St. Louis University Forensic Toxicology Laboratory

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SLUTOX Test DescriptionsV2 1/2019St. Louis University Forensic ToxicologyLaboratoryTest Menu with DescriptionsSt. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019CONTENTS1001: Blood Alcohol, DWI002: Alcohol and Volatile Substances003/004: Ethanol Metabolites005: Drug Screen by GCMS1029: Drug Screen by Immunoassay – Blood1029: Drug Screen by Immunoassay – Urine007: Toxicology Panel 1008: Marijuana and Metabolites022: Ethylene Glycol023: Carbon Monoxide024: Pill Identification025: Contraband Analysis026: Vitreous Fluid Chemistry101: Comprehensive Postmortem Analysis102: Drug and Alcohol Analysis, DWI/DUIDSt. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/20191001: Blood Alcohol, DWITest includesQuantitative analysis of ethanol (ethyl alcohol) in whole bloodPurposeDetermination of Blood Alcohol Concentration (BAC) for medicolegalpurposesMethodHeadspace Gas-Chromatography/Flame Ionization Detection (GC/FID)SpecimenRequirements1 mL whole blood in sodium fluoride. To facilitate retrograde extrapolation,draw 2 specimens one hour apart.Specimen ContainerGray top tube (sodium fluoride/NaF)This test is suitable for medicolegal examination of ethanol in whole blood. This is a laboratory developed test. It is not FDAapproved.All toxicologists are licensed for blood alcohol testing by the States of Missouri and IllinoisSt. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019002: Alcohol and Volatile SubstancesTest includesQuantitative analysis of ethanol (ethyl alcohol), methanol (methyl alcohol),ispropanol (isopropyl alcohol) and acetone.Qualitative analysis of difluoroethane and chloroform.PurposeDetermination of ethanol and volatile substances in biological fluids formedicolegal or clinical examination.MethodHeadspace Gas-Chromatography/Flame Ionization Detection (GC/FID)SpecimenRequirements1 mL whole blood in sodium fluoride, urine, or vitreous fluidSpecimen ContainerBlood: grey top (sodium fluoride/NaF) tubeVitreous fluid: preservative free tubeUrine: plain screw up jar/cupTest codes1002: alcohol and volatile substances in blood2002: alcohol and volatile substances in urine3002: alcohol and volatile substances in vitreous fluidThis test is suitable for medicolegal examination. This is a laboratory developed test. It is not FDA approved.St. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019003/004: Ethanol MetabolitesTest includesEthyl Glucuronide (EtG) and Ethyl Sulfate (EtS)PurposeIdentification of ethanol metabolites in blood or urine. EtG and EtS can be usedto distinguish ethanol consumption from in vitro ethanol production.MethodHigh Performance Liquid Chromatography/Tandem Mass Container1 mL whole blood (0.5 mL minimum)1 mL urine (0.5 mL minimum)Blood: Grey top (NaF) tube preferred, red top tubeUrine: plain screw up container/cupTest Codes1003: Ethanol Metabolites in Blood2004: Ethanol Metabolites in UrineThis test is suitable for medicolegal examination. This is a laboratory developed test. It is not FDA approved.Sending the minimum volume may result in an insufficient volume for repeat testing.St. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019005: Drug Screen by GCMSTest includesComprehensive scan by gas chromatography mass spectrometry (GC/MS).Includes the following classes of drugs:Analgesics (opioid and non-opioid), Anesthetics, Antiasthmatic Agents,Anticholinergic Agents, Anticonvulsant Agents, Antidepressants, AntiemeticAgents, Antihistamines, Antiparkinsonian Agents, Antipsychotic Agents,Antitussive Agents, Anxiolytics (Benzodiazepine and others), CardiovascularAgents (non-digitalis), Hallucinogens, Hypnosedatives (Barbiturate and others),Muscle Relaxants, Non-Steroidal Anti-Inflammatory Agents, and Stimulants(Amphetamines and others).Please note that not all known compounds included in each specific class orheading are included. The detection of any particular compound isconcentration dependent.MethodGas Chromatography/Mass Spectrometry l Blood (postmortem): 5 mL (2 mL minimum)Urine: 5 mL (2 mL minimum)Tissue (postmortem): 5 gBlood: grey top tube or other container with sodium fluoride/potassium oxalateadditive.Urine: plain screw up container/cupTissue: plain screw top containerTest Codes1005: Drug Screen by GCMS, blood2005: Drug Screen by GCMS, urine4005: Drug Screen by GCMS, tissueThis test is suitable for medicolegal examination. This is a laboratory developed test. It is not FDA approved.Sending the minimum volume may result in an insufficient volume for repeat testing.St. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/20191029: Drug Screen by Immunoassay – BloodTest includesQualitative analysis of the following drug classes: benzodiazepines, opioids,cocaine, THC, amphetamines, phencyclidine, propoxyphene, barbiturates,acetaminophen, methadone, fentanyl, oxycodone/oxymorphone.For screening purposes only. Positive results are preliminary and must beconfirmed by a more sensitive, specific method such as mass nContainerCentral Blood (postmortem): 5 mL (2 mL minimum)Urine: 5 mL (2 mL minimum)Tissue (postmortem): 5 gBlood: grey top tube or other container with sodium fluoride/potassium oxalateadditive.Urine: plain screw up container/cupTest Codes1006: Drug Screen by Immunoassay, blood2006: Drug Screen by Immunoassay, urineThis is a laboratory developed test. It is not FDA approved.Sending the minimum volume may result in an insufficient volume for repeat testing.St. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/20191029: Drug Screen by Immunoassay – UrineTest includesQualitative analysis of the following drug classes: benzodiazepines, opioids,cocaine, THC, amphetamines, phencyclidine, propoxyphene, barbiturates,acetaminophen, methadone, fentanyl, oxycodone/oxymorphone, AB-PINACA/Synthetic Cannabinoids, buprenorphine, UR-144.For screening purposes only. Positive results are preliminary and must beconfirmed by a more sensitive, specific method such as mass nContainerCentral Blood (postmortem): 5 mL (2 mL minimum)Urine: 5 mL (2 mL minimum)Tissue (postmortem): 5 gBlood: grey top tube or other container with sodium fluoride/potassium oxalateadditive.Urine: plain screw up container/cupTest Codes1006: Drug Screen by Immunoassay, blood2006: Drug Screen by Immunoassay, urineThis is a laboratory developed test. It is not FDA approved.Sending the minimum volume may result in an insufficient volume for repeat testing.St. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019007: Toxicology Panel 1Test includes2-furanyl fentanyl, 6-monoacetylmorphine, 7-aminoclonazepam, acetaminophen,acetyl fentanyl, alprazolam, AM-2201 4 OH-pentyl, amitriptyline, amo/pentobarbital,amphetamine, benzoylecgonine, buprenorphine, bupropion, butabarbital, butalbital,carfentanil, carisoprodol, chlordiazepoxide, citialopram/escitalopram, clomipramine,clonazepam, cocaine, codeine, cyclobenzaprine, desalkylflurazepam, desipramine,dextromethorphan, diazepam, diphenhydramine, doxepin, EDDP, fentanyl,flunitrazepam, fluoxetine, flurazepam, lorazepam, MDA, MDEA, MDMA, MDPV,meperidine, meprobamate, methadone, methamphetamine, methylphenidate,midazolam, mitragynine (Kratom), morphine, naloxone, norbuprenorphine,nordiazepam, norfentanyl, norfluoxetine, nortriptyline, O-desmethylvenlafaxine,olanzapine, oxazepam, oxycodone, oxymorphone, paroxetine, PCP, phenobarbital,pregabalin, propranolol, propoxyphene, pseudoephedrine, quetiapine, secobarbital,sertraline, sufentanil, gabapentin, hydrocodone, hydromorphone, imipramine, JWH018 N OH-pentyl, JWH-018 pentanoic acid, JWH-073 N-3-OH butyl, JWH-250 N-4OH-pentyl, ketamine, levetiracetam, temazepam, THC-COOH, topiramate,tramadol, trazadone, venlafaxine, XLR-11PurposeThis test is suitable for medicolegal analysis of drugs in blood, urine, vitreous fluid, andtissue. This test can be used for clinical analysis* of drugs in blood or urine.MethodHigh Performance Liquid Chromatrography/Tandem Mass Spectrometry t CodesBlood: 2 mL peripheral bloodUrine: 2 mLVitreous Fluid: 1 mLTissue: 10 gramsBlood: gray top tube (NaF/KOX), bottle with 1% potassium oxalate/sodium fluorideUrine: plain screw top container/cup or preservative free tubeVitreous Fluid: preservative free tubeTissue: plain screw top container1007: Toxicology Panel 1 in blood2007: Toxicology Panel 1 in urine3007: Toxicology Panel 1 in vitreous4007: Toxicology Panel 1 in tissueThis test is suitable for medicolegal purposes. This is a laboratory developed test. It is not FDA approved.Sending the minimum volume may result in an insufficient volume for repeat testing.St. