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Tests By Conditions

GLUCOSE, FASTING (F)

Glucose determinations are useful in the detection and management of Diabetes mellitus.

  • Test Type: Blood
  • Pre-test Information: Minimum 8 hours fasting is mandatory

GLUCOSE, RANDOM (R)                                          

In a patient with classic symptoms of hyperglycemia or hyperglycemic crises, a random plasma glucose >200 mg/dL confirms Diabetes mellitus.

  • Test Type: Blood
  • Pre-test Information: No special preparation required.
  • Report Delivery: Daily

HbA1c; GLYCOSYLATED HEMOGLOBIN

 

This assay is useful for diagnosing Diabetes and evaluating long term control of blood glucose concentrations in diabetic patients. It reflects the mean glucose concentration over the previous period of 8 to 12 weeks and is a better indicator of long term glycemic control as compared with blood and urine glucose measurements.

  • Test Type:       Blood   Pre-test Information: No special preparation required
  • Report Delivery: Daily

INSULIN, FASTING (F) & POST PRANDIAL (PP), PANEL

 

Insulin is produced by the beta cells of the Pancreas. It leads to Type 1 (IDDM) Diabetes caused by insulin deficiency and Type 2 (NIDDM) Diabetes caused by insulin resistance. This assay is useful in the management of Diabetes and for diagnosing Insulinoma when used in conjunction with Proinsulin and C-peptide measurement.

  • Test Type:   Blood
  • Pre-test Information: Overnight fasting is mandatory
  • Report Delivery:  Daily

 

GLUCOSE TOLERANCE TEST, ORAL (OGTT)

A diagnosis of Diabetes mellitus is made if fasting blood glucose exceeds 126 mg/dL and / or 2 hour post load glucose exceeds 200 mg/dL.

  • Pre-test Information: Overnight fasting is mandatory
  • Report Delivery: GLUCOSE, FLUID

Glucose measurement in body fluid may be useful with other laboratory investigations to evaluate effusions. Decreased concentrations are associated with bacterial infections, inflammation such as Rheumatoid arthritis and occasionally malignancy.

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

GLUCOSE CHALLENGE TEST (GCT); GLUCOSE 1 HOUR OBSTETRICAL

This is a screening test for Gestational Diabetes mellitus. In case of abnormal results, Obstetrical GTT is recommended.

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

URINE, REDUCING SUBSTANCES

  • Pre-test Information:

First morning urine sample required

  • Report Delivery: Daily

GLUCOSE CHALLENGE TEST (GCT); GLUCOSE 1 HOUR OBSTETRICAL

This is a screening test for Gestational Diabetes mellitus. In case of abnormal results, Obstetrical GTT is recommended.

  • Pre-test Information: No special preparation required
  • Report Delivery:Daily.

 

 

Tests for HIV

ABSOLUTE  LYMPHOCYTE  COUNT

Absolute lymphocyte count is increased in a variety of disorders, including infections, in particular viral infections, autoimmune diseases, and lymphoproliferative disorders.

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

HIV 1 GENOTYPING & DRUG RESISTANCE

The high replication rate of HIV 1 coupled with its rapid mutation rate leads to accumulation of mutations, some of which reduce susceptibility to antiretroviral agents. HIV 1 Genotyping identifies mutations in HIV 1 Reverse Transcriptase & Protease genes. Genotyping helps in identifying the mutations associated with resistance and guiding initiation or change of Anti HIV 1 treatment regimens.

  • Pre-test Information: No special preparation required

VITAMIN D SCREEN

The clinical syndrome of Vitamin D deficiency can be a result of deficient production in the skin, lack of dietary intake, accelerated losses, impaired vitamin D activation or resistance to the biologic effects of vitamin D. In addition intestinal malabsorption of dietary fat leads to Vitamin D deficiency which is further exacerbated in the presence of terminal ileal disease. Intestinal calcium absorption is also controlled by vitamin D.

Pre-test Information:

Overnight fasting is preferred.

  • Report Delivery: Daily

CHOLESTEROL

Increasing concentrations of Total cholesterol and LDL cholesterol are both correlated with increasing risk of cardiovascular disease. The levels are used to monitor response to cholesterol lowering therapy.

  • Test Type: Blood
  • Pre-test Information:  No special preparation required.
  • Report Delivery: Daily.

TRIGLYCERIDES, SERUM

 

Increased triglyceride levels are indicative of metabolic abnormality and along with elevated cholesterol are considered a risk factor for atherosclerotic disease. High levels may be seen in Biliary obstruction, Diabetes, Nephrotic syndrome, Renal failure, Metabolic endocrinopathies and may be medication induced.

  • Test Type: Blood
  • Pre-test Information: Minimum 12 hours overnight fasting is mandatory.
  • Report Delivery: Daily

 

HEMOGLOBIN; Hb

 

Hemoglobin levels are used to diagnose type and degree of anemia. Several factors like age, sex, pregnancy and diurnal variations are to be considered before diagnosis of anemia is made on the basis of a single hemoglobin estimation.

