GLUCOSE, FASTING (F)<\/p>\n
Glucose determinations are useful in the detection and management of Diabetes mellitus.<\/p>\n
GLUCOSE, RANDOM (R)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n In a patient with classic symptoms of hyperglycemia or hyperglycemic crises, a random plasma glucose >200 mg\/dL confirms Diabetes mellitus.<\/p>\n HbA1c; GLYCOSYLATED HEMOGLOBIN<\/strong><\/p>\n <\/p>\n 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.<\/p>\n INSULIN, FASTING (F) & POST PRANDIAL (PP), PANEL<\/strong><\/p>\n <\/p>\n 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.<\/p>\n <\/p>\n GLUCOSE TOLERANCE TEST, ORAL (OGTT)<\/strong><\/p>\n 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.<\/p>\n 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.<\/p>\n GLUCOSE CHALLENGE TEST (GCT); GLUCOSE 1 HOUR OBSTETRICAL<\/strong><\/p>\n This is a screening test for Gestational Diabetes mellitus. In case of abnormal results, Obstetrical GTT is recommended.<\/p>\n URINE, REDUCING SUBSTANCES<\/strong><\/p>\n First morning urine sample required<\/p>\n GLUCOSE CHALLENGE TEST (GCT); GLUCOSE 1 HOUR OBSTETRICAL<\/strong><\/p>\n This is a screening test for Gestational Diabetes mellitus. In case of abnormal results, Obstetrical GTT is recommended.<\/p>\n <\/p>\n <\/p>\n Tests for HIV<\/p>\n ABSOLUTE\u00a0 LYMPHOCYTE\u00a0 COUNT<\/strong><\/p>\n Absolute lymphocyte count is increased in a variety of disorders, including infections, in particular viral infections, autoimmune diseases, and lymphoproliferative disorders.<\/p>\n HIV 1 GENOTYPING & DRUG RESISTANCE<\/strong><\/p>\n 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.<\/p>\n VITAMIN D SCREEN <\/strong><\/p>\n 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.<\/p>\n Pre-test Information:<\/p>\n Overnight fasting is preferred.<\/p>\n CHOLESTEROL<\/strong><\/p>\n 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.<\/p>\n TRIGLYCERIDES, SERUM<\/strong><\/p>\n <\/p>\n 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.<\/p>\n <\/p>\n HEMOGLOBIN; Hb<\/strong><\/p>\n <\/p>\n 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.<\/p>\n MEAN CORPUSCULAR VOLUME; MCV<\/strong><\/p>\n <\/p>\n MEAN CORPUSCULAR HEMOGLOBIN; MCH<\/strong><\/p>\n <\/p>\n MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION; MCHC<\/strong><\/p>\n <\/p>\n BLOOD PICTURE; PERIPHERAL BLOOD SMEAR EXAMINATION<\/strong><\/p>\n <\/p>\n Report Delivery: Daily BLOOD GROUP ABO & Rh FACTOR<\/p>\n <\/p>\n Report Delivery: <\/strong>STOOL EXAMINATION, ROUTINE; STOOL, R\/E<\/strong><\/p>\n <\/p>\n VITAMIN D 25 - HYDROXY<\/strong><\/p>\n 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.<\/p>\n URINE, GLUCOSE<\/strong>Urine glucose is used as a follow up test in diabetic patients. It is also used for screening diabetes in general population.<\/p>\n COMPLETE BLOOD COUNT; CBC<\/strong><\/p>\n <\/p>\n 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.<\/p>\n MEAN PLATELET VOLUME; MPV<\/strong><\/p>\n 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.<\/p>\n GIEMSA STAIN, BODY FLUIDS<\/strong><\/p>\n TRIGLYCERIDES, FLUID<\/strong><\/p>\n High concentrations are associated with Pancreatitis and increased risk of cardiovascular disease.<\/p>\n \u00a0<\/strong><\/p>\n WILSON DISEASE PANEL <\/strong><\/p>\n 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<\/p>\n <\/p>\n CHOLESTEROL, TOTAL<\/strong><\/p>\n <\/p>\n 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.<\/p>\n <\/p>\n ALLERGY SCREEN <\/strong><\/p>\n 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.<\/p>\n <\/p>\n IMMUNOGLOBULIN IgE, SERUM<\/strong><\/p>\n 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<\/p>\n ABSOLUTE LYMPHOCYTE COUNT<\/strong><\/p>\n Absolute lymphocyte count is increased in a variety of disorders, including infections, in particular viral infections, autoimmune diseases, and lymphoproliferative disorders.<\/p>\n <\/p>\n TESTS OF FEVER<\/p>\n TYPHI DOT \/ SALMONELLA TYPHI IgM<\/strong><\/p>\n 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.<\/p>\n 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.<\/p>\n DENGUE FEVER ANTIBODIES IgG & IgM, EIA<\/strong><\/p>\n 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<\/p>\n <\/p>\n \u00a0<\/strong><\/p>\n \u00a0<\/strong><\/p>\n WIDAL TUBE AGGLUTINATION TEST<\/strong><\/p>\n <\/p>\n Widal test is used to diagnose Typhoid and Paratyphoid fevers. A 4 fold rise in titer is diagnostic of infection.<\/p>\n WIDAL SLIDE AGGLUTINATION TEST<\/strong><\/p>\n Widal test is used to diagnose Typhoid and Paratyphoid fevers. A 4 fold rise in titer is diagnostic of infection.<\/p>\n DENGUE FEVER ANTIBODIES IgG & IgM, EIA<\/strong><\/p>\n 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<\/p>\n \u00a0<\/strong><\/p>\n BRUCELLA ANTIBODIES, IgG & IgM<\/strong><\/p>\n 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.<\/p>\n <\/p>\n LIPID PROFILE, COMPLETE <\/strong><\/p>\n The lipid profile components are useful in the detection, classification and monitoring of patients with hyperlipidemia.<\/p>\n TRIGLYCERIDES, SERUM<\/strong><\/p>\n 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.<\/p>\n Hypertension<\/p>\n CATECHOLAMINES PLASMA<\/strong><\/p>\n 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.<\/p>\n PSA (PROSTATE - SPECIFIC ANTIGEN), TOTAL <\/strong><\/p>\n 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.<\/p>\n Do not draw sample within 7 days of Digital Rectal Examination (DRE) or Rectal Prostatic Ultrasonography.<\/p>\n CANCER<\/p>\n CA 125; OVARIAN CANCER MARKER<\/strong><\/p>\n 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.<\/p>\n CALCITONIN<\/strong><\/p>\n 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.<\/p>\n PSA PROFILE <\/strong><\/p>\n 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.<\/p>\n Do not draw sample within 7 days of Digital Rectal Examination (DRE) or Rectal Prostatic Ultrasonography.<\/p>\n <\/p>\n CYTOLOGY, CELL BLOCK EXAMINATION<\/strong><\/p>\n 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)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 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<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"aioseo_notices":[],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/citilab.org.pk\/wp-json\/wp\/v2\/pages\/3904"}],"collection":[{"href":"https:\/\/citilab.org.pk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/citilab.org.pk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/citilab.org.pk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/citilab.org.pk\/wp-json\/wp\/v2\/comments?post=3904"}],"version-history":[{"count":0,"href":"https:\/\/citilab.org.pk\/wp-json\/wp\/v2\/pages\/3904\/revisions"}],"wp:attachment":[{"href":"https:\/\/citilab.org.pk\/wp-json\/wp\/v2\/media?parent=3904"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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\u00a0<\/strong><\/h2>\n
HEART DISEASES<\/strong><\/h2>\n
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