Specific Gravity, Body Fluid
NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.
An aid in determining the type of body fluid: exudate versus transudate
Reporting Name A shorter/abbreviated version of the Published Name for a test; an abbreviated test name
Specific Gravity, BF
Specimen Type Describes the specimen type needed for testing
Specimen Required Defines the optimal specimen. This field describes the type of specimen required to perform the test and the preferred volume to complete testing. The volume allows automated processing, fastest throughput and, when indicated, repeat or reflex testing.
Container/Tube: Sterile container
Specimen Volume: 1 mL
Additional Information: Indicate specimen source.
Specimen Minimum Volume Defines the amount of specimen required to perform an assay once, including instrument and container dead space. Submitting the minimum specimen volume makes it impossible to repeat the test or perform confirmatory or perform reflex testing. In some situations, a minimum specimen volume may result in a QNS (quantity not sufficient) result, requiring a second specimen to be collected.
Specimen Stability Information Provides a description of the temperatures required to transport a specimen to the laboratory. Alternate acceptable temperature(s) are also included.
|Body Fluid||Refrigerated (preferred)||7 days|
Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test
Specific gravity (SG), the ration of the mass of a solution compared to the mass of an equal volume of water, is an estimate of the concentration of substances dissolved in the solution.
Accessing whether a body fluid specimen is exudative or transudative in nature is the initial step in determining the etiology of the fluid. Transudative fluids result from hemodynamic aberrations or oncotic changes and are associated with ultrafiltration of serum across membranes. Transudates most commonly occur in association with clinically apparent conditions such as heart failure and cirrhosis. Exudative fluids tend to develop as a consequence of inflammation or malignant disorders such as tuberculosis, pneumonia or cancer, in which capillary permeability is increased, allowing large-molecular-weight compounds to be released into the accumulating fluid. If the fluid is transudate, further diagnostic procedures are often not necessary, however the presence of an exudative fluid often triggers additional testing that may be invasive in nature.
Determination of body fluid SG can aid in the distinction between transudative and an exudative fluid. SG in exudates is greater than in transudates. This same information can be obtained from the total protein using 3 g/dL as the cutoff.
Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.
No established reference values
Exudate fluid specific gravity (SG) is >1.015; transudate fluid SG is <1.015
Cautions Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances
Cannot be performed on viscous fluids
Clinical Reference Provides recommendations for further in-depth reading of a clinical nature
Romero-Candeira S, Hernandez L: The separation of transudates and exudates with particular reference to the protein gradient. Curr Opin Pulm Med 2004 Jul;10(4):294-298
Method Description Describes how the test is performed and provides a method-specific reference
The refractive index of a substance, which is its light-bending power as compared to air, is a physical constant that varies directly with the chemical composition of the substance. Therefore, the specific gravity of a body fluid may be determined from the refractive index of a sample of the fluid. This is accomplished by viewing a drop of the solution through the lens-prism system of the total solids meter (refractometer). Refractometers are temperature-compensated and will read standards correctly only at temperatures between 20 degrees C and 38 degrees C.(Wolf AV. Aqueous Solutions and Body Fluids. Their Concentrative Properties and Conversion Tables. Edited by Hoeber Medical Division. New York, Harper and Row Publishers. 1996, pp 182)
Day(s) and Time(s) Test Performed Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.
Monday through Sunday; Continuously
Analytic Time Defines the amount of time it takes the laboratory to setup and perform the test. This is defined in number of days. The shortest interval of time expressed is "same day/1 day," which means the results may be available the same day that the sample is received in the testing laboratory. One day means results are available 1 day after the sample is received in the laboratory.
Same day/1 day
Maximum Laboratory Time Defines the maximum time from specimen receipt at Mayo Medical Laboratories until the release of the test result
Performing Laboratory Location The location of the laboratory that performs the test
Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.
This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.
CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.
LOINC® Code Information Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the result codes returned for this test or profile.
|Result ID||Reporting Name||LOINC Code|
|SG_BF||Specific Gravity, Body Fluid||2964-5|