  • Test Type: Blood
  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

MEAN CORPUSCULAR VOLUME; MCV

 

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

MEAN CORPUSCULAR HEMOGLOBIN; MCH

 

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION; MCHC

 

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

BLOOD PICTURE; PERIPHERAL BLOOD SMEAR EXAMINATION

 

  • Test Type: Blood
  • Pre-test Information: No special preparation required

Report Delivery: Daily BLOOD GROUP ABO & Rh FACTOR

 

  • Test Type: Blood
  • Pre-test Information: No special preparation required

Report Delivery: STOOL EXAMINATION, ROUTINE; STOOL, R/E

 

  • Test Type: Stool
  • Pre-test Information: Do not send stool specimens in match boxes or absorbant material for sample collection
  • Report Delivery: Daily

VITAMIN D 25 - HYDROXY

25-Hydroxy vitamin D represents the main body reservoir and transport form. Mild to moderate deficiency is associated with Osteoporosis / Secondary Hyperparathyroidism while severe deficiency causes Rickets in children and Osteomalacia in adults. Prevalence of Vitamin D deficiency is approximately >50% specially in the elderly. This assay is useful for diagnosis of vitamin D deficiency and Hypervitaminosis D. It is also used for differential diagnosis of causes of Rickets &Osteomalacia and for monitoring Vitamin D replacement therapy.

  • Test Type: Blood
  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

URINE, GLUCOSEUrine glucose is used as a follow up test in diabetic patients. It is also used for screening diabetes in general population.

  • Pre-test Information: First morning urine sample required
  • Report Delivery: Daily

COMPLETE BLOOD COUNT; CBC

 

CBC provides information about red cells, white cells and platelets. Results are useful in the diagnosis of anemia, infections, leukemias, clotting disorders and many other medical conditions.

  • Test Type: Blood
  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

MEAN PLATELET VOLUME; MPV

MPV varies inversely with the platelet count in normal subjects. It is lowered when thrombocytopenia is caused by Megaloblastic anemia or bone marrow failure. It is generally higher in Myeloproliferative disorders, Immune thrombocytopenic purpura (ITP), massive hemorrhage and thrombocytopenia due to sepsis.

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

GIEMSA STAIN, BODY FLUIDS

  • Pre-test Information: No special preparation required
  • Report Delivery: Sample Daily by 6 pm; Report Next Day

TRIGLYCERIDES, FLUID

High concentrations are associated with Pancreatitis and increased risk of cardiovascular disease.

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

 

WILSON DISEASE PANEL

Diagnosing Wilson's disease can be challenging because its signs and symptoms are often indistinguishable from those of other liver diseases, such as Hepatitis. Low serum copper & ceruloplasmin with high urinary copper is diagnostic of Wilson disease

  • Pre-test Information: No special preparation required
  • Report Delivery: Sample Mon through Sat 6 pm ; Report Next day

 

CHOLESTEROL, TOTAL

 

Increasing concentrations of Total cholesterol and LDL cholesterol are both correlated with increasing risk of cardiovascular disease. The levels are used to monitor response to cholesterol lowering therapy.

  • Test Type: Blood
  • Pre-test Information: No special preparation required.
  • Report Delivery:

 

ALLERGY SCREEN

Atopic allergy implies a familial tendency to manifest conditions like Asthma, Rhinitis, Urticaria and Eczematous dermatitis either alone or in association with the presence of IgE. Some individuals without atopy may develop hypersensitivity reactions due to presence of specific IgE.

  • Test Type: Blood
  • Pre-test Information: No special preparation required.
  • Report Delivery: Sample Daily by 11 am; Report same day

 

IMMUNOGLOBULIN IgE, SERUM

Testing for IgE antibodies is useful to establish the diagnosis of an allergic disease and to define the allergens responsible for eliciting signs and symptoms

  • Test Type: Blood
  • Pre-test Information: Overnight fasting is preferred
  • Report Delivery: Daily

ABSOLUTE LYMPHOCYTE COUNT

Absolute lymphocyte count is increased in a variety of disorders, including infections, in particular viral infections, autoimmune diseases, and lymphoproliferative disorders.

  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

 

TESTS OF FEVER

TYPHI DOT / SALMONELLA TYPHI IgM

This test detects the presence of IgM antibodies to S.typhi. The conventional Widal test detects antibodies to S.typhi from 2nd week of onset of symptoms. The early rising antibodies which are predominantly IgM can be detected by the Typhi Dot test. This test serves as a marker for recent infections.

  • Test Type: Blood
  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

This test detects infection due to Rickettsial organisms. Rickettsiae are fastidious bacterial organisms that are maintained in nature through a cycle involving reservoirs in mammals and insect vectors. A 4 fold rise in titer is diagnostic of infection.

DENGUE FEVER ANTIBODIES IgG & IgM, EIA

Dengue Hemorrhagic Fever and Dengue Shock Syndrome are caused by infection of RNA Flavivirus transmitted by a mosquito vector. This test differentiates between Primary and Secondary infection. Paired acute and convalescent specimens that exhibit a significant change in titer are useful to confirm clinical diagnosis of infection

  • Pre-test Information:  No special preparation required
  • Report Delivery: Sample Daily by 12 noon; Report same day

 

 

 

WIDAL TUBE AGGLUTINATION TEST

 

Widal test is used to diagnose Typhoid and Paratyphoid fevers. A 4 fold rise in titer is diagnostic of infection.

