Test    Metanephrines
   Department    Clinical Biochemistry, Rotherham NHS Foundation Trust
   Comment    Measured as first line test for phaeochromocytoma (or if the
   urine sample not acidic enough to preserve catecholamines)
   Sample type    Urine assayed as first line test
   (EDTA plasma samples analysed at Newcastle)
   Sample tube    3 x overnight urine collection bottle with acid preservative
   (or 3 x 24hr urine collection bottle with acid preservative)
     Patient information leaflet supplied with bottles for               
   overnight or 24hr urine collection
   Collection conditions    Overnight or full 24 hr collections
   Minimum volume    > 700 ml urine / 24 hrs expected in each bottle for 24hr    
   urine collections
   Reference ranges
   (adult)
   Metanephrine          < 0.30 umol / mmol creatinine
   Normetanephrine    < 0.35 umol / mmol creatinine
   Reference ranges
   (paediatric)
   See interpretation sheet below
   Author    Dr Robert Lord (Consultant)
   Date    19.12.11
   Interpretation    http://www.clinbiochem.info/labmets2.3.pdf