R AFFIX BARCODE LABEL HERE LAB NO. Form No.: G0070 Universal Request Form Coagulation Hepatitis Viruses Haematology HIV Microbiology Other Infectious Diseases HIV ELISA HIV PCR DNA qualitative CD4 count HIV Viral load - PCR HIV Monitoring (HIV VL + CD4) HIV Resistance H455 D232 G397 F401 X547 R553 F9 F9 R657 K406 F432 T895 B277 F462 K178 K861 A617 G914 Y297 S612 Q427 V340 X504 F440 E852 Y343 A189 R169 S337 M730 P438 B479 W345 C756 X296 L407 Microscopy only MC&S TB - Quantiferon gold Carbapenemase scr. - PCR CMV Ab CMV qualitative PCR (no EDTA) (*samples: CSF, U, E, SP, Tissue, Aspirates) CMV Viral load PCR U293 Coxsackie Ab EBV Ab EBV Viral load PCR B300 H.Pylori Ab Respiratory virus panel PCR Rubella Ab RSV PCR (*Respiratory swab) Atypical pneumonia PCR (*samples: Dry swab / Sputum) Bordetella PCR (Dry swab) Inuenza PCR (*Respiratory swab / Nasopharyngeal aspirate) PCP PCR Malaria species genotyping PCR Toxoplasma Ab Tick Bite Fever Rickettsia PCR CSF Viruses PCR (*Samples:CSF/Saliva/U) Adenovirus PCR (*samples: E, S, U, CSF, Aspirates) Genital discharge scr. (no HIV) (*urine, 1 x Urethral or Vaginal swab) Genital ulcer screen. (no HIV) (*1 xSST, Swab from Ulcer or Urine) Syphilis serology Fungal microscopy only Fungal MC&S TB (ZN AFB - micro only) TB AFB/PCR/Culture/Sens Fungitell assay Clostridium difficile PCR *Specimen: *Site: Other: S360 Y366 V363 X365 V386 G351 H352 F396 L019 K355 P358 R359 L355 M356 N357 Hb electrophoresis screen Indirect anti-globulin (indirect coombs) Blood group + Rhesus Coombs - direct ESR FBC / ESR / platelets FBC / platelets Flow immunopheno (*Samples:1xE,2xH) Haemolytic prole Hb only Malaria screen Paul bunnell Platelet count Reticulocytes White cell count + Diff White cell count W223 Anti-phospholipid Ab D-Dimer - quantitative Fibrinogen Full bleeder screen DIC screen (*samples:1xE,2xC,1xH) Inherited thrombophilia (*samples:3xC,2xE,1xE on ice) Lupus inhibitor (*samples:2xC) Thrombosis scr. - arterial Thrombosis scr. - venous HAV IgM HAV IgG HBV immunity (sAb) Hepatitis B & C Chronic status Hepatitis A, B, C (with common Caucasion mutations) (*samples:3xC,1xB,1xE) PI / INR PTT PI / INR dosage- Fill in MRI no F373 D881 C393 BOOK Z367 BOOK H445 K325 BOOK T968 E303 G385 H306 H749 C301 B369 C370 F402 Limited bleeder screen (Incl. Von willebrands) General Endocrine Thyroid Pregnancy Hypertension/Neuro Endocrine X204 W203 E349 C560 C164 C481 C155 W812 W437 W965 V202 H260 N196 G882 B542 F9 or F9 F9 X227 B412 B231 E211 C209 W226 B208 K216 V225 Y228 T223 Z229 P415 A307 D210 K239 L217 Aldosterone Renin Serotonin - on ice Chromogranin A 5HIAA VMA + Metanephrine Catechol + Metanephrine TSH T4 Thyroid Ab T3 (free tri-iodothyronine) Ante natal screen with HIV (*samples:2xE,2xB) Ante natal screen no HIV (*samples:2xE,1xB) βHCG qualitative (Pos / Neg) βHCG quantitative Hirsutism profile Testosterone / FTI DHEA Androstenedione Infertility screen 17-OH Progesterone FSH E2 Progesterone LH Prolactin Anti-mullerian hormone ACTH - on ice Cortisol Growth hormone Insulin Parathyroid hormone IGF1 + IGFBP3 Gastrin - fasting Cortisol - 24hr urine free F M Folate - serum + RBC Nutrition / Iron Studies Ferritin Iron profile Soluble transferrin receptor Vitamin B12 Routine semen analysis Post vascetomy D141 R152 F144 Z496 C163 Drug of abuse screen Digoxin Epilim - valproic acid Ethanol - alcohol Tacrolimus Lamictin Lithium Paracetamol Phenytoin Sirolimus levels Carbamazepine Overdose drug screen M471 L470 R175 S176 F189 F410 W547 W180 X181 Z183 H482 B812 Bone specific alk. phos. Osteocalcin - on ice Parathormone Vitamin D C-terminal crosslinks fasting R778 E120 G400 X227 R994 Tumour Markers Pharmacology Bone Turnover PSA (+Free PSA if Total 2.6-10) B2 microglobulin Malignant melanoma S-100B CEA PSA - complexed CA 153 - breast CA 125 - ovary PSA only - monitoring CA 199 CA 724 βHCG quantitative B E P E x2 AFP L192 X432 C118 K193 M195 D119 S443 E E E E P E E E E E E E E E C C C C E E E E E E E H100 B117 F121 S100 N288 Autoimmune Andrology Allergy c-ANCA/p-ANCA Rheumatoid factor Auto-immune hepatitis (SM Ab, LKM-1, SLA) Coeliac disease HLA B27 CTD screen Total IgE Food screen (FX5) adult Food screen (FX5) <12yrs Aero-allergen screen (Phadiotop) dsDNA - specific ANA - includes pattern Anti CCP N334 W593 A996 H584 G282 W476 C821 A322 Z424 C256 B254 C255 F884 B B B B B E B B B B B B B B B B B HBV qualitative PCR HBV Viral load - quant PCR HCV Viral load - quant PCR HCV Ab HCV qualitative PCR HCV Genotyping Z352 E395 P140 G305 K561 W487 E E E E E B B B B B B B B S B SP SP * * * * * * * * * * E E * * * * * E E E B B B B B B B B B B U B B B B B B F B S B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B EB HC BE U 24 U 24 U 24 U 24 E x2 E x2 Inflam / Infection Markers CRP PCT B B E475 B139 R900 Porphyrin scr (samples:U, E, F) N150 Immunoglobulins B162 Protein electrophoresis Gamma GT LDH Lactate - on ice Alkaline phosphatase Amylase AST ALT LFT Bilirubin - neonatal (SBR) Bilirubin - total + conj. Liver / Pancreas / GIT Lipid Metabolism Lipogram Cholesterol only Cholesterol / HDL LDL - measured Triglycerides W134 F9 F9 K492 G167 B B B B B B B B B B B B B B FL * Chest pain prole Troponin CK CKMB Ultrasensitive CRP Myoglobin Homocysteine(fasting)(on ice) Pro BNP Heart and Muscle W354 F9 F9 K400 P129 X284 H168 V142 B B E BH B/H B/H BH BH F143 V156 F246 E119 L125 K126 K124 B234 F232 A391 W157 D118 Lipase Aldolase CDT - on ice B B B B U155 Lung, Kidney, Skeleton U & E / Creatinine Magnesium (serum) Magnesium (RBC) Uric acid Protein - 24hr urine Protein / Creatinine ratio Alpha-1 Antitrypsin ACE Urea & Creatinine Calcium Phosphate Creatinine clearance (*Samples:1xB,1x24hr U) Potassium Sodium S130 D394 X158 K228 L171 U247 H685 G121 B B B B B * U E B B B B B A115 K170 A161 F166 M402 J169 U 24 HBA1C / Glycosylated Hb Microalbumin - urine Glucose - fasting Glucose - random GTT 2hr 75g - standard Glucose Metabolism L148 K958 G144 H145 T407 FL FL U E FL X2 B x2 B x2 Status(Prior Expos) Swichboard Numbers 0703061000 020 250 8456 AFFIX BARCODE LABEL HERE LAB NO. Rev: 015 Pathologists Lancet Kenya_PLK www.lancet.co.ke Follow us on Facebook @LancetKenya_plk S199 Thyroid Profile (TSH/FT3/ FT4) B