  • Test Type: Blood
  • Pre-test Information: No special preparation required
  • Report Delivery: Sample Daily by 3.30 pm; Report Next day

WIDAL SLIDE AGGLUTINATION TEST

Widal test is used to diagnose Typhoid and Paratyphoid fevers. A 4 fold rise in titer is diagnostic of infection.

  • Test Type: Blood
  • Pre-test Information: No special preparation required
  • Report Delivery: Daily

DENGUE FEVER ANTIBODIES IgG & IgM, EIA

Dengue Hemorrhagic Fever and Dengue Shock Syndrome are caused by infection of RNA Flavivirus transmitted by a mosquito vector. This test differentiates between Primary and Secondary infection. Paired acute and convalescent specimens that exhibit a significant change in titer are useful to confirm clinical diagnosis of infection

  • Pre-test Information: No special preparation required
  • Report Delivery: Sample Daily by 12 noon; Report same day

 

BRUCELLA ANTIBODIES, IgG & IgM

Brucellosis is caused by gram negative bacillus of genus Brucella either by direct contact or by ingestion of meat or milk. In cases of suspected Brucellosis, this assay assists in the diagnosis and plays a supplementary role to routine culture.

  • Test Type: Blood
  • Pre-test Information: No special preparation required
  • Report Delivery: Sample by Tue / Fri 9 am; Report Same day

 

HEART DISEASES

 

LIPID PROFILE, COMPLETE

The lipid profile components are useful in the detection, classification and monitoring of patients with hyperlipidemia.

  • Test Type: Blood
  • Pre-test Information: Minimum 12 hours fasting is mandatory.
  • Report Delivery: Sample Daily by 9 am; Report 3 days

TRIGLYCERIDES, SERUM

Increased triglyceride levels are indicative of metabolic abnormality and along with elevated cholesterol are considered a risk factor for atherosclerotic disease. High levels may be seen in Biliary obstruction, Diabetes, Nephrotic syndrome, Renal failure, Metabolic endocrinopathies and may be medication induced.

  • Test Type: Blood
  • Pre-test Information: Minimum 12 hours overnight fasting is mandatory.
  • Report Delivery: Daily

Hypertension

CATECHOLAMINES PLASMA

Useful in diagnosis of pheochromocytoma and paraganglioma,neuroblastoma and related tumors, and in evaluation of patients with autonomic dysfunction / failure or autonomic Neuropathy. The catecholamines (epinephrine, and norepinephrine) are derivatives of tyrosine and are important neurotransmitters in the Central and Autonomic nervous system . The systemically circulating fraction of the catecholamines are derived from the adrenal medulla, and small contributions from sympathetic ganglia.

  • Report Delivery: Sample by Mon 6 pm; Report on Thu

PSA (PROSTATE - SPECIFIC ANTIGEN), TOTAL

This assay is used for monitoring patients with a history of Prostate cancer and as an early indicator of recurrence and response to treatment. The test is commonly used for Prostate cancer screening.

  • Test Type: Blood
  • Pre-test Information:

Do not draw sample within 7 days of Digital Rectal Examination (DRE) or Rectal Prostatic Ultrasonography.

  • Report Delivery: Daily

CANCER

CA 125; OVARIAN CANCER MARKER

Elevated CA 125 levels are seen in many patients with cancer of the ovary. The percentage of positive cases increases with stage of the cancer. This assay is useful for evaluating patient's response to ovarian cancer therapy. It also helps in predicting recurrent ovarian cancer or intraperitoneal tumor.

  • Test Type: Blood
  • Pre-test Information: Provide brief clinical history.
  • Report Delivery: Daily

CALCITONIN

Calcitonin is a hormone secreted by parafollicular C cells of thyroid gland. This assay is useful for the diagnosis and follow up of Medullary carcinoma thyroid, as an adjunct to diagnosis of Multiple Endocrine Neoplasia Type II and Familial Medullary thyroid carcinoma. It is occasionally used in the diagnosis and followup of Islet Cell tumors.

  • Pre-test Information: Overnight fasting is preferred.
  • Report Delivery: Sample by Mon / Thu 4 pm; Report Same day

PSA PROFILE

This assay aids in the early detection of Prostate cancer in males 50 years or older with Total PSA values between 4.0 and 10.0 ng/mL and nonsuspicious digital rectal examination. It also discriminates between Prostate cancer and Benign Prostatic disease. Patients with benign conditions have a higher proportion of Free PSA compared with Prostate cancer.

  • Test Type: Blood
  • Pre-test Information:

Do not draw sample within 7 days of Digital Rectal Examination (DRE) or Rectal Prostatic Ultrasonography.

  • Report Delivery: Daily

 

CYTOLOGY, CELL BLOCK EXAMINATION

  • Pre-test Information: Give brief clinical history
  • Report Delivery: Sample Daily by 6 pm; Report 3 days

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