Tests
Some tests need certain precautions to be followed before sampling, to ensure accurate and reliable results. Among these precautions is Fasting:
Fasting before the test means :
- No eating for a specific time before the required sample is taken.
- No drinking except water.
- No gum chewing prior to the test.
- keep taking the medications recommended by a physician (if any) and not to stop them except otherwise indicated by the physician himself.
- No smoking during the fasting period.
Different urine samples
Random sample
- Early morning (first voiding after waking up) is the ideal time for taking urine samples in general. But, urine sample taken at anytime of the day can be used for analysis.
- Urine samples should be sent to the lab no later than 2 hours from their collection.
Specimen for urine culture
- The genital area should be thoroughly washed with water without drying.
- The first amount of urine is discarded and the midstream urine is collected inside a sterile container.
24 hours collection of urine
- A special container is taken from the lab and it might contain a preservative.
- The patient starts collection at a certain time of the day (e.g: at 8am) and he should record this time.
- The first sample is discarded.
- All samples the patient provides after that will be carefully collected into the container, taking care not to miss any amount till the second day (after exactly 24 hours from the previously recorded time, e.g 8 am next day). Please note that the last urine sample should be included in the container as well, e.g: urine sample at 8 am.
- It is preferred to keep the container in the refrigerator, during the collection period and after completing the procedure till it reaches the lab.
- The container should reach the lab after two hours maximum from finishing the collection.
Stool samples
- Stool should be collected in a clean dry container that is tightly capped.
It is preferred to take stool specimens for three consecutive days to get the most accurate results, if parasitic infection is suspected. - Stool samples should be protected against any mix of urine, water or direct sunlight and to be delivered to the lab within 2 hours maximum.
Stool for occult blood
- Patient should not brush his/her teeth in the day of sample collection. The test used is highly specific and sensitive for human blood only, so no restrictions on having meat in your diet before performing the test.
Sputum test
- Patients should drink sufficient quantity of water the day before the test, and should come to the lab in the morning without brushing their teeth.
- The sample is collected in a clean sterile container taking into consideration that the specimen is sputum and not saliva.
Semen analysis
- Before this test, the patient should avoid sexual intercourse for 3-7 days.
- The whole sample should be collected in a special sterile container.
- The sample should be sent to the lab within 15-30 minutes of sample collection.
Tests of different body fluids
Samples of such tests are collected by the specialist physician, and may be kept in the refrigerator, except those samples of the cerebro-spinal fluid (CSF).
Chemical tests of semen
The sample should be kept in the refrigerator until it is sent to the lab within 1 hour maximum.
Different types of cultures
Patients should stop all antibiotics not less than 3 to 5 days before the test.
If this is not possible, the patient should mention the antibiotic name to the lab staff.
Special testing conditions:
Number of fasting hours: From 12 to 14. | |
Trough is taken just before the dose and the peak sample is taken 4 – 5 hours after the dose. N.B: if suspension form of the drug is taken the peak would be after 1.5 hours after the dose is taken. As for carbamazepine XR, peak sample is withdrawn 3-12 hours after dose administration. | |
Intramuscular injection and physical exercises raises its level in blood. | |
Trough is taken just before the dose and the peak sample is taken 1-4 hours after the dose. | |
Trough is taken just before the dose and the peak sample is taken 4-12 hours after the dose. N.B: for infant doses, rapid release and suspension drug formulas, the peak sample is withdrawn 1.5-3 hours after dose administration. | |
The patient’s weight must be recorded. | |
2 categories – Fasting test: Where the patient should be fasting for at least 8 hours prior to the test. – Post-prandial: The patient eats his regular meal/75g glucose (after at least 8 hours fast) then a blood test is taken after 2 hours. | |
The patient should be fasting for 12 hours at least. | |
The blood sample of a fasting patient is taken first followed by an oral glucose dose of 75 gm. Then a total of 4 blood samples are taken, one every 30 minutes for 2 hours. | |
Diabetes curve for pregnant women: A sample is taken while the patient is fasting, then she is given an oral glucose dose of 75 gm. Then 3 samples are taken, every 60 minutes for 2 hours. (This test is done between 24-28 wk pregnancy). | |
This is a test to detect gestational diabetes (Diabetes during pregnancy). The patient is given a dose of 50 gm of glucose then a sample is taken after an hour. Fasting is not essential in this test. (This test is done between 24-28 wk pregnancy). | |