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019008: Marijuana and MetabolitesTest includesQuantitative analysis of:Delta-9-tetrahydrocannabinol (THC), hydroxy-tetrahydrocannabinol (11-OH-THC),andcarboxy-tetrahydrocannabinol (THC-COOH)MethodGas Chromatography-Mass lood (peripheral): 5 mL (2 mL minimum)Urine: 5 mL (2 mL minimum)Blood: gray top tube (NaF/KOX), bottle with 1% potassium oxalate/sodium fluorideUrine: plain screw top container/cupTest Codes1008: Marijuana and Metabolites in Blood2008: Marijuana and Metabolites in UrineThis test is suitable for medicolegal purposes. This is a laboratory developed test. It is not FDA approved.Sending the minimum volume may result in an insufficient volume for repeat testing.St. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019022: Ethylene GlycolTest includesQuantitative analysis of ethylene glycolMethod:Gas Chromatography/Mass lood: 0.5 mLUrine: 0.5 mLGastric contents: all availablePlain tubes and cupsTest codes1022: ethylene glycol in blood2022: ethylene glycol in urine5022: ethylene glycol in gastric fluidThis test is suitable for medicolegal purposes. This is a laboratory developed test. It is not FDA approvedSending the minimum volume may result in an insufficient volume for repeat testingSt. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019023: Carbon MonoxideTest includesDetection of carboxyhemoglobin.Concentration of carbon monoxide is related to percent uirementsBlood: 0.5 mLSpleen 5 gSpecimen ContainerBlood: red top (plain) or grey top (sodium fluoride /NaF) tube or bottleSpleen: plain bottleTest Codes1023: Carbon Monoxide, blood4023: Carbon Monoxide, tissueThis test is suitable for medicolegal purposes. This is a laboratory developed test. It is not FDA approvedSt. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019024: Pill IdentificationTest includesIdentification of pills by comparison to reference literature and analysis by fullscan Gas-Chromatography-Mass Spectrometry. The following is a generallist of compound classes detected. Please note that not all knowncompounds included in each specific class or heading are included. Thedetection of any particular compound is concentration dependent.Analgesics (opioid and non-opioid), Anesthetics, Antiasthmatic Agents,Anticholinergic Agents, Anticonvulsant Agents, Antidepressants, AntiemeticAgents, Antihistamines, Antiparkinsonian Agents, Antipsychotic Agents,Antitussive Agents, Anxiolytics (Benzodiazepine and others), CardiovascularAgents (non-digitalis), Hallucinogens, Hypnosedatives (Barbiturate andothers), Muscle Relaxants, Non-Steroidal Anti-Inflammatory Agents, andStimulants (Amphetamines and others).MethodGas Chromatography/Mass SpectrometryTest Code024: Pill IdentificationThis test is suitable for medicolegal purposes. This is a laboratory developed test. It is not FDA approvedSt. Louis University Forensic Toxicology Laboratory6059 North Hanley RoadBerkeley, MO 63000Phone (314)615-0822 Fax (314)521-1478

SLUTOX Test DescriptionsV2 1/2019025: Contraband AnalysisTest includesAnalysis of drugs and/or contraband by full scan Gas Chromatography-MassSpectrometry. The following is a general list of compound classes detected.Please note that not all known compounds included in each specific class orheading are included. The detection of any particular compound isconcentration dependent.Analgesics (opioid and non-opioid), Anesthetics, Antiasthmatic Agents,Anticholinergic Agents, Anticonvulsant Agents, Antidepressants, AntiemeticAgents, Antihistamines, Antiparkinsonian Agents, Antipsychotic Agents,Antitussive Agents, Anxiolytics (Benzodiazepine and others), CardiovascularAgents (non-digitalis), Hallucinogens, Hypnosedatives (Barbiturate andothers), Muscle Relaxants, Non-Steroidal Anti-Inflammat

St. Louis University Forensic Toxicology Laboratory 6059 North Hanley Road Berkeley, MO 63000 Phone (314)615-0822 Fax (314)521-1478 007: Toxicology Panel 1 Test includes 2-furanyl fentanyl, 6-monoacetylmorphine, 7-aminoclonazepam, acetaminophen, acetyl fentanyl, alprazolam, AM-2201 4 OH-pentyl, amitriptyline, amo/pentobarbital,

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