

Specimen Minimum Volume

5 g

Specimen Stability Information

Specimen Type Temperature Time Special Container
Fecal Frozen (preferred) 14 days
  Refrigerated  7 days
  Ambient  48 hours

Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Reference Values

An interpretive report will be provided

Method Description

The depression of the freezing point of serum or other fluid is used to measure osmolality in most osmometers. The extent of lowering below 0° C (the freezing point of water) is a function of the concentration of substances dissolved in the serum. By definition, 1 milliosmole per kilogram lowers the freezing point 0.001858° C.(Schnidler EI, Brown SM, Scott MG: Electrolytes and Blood Gases. In: Rifai N, Horvath AR, Wittwer CT, eds: Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 6th ed. Elsevier; 2018:610-612)

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

84999

Day(s) Performed

Monday, Thursday