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Its level in Sarcoidosis is helpful in evaluation and diagnosis of patients with neuropathy. High levels are seen with Gaucher’s disease, alcoholic cirrhosis etc.
It includes Total, Direct and Indirect Bilirubin. Total Bilirubin is the sum of Direct and Indirect Bilirubin. They are part of Liver Function Test and increased in various liver disorders and haemolytic disorders.
Potassium is involved in critical cell functions. Potassium levels are influenced by electrolyte intake, excretion and other means of elimination, exercise, hydration and medications.
Sodium is critical in maintaining water and osmotic equilibrium in extracellular fluids. Disturbances in acid base and water balance are typically reflected in the sodium conc.
Fasting status. H/O Diabetes, Any medication, Pregnancy status. Fasting blood sugar to be collected , followed by 75 gms of glucose load, to be taken slowly. Post glucose 1 and 2 hrs blood samples to be collected. Patient to be requested not to take any liquid / solid diet in between and not to exert much during test, till PG2 sample. Water is allowed. Smoking is not allowed during test
Fluoride
6 Hours
Glucose determinations are useful in diagnosis and management of Diabetes Mellites
It is part of Lipid profile. It is used in detection, classification and monitoring for hyperlipidaemia is Inversely related to risk of Coronary Heart disease.
It is part of Lipid profile. It is used in detection, classification and monitoring for hyperlipidaemia. It is directly related to Coronary Heart disease.
Increased levels are seen in Coronary artery disease/cerebrovascular and peripheral vascular disease. It is also increased in Nephrotic syndrome and end stage renal disease.
Fasting status. H/O Diabetes/O Any medication. Sample to be collected after 2 hrs of 75 gms of glucose load, to be taken slowly. Not to smoke /Exert during test.
Fluoride
6 Hours
Glucose determinations are useful in diagnosis and management of Diabetes Mellites
Increased levels are seen with Renal Hypertension, Addison’s disease. Low levels are seen with Hyporeninaemic hypoaldosteronism and Primary aldosteronism.
Fasting sample preferred. Can be taken in random state on request.
Plain
6 Hours
It includes Total protein, Albumin, Globulin and Albumin/Globulin ratio. Total Protein is used in evaluating for nutritional status, liver disease, protein losing renal and gastrointestinal disease. High levels are seen in Monoclonal gammopathies.
Fasting sample necessary, with at least 10 - 12 hrs. No diet
Plain
6 Hours
Triglycerides are used in the calculation of LDL cholesterol. High value are associated with pancreatitis and increased risk of cardiovascular diseases.
Fasting collection preferred. H/O Gout / renal disease / medicine
Plain/Hepa
6 Hours
Uric acid is the end product of protein metabolism. High levels are seen with gout, inherited metabolic disorders of purine metabolism, excessive purine dietary intake and increased cell turnover.
It includes physical, microscopic ( wet mount, Total count, differential count),chemical examination(Sugar,Protein,Microprotein, LDH, Chloride).It is useful in diagnosis for various Central Nervous system and systemic disorders.
It includes physical, microscopic ( wet mount, Total count, differential count),chemical examination(Sugar,Protein,Albumin, LDH).It is useful in diagnosis for various abdominal and systemic disorders.
Direct collection of semen sample into container, collection time, enquire for 3-5 days of abstinence, transfer immediately to lab. Test by appointment only.
Sterile Ct
4 Hours
It includes physical examination( wet mount, Sperm count, morphology) chemical examination. It is one of the test for Infertility.
It includes physical, microscopic(wet mount, Total count, differential count), Chemical examination (Sugar, Protein, Albumin).It is used for diagnosis for various Respiratory and systemic disorders.
Protein C & S are deficient in Congenital cause, treatment with oral anticoagulant, liver disease. Factor V Leiden mutation is associated with thrombotic tendency.
It is helpful in determining the cause of anaemia either due to impaired RBC production or increased destruction in peripheral blood.
RET- He measures the haemoglobin content of reticulocytes and an early marker for iron deficient erythropoiesis (because of the 4 days life span of reticulocytes).