Diabetes curve for pregnant women: A sample is taken while the patient is fasting, then she is given an oral glucose dose of 100 gm. Then 3 samples each to be taken, every 60 minutes for 3 hours. (This test is done between 24-28 wk pregnancy). | |
The sample should be sent to the lab in 30 minutes. | |
The sample should be sent to the lab in 30 minutes. | |
Patients should come early to the lab and without going to the W.C. The swab is taken from the area surrounding the anus using a scotch tape that is pasted on a slide to be tested. This test is usually recommended to diagnose pinworm infection in children. | |
A blood sample is taken at 8 a.m. and another sample is taken at 8 p.m. | |
The blood sample is taken from 8 to 10 a.m. | |
The patient should lay relaxed on his back for 30 minutes. The patient should- for one week prior to the test- stop medications that contains alpha methyldopa or epinephrine including some nasal drops used for sinusitis. He/she should also stop drugs recommended for coughing, bronchodilators, or appetite suppressants. This test should be performed during episodes of elevated blood pressure. | |
Fasting C-peptide should be taken after 8 to 10 hours of fasting and post-prandial C-peptide should be taken 2 hours after either a regular meal (eaten in 10-15 minutes) or after 75 oral glucose. | |
Fasting Insulin should be taken after 8 to 10 hours of fasting and post-prandial Insulin should be taken 2 hours after either a regular meal (eaten in 10-15 minutes) or after 75 oral glucose. | |
A blood sample is taken at 8 a.m and another sample is taken at 8 p.m. | |
The sample should be taken on the second or third day of the menstrual cycle. | |
This test is carried out on the 12:14 week of pregnancy. | |
This test is carried out on the 14:22 week of pregnancy. | |
Serum is collected at 8 am for baseline Cortisol. 1 mg dexamethasone orally at 11 pm. Another serum sample at 8 am the following day. | |
24 hours urine is started to be collected on day 1 and day 4. Dexamethasone, 0.5mg, is given orally every 6 hours starting at 8 am on day 2 (for a total of 8 doses to be taken in 2 days). Serum cortisol is measured on day 1 (at 8 am and 8 pm) to look for diurnal variation. | |
24 hours urine is started to be collected daily for 6 days. Dexamethasone, 0.5mg, is given orally every 6 hours starting at 8 am on day 3 (for a total of 8 doses to be taken in 2 days). Then dexamethasone, 2 mg, is given orally every 6 hours starting at 8 am on day 5 (for a total of 8 doses to be taken in 2 days). | |
After an overnight fast, a basal blood sample is taken. The patient then is either given oral clonidine tablets (the dose is determined according to the body weight) or asked to perform a physical exercise (Like climbing stairs for 20 minutes) After that, a blood sample is taken every 30 minutes for 2 hours. | |
Refrigerate sample throughout and after period of collection. No caffeine intake before or during sample collection. Mono amine oxidase inhibitors should be stopped for 1 week before starting to collect the sample. All precautions for 24 hours urine collection should be followed. | |
The patient should stop, at least 4 weeks prior to the test, diuretics , liquorice and chewing tobacco. Patient should liberalize (rather than restrict) sodium intake. Patient might have to change his/her hypertensive medications (ACE inhibitors and angiotensin receptor blockers) as they could interfere with test results. Potassium supplements for the patient should be taken for 3 days prior to testing then stopped 24 hours before sampling. (to bring potassium levels to normal) The sample is taken mid-morning before 10 am, after the patient has been up (standing or walking) for at least 2 hours and seated for 5-15 minutes. | |
The test should not be carried out during or just after the symptoms of hemolysis. | |
The following conditions should be fulfilled:
| |
Warfarin should be stopped one week prior to the test and heparin is also to be stopped 2 days before the test. | |
Asprin , Clopidogrel, phenothiazines, antihistamines or any medications that might affect platelet function should be stopped 10 days prior to the test. | |
Warfarin should be stopped one week prior to the test and heparin is also to be stopped 2 days before the test. | |
The sample is to be taken by a specialized pathologist and not by anyone in the lab. The patient should bring any radiological tests results. | |
Patients must abstain from eating nuts, citrus fruit, chocolate, vanilla, banana, coffee and tea for 3 days before collecting the urine sample. |
17-Ketosteroids in Urine |
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17-OH Progesterone |
5-HIAA in 24 hr Urine |
5-Nucleotidase |
5-OH Tryptophan |
ABO Blood Grouping |
Acetyl Choline Receptor Ab |
Acid Phosphatase Total&Prostatic |
ACTH ( 8 am) |
ACTH ( 8 pm) |
Adenosine Deaminase ( Pleural fluid) |
Adenosine Deaminase in CSF |
Adenosine Deaminase Serum |
Adenovirus Detection |
Adrenal Cortical Ab |
Adrenaline in Blood |
Adrenaline in Urine |
AFP ( Serum ) |
AFP amniotic fluid |
AFP ascitic fluid |
AFP(Pregnancy) |
Albumin Excretion Rate |
Albumin in CSF |
Albumin in