Reviewer: Valerie L Ng, PhD MD(Alameda County Medical Center/Highland Hospital) Description: This is the seventh edition of a well-respected and venerated book on urinalysis and body fluids. The previous edition was published in 2014. Purpose: The purpose of this book is to provide "concise, comprehensive and carefully structured instruction in the analysis of nonblood body fluids." Presenting the material in print and online adds great value. The online format frees readers from carrying around a hard copy and offers easy remote access. The presentation is enhanced by the online format (e.g., videos). These remain very worthy objectives, very well met (once again) by this book, this edition, and its online format.Audience: This book is intended for "students" and "instructors." These are broad categories but obviously apply to clinical/medical laboratory scientist (C/MLS) students and their instructors. But learning is lifelong, so this also applies to practicing C/MLSs, technical leads or supervisors, pathologists, laboratory medicine practitioners, or anyone interested in this subject. This book (yet again!) meets the needs of its intended audience and the authors are well respected experts in this field.Features: This book is an update from the sixth edition. If you've worked in a lab, this book is one of only a few "go-to" titles heavily used on the urine and body fluid bench - and this edition maintains its reputation of excellence. The same things we've always loved are still there, with artful use of color, layout, and inclusion of valuable learning tools (e.g., learning outcomes, case studies, study questions, etc.). The photomicrograph atlas is now at the beginning of the book - this should somewhat protect it from tearing (and loss) due to frequent usage. There are some new chapters - one on automated urinalysis (including microscopy) and one on bronchoalveolar lavage (BAL) - both much needed. A few comments - remove or sequester the discussion on Clinitek as a historical note, since the tablets are no longer marketed or commercially available. Under biosafety, include a discussion on the need for an overall "Aerosol Transmission Plan - Laboratory" (ATP-L), especially relevant to the new chapter on bronchoalveolar lavage (BAL). The BAL chapter needs expansion on biosafety and ATP-L, as there is real risk and exposure to pathogens found in the alveolar space (e.g., tuberculosis). In many labs BALs are not subjected to microscopic exam for these very reasons, or their preparation is performed entirely inside biosafety cabinets, with special precautions taken for microscopic examination. Also for BALs, their utility for P. jirovecii diagnosis was recognized in the early 1990s with the AIDS epidemic, not "recently" as commented upon and referenced in the text. A much-needed improvement for the eighth edition - most of the photomicrographs would be improved by removing the variable (and often dark) backgrounds and including the total magnification. Finally, biosafety recommendations should be role modeled in the videos. As an example, laboratory coats are described as "full length, fluid resistant ... with wrist cuffs," yet the video on hemocytometer (2-2) shows a lab coat lacking wrist cuffs. And I cringed when I saw the model plunging an entire micropipettor to the very bottom of a CSF tube, likely contaminating the barrel of the pipette by contacting the inner sides of the tube. For the next edition, a keen eye for good laboratory technique (e.g., tilt the tube sideways gently so the fluid can be reached by inserting the disposable pipette tip only into the tube).Assessment: Get it. Enough said.
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