IRF (Immature Reticulocyte Fraction) is an early marker for evaluating the regeneration of erythropoiesis.
Immature Granulocyte (IG) count is a useful early marker of infection or inflammation. It is an early and rapid discrimination of bacterial from viral infections.
IPF - Immature Platelet Fraction indicates thrombopoietic activity. Elevated IPF indicates bone marrow regeneration in case of peripheral platelet consumption / destruction.
DHT important causative role in No.of androgen -dependent condition including hair condition like hirsutism and pattern hair loss and prostate diseases such as benign prostatic.
ANCA are specific for various types of vasculitis.c-ANCA is present in Wegner’s granulomatosis. P-ANCA is present in Microscopic polyarteritis and crescentic glomerulonephritis.
Low levels of Ig G have respiratory illness. Its measurement useful in monitoring patients being treated for IgG Monoclonal Gammopathies and during replacement with intravenous immunoglobulins.
Antibody IgG is useful in differentiating amoebiasis from other causes of liver cysts and pancreatic infection. Most sensitive and specific test for invasive amoebiasis.
Anti beta2-glycoprotein I-dependent anticardiolipin Ab in the reproductive autoimmune failure syndrome: correlation with conventional antiphospholipid Ab detection system.
Ab to aquaporin-4 constitute a sensitive and highly specific serum marker of neuromyelitis optica that can facilitate the differential diagnosis of NMO and classic multiple sclerosis
Aspergillus is a group of molds. Aspergillosis ranges Allergic type illness, Allergic bronchopulmonary aspergillosis, Aspergillus sinusitis. It is more common in immunocompromised.
It includes detection of organisms causing atypical pneumonia like Mycoplasma Pneumoniae, Coxiella burnetti, Chlamydia pneumoniae, Legionella pneumophilia, Influenza virus, Adenovirus ,Parainfluenza virus and RSV.
Anti beta2-glycoprotein I-dependent anticardiolipin Ab in the reproductive autoimmune failure syndrome: correlation with conventional antiphospholipid Ab detection system.
Random/Collect blood in a PRE-WARMED Red Top tube using a PRE-WARMED syringe and needle at 37 ˚C.Seprate serum and FREEZE IMMEDIATELY
EDTA Vacutainer (Purple top)
7th day
They precipitates at less than body temperature within 3 days spontaneously and reversible. They can fix complement and initiate inflammatory reaction.
Herpes simplex virus type -1 are acquired through direct person to person contact, mostly by nongenital route.HSV-2 are acquired through sexual contact.
Herpes simplex virus type -1 are acquired through direct person to person contact, mostly by nongenital route. HSV-2 are acquired through sexual contact.
Random or 24hr urine/50 ml aliquot of 24-hour urine. No preservative
50 ml aliquot of 24-hour urine. No preservative. Acid wash container provided by Dr.'s Lal Lab
5 days.
Its metabolism is disturbed in Wilson’s disease, Menkes disease, Primary Biliary cirrhosis and Indian childhood cirrhosis. It is used to monitor chelation therapy.
Sodium is critical in maintaining water and osmotic equilibrium in extracellular fluids. Disturbances in acid base and water balance are typically reflected in its concentration. Urinary potassium is useful to evaluate serum electrolyte imbalances.
Timed collection of 24 hrs. note start time, discard first sample, to start collecting all subsequent samples into container, up to last collection of finishing time.
Additive
2 days
High levels of calcium in serum is associated with increased calcium excretion via Urine.
Timed collection of 24 hrs. note start time, discard first sample, to start collecting all subsequent samples into container, up to last collection of finishing time.
Additive
2 days
It is useful to assess completeness of 24 hour urinary collections.
Timed collection of 24 hrs. note start time, discard first sample, to start collecting all subsequent samples into container, up to last collection of finishing time.
Additive
2 days
It is useful to assess calcium and phosphorus balance.
