SJLD Sep 12, 2010:

I can confirm I have never seen QAP in a list of lab tests in any of my working languages.

MMUlr Sep 12, 2010:

QAP?? I have never ever read QAP in a list of laboratory results or heard of it ("ever" meaning: from approx. 1981 to now). Who else (M.D. etc.) here has found this as laboratory acronym - EN or DE?

And IF Q is really important, why do you think that it is "quantitativ" - why not "qualitativ"? (what I would not support, but like to throw into our discussion .... :-) )

@Marga, the refs you provided are all ok, they are relevant for the assessment of AP, however, if you think that "quantitativ" is an important part of the AP results, then we would have to add the Q to all the other liver parameters, too! So I still think that it does not mean anything (at least: not anything important) for the translation (and: would only confuse the reader).

PS. When it comes to laboratory parameters, I really appreciate the following website (Labor28 from Berlin) - the page is from the Leistungsverzeichnis, "P" - browse: phosphatase: http://www.labor28.de/leistung/TEST_P.HTM

@Sonja, so the text is German, indeed; what is it then, a journal article / case report? Is it some other kind of document, eg. doctor's letter on hospital discharge? - And could you provide the original German Ausgangstext pls?

Sonja Poeltl (asker) Sep 11, 2010:

The source text is German and is printed, not from tape and it definitely reads QAP and I do agree on Marga's suggestion. It has to be "(quantitative) alkaline phosphatase". The levels that are mentioned in the report are the ones that are NOT in normal range.

Marga Shaw Sep 11, 2010:

QAP In vitro Test zur quantitativen Bestimmung der alkalischen Phosphatase
(ALP; E.C. 3.1.3.1) in Humanserum und -plasma mit klinisch-chemischen Analysenautomaten von Roche.
http://webcache.googleusercontent.com/search?q=cache:iBP2HNY...

Marga Shaw Sep 11, 2010:

Quantitative alk. Phosphatase Alkalische Phosphatase:
Quantitative Bestimmung der alkalischen Phosphatase in Humanserum und -plasma mittels In-vitro-Test.
Klinische Bedeutung:
Von klinischer Relevanz sind insbesondere die Leber- Knochen- und Tumorphosphatasen.
Erhöhte Werte können auftreten bei:
* alle Formen der Cholestase (insbesondere bei Verschlussikterus),
* Morbus Pagetosteoblastischen Metastasen,
* Hyperparathyreoidismus, Hyperthyreose
* Rachitis,
* Osteomalazie,
* Frakturen
* maligne Tumoren (z.B. Seminom),
* Wachstumsphasen
* transienter Hyperphosphatasämie.
http://webcache.googleusercontent.com/search?q=cache:0nqGxll...

MMUlr Sep 11, 2010:

EN->DE? - the language pair reads: DE to EN (?) @Sonja, would you provide the complete German paragraph then please, if the original text is German* .... :-) ?

Or somebody / moderator should change the direction to EN -> DE.

* IMO the original language is important, as if it's an audio tape manuscript, then the typist hears something like "cue" in EN, or "kuh" in German (then it's guessing, what was the mistake during typing).

Most likely, it's just AP (I would only expect something specific when it's about bone AP -> bAP, but not for liver function tests).

And the reason why GPT isn't mentioned at all (@Sonja, is this correct?) may be that GPT was not "pathologically changed", but in the normal range - IMO.

Gisela Greenlee Sep 10, 2010:

hydropic decompensation That's a fancy German term for fluid accumulation

Lirka Sep 10, 2010:

Never heard of it either :) The hydropic decomp, I mean.

SJLD Sep 10, 2010:

hydropic decompensation Do you mean fluid accumulation/retention as in ascites, oedema?
Hydropic decompensation is not English AFAIK.