| creatinine clearance test | <investigation, nephrology> A test of the amount of creatinine in blood or in blood and urine shows if the kidneys are working right or if one or both are diseased. (09 Oct 1997) |
|---|---|
| standard urea clearance | The value obtained when the square root of the urine flow (when below 2 ml/min) is multiplied by the urine urea concentration and divided by the whole blood urea concentration; represents an old empirical adjustment for the effect of low urine flow on urea excretion; sometimes corrected for body size by dividing by some function of body weight or surface area. Later, plasma concentration was substituted for blood concentration in the calculation. The normal value is about 54 ml/min per 1.73 m2 in an adult person. Synonym: Van Slyke's formula. (05 Mar 2000) |
| steroid metabolic clearance rate | A measure of the rate of metabolism of a given steroid within the body, usually expressed as liters of body fluid that contain the amount of steroid metabolised per day. (05 Mar 2000) |
| interocclusal clearance | The space between the occluding surfaces of the maxillary and mandibular teeth when the mandible is in physiologic resting position. Synonym: interocclusal clearance, interocclusal distance, interocclusal gap, interocclusal rest space. (05 Mar 2000) |
| inulin clearance | An accurate measure of the rate of filtration through the renal glomeruli, because inulin filters freely with water and is neither excreted nor reabsorbed through tubule walls. Inulin is not a normal constituent of plasma and must be infused continously to maintain a steady plasma concentration and a steady rate of urinary excretion during the measurement. Inulin clearance in a normal adult person is about 120 ml/min (range 100-150) per 1.73 m2 body surface area. (05 Mar 2000) |
| isotope clearance | The rate at which an isotope is removed (usually by blood flow) from a tissue or organ such as the brain. (05 Mar 2000) |
| occlusal clearance | A condition in which the opposing occlusal surfaces may glide over one another without any interfering projection. (05 Mar 2000) |
| osmolal clearance | The volume of urine that would be excreted per minute if the urinary solutes were accompanied by just enough water to make the urine isosmotic with plasma, i.e., so that the solute excretion did not change the osmolality of body fluids. To calculate it, the volume of urine excreted per minute is multiplied by the urinary osmolality (usually measured by freezing point depression) and divided by the plasma osmolality. Osmolal clearance is less than actual urine flow when urine is hyposmotic and exceeds it when urine is hyperosmotic. (05 Mar 2000) |
| endogenous creatinine clearance | A term distinguishing measurements based on the creatinine normally present in plasma; since no infusion is necessary, an average value may be obtained by collecting urine for a long period, e.g., 24 hours. (05 Mar 2000) |
| exogenous creatinine clearance | A term distinguishing measurements based on infusing creatinine intravenously to raise its plasma concentration and facilitate its accurate chemical determination. (05 Mar 2000) |
| urea clearance | The volume of plasma (or blood) that would be completely cleared of urea by one minute's excretion of urine; originally calculated as urine flow multiplied by urine urea concentration divided by concentration of urea in whole blood rather than plasma, representing blood urea clearance rather than plasma urea clearance. (05 Mar 2000) |
| urea clearance test | A test of renal function based on urea clearance. (05 Mar 2000) |
| free water clearance | The amount of water excreted in the urine beyond that which would accompany the excreted solutes if the urine were isosmotic with plasma; it represents the loss of body water in excess of solute tending to raise body osmolality and making urine hyposmotic. Unlike other clearance's, it is calculated by subtracting the osmolal clearance from the actual volume of urine excreted per minute. A negative value for free water clearance represents the amount of water that the body has reclaimed from isosmotic tubule fluid to make the urine hyperosmotic and to lower body osmolality. (05 Mar 2000) |