Timed collection of 24 hrs. note start time, discard first sample, to start collecting all subsequent samples into container, up to last collection of finishing time.
Additive
2 days
Urinary protein are negligible in healthy individual. Increased levels are seen with impaired renal functions.
Timed collection of 24 hrs. note start time, discard first sample, to start collecting all subsequent samples into container, up to last collection of finishing time.
Additive
2 days
High levels are seen with gout, inherited metabolic disorders of purine metabolism and increased cell turnover.
Random/50 ml aliquot of 24 hr urine. Record 24 hr volume on test request form. Avoid Theophylline and beverages containing caffeine 7 to 10 days prior to specimen collection
50 ml aliquot of 24-hour urine. Use HCL as preservative
It is the most useful laboratory test as it identifies a wide range of medical condition including renal damage, Urinary tract infection, diabetes, hypertension etc.
Evaluation of acute Myeloid Leukaemia (AML) at the time of diagnosis, to assist in appropriate classification and prognosis using five translocation gene panel and karyotyping.
This reflex test sequentially evaluates for the common major gene mutations associated with non-BCR/ABL1-positive myeloproliferative neoplasms until a mutation is identified.
Diagnostic workup of patients with a high probability of BCR-ABL1-positive hematopoietic neoplasms, particularly acute lymphoblastic leukaemia (B-lymphoblastic leukaemia), to provide a pre-treatment quantitative level of BCR-ABL1 mRNA transcript if the initial diagnostic RT-PCR screen is positive
Factor V Leiden mutation testing should be reserved for patients with clinically suspected thrombophilia and: 1) APC-resistance proven or suspected by a low or borderline APC-resistance ratio, or 2) a family history of factor V Leiden.
Direct mutation analysis for the MTHFR C677T and A1298C mutations should be reserved for patients with coronary artery disease, acute myocardial infarction, peripheral vascular artery disease, stroke, or venous thromboembolism who have increased basal homocysteine levels or an abnormal methionine-load test.
This test is intended for use as an aid in the management of patients with chronic HBV infection undergoing antiviral therapy. The test can be used to measure HBV DNA levels at baseline and during treatment to aid in assessing response to treatment. The results from this test must be interpreted within the context of all relevant clinical and laboratory finding.
This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HCV infected patients.
This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HCV infected patients. The test can be used to monitor the HCV RNA level during the course of antiretroviral treatment.
This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HIV-1 infected patients. The test can be used to assess the baseline HIV-1 RNA level.
This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HIV-1 infected patients. The test can be used to monitor the HIV-1 RNA level during the course of antiretroviral treatment.
This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HIV-1 infected patients. The test can be used to monitor the HIV-1 RNA level during the course of antiretroviral treatment.
Epstein-Barr virus (EBV) is the cause of a variety of disorders, including infectious mononucleosis (IM). Laboratory testing can help determine whether someone is susceptible to EBV infection or has a recent or past infection.
Epstein-Barr virus (EBV) is the cause of a variety of disorders, including infectious mononucleosis (IM). Laboratory testing can help determine whether someone is susceptible to EBV infection or has a recent or past infection.
CMV infection is of clinical significance primarily in pregnant women, new-born infants with possible congenital infection, immunosuppressed transplant patients and immunocompromised individuals.
CMV infection is of clinical significance primarily in pregnant women, new-born infants with possible congenital infection, immunosuppressed transplant patients and immunocompromised individuals.
HSV (Herpes Simplex Virus) I & II Qualitative Detection
Molecular RT PCR
Random
EDTA whole blood (3ml)
1 day
DNA testing is analytically more sensitive than culture, especially in patients with encephalitis or meningitis. DNA testing may be useful in diagnosis of infection in neonates. Neonates who have been exposed to HSV can develop disseminated infection and encephalitis. Encephalitis is usually due to HSV I whereas meningitis is usually due to HSV II. DNA testing provides reliable means to define the type.
This test is intended to diagnose Dengue fever infection during the initial stage of infection, days 1-5 after onset of symptoms, which is able to detect dengue virus subtypes 1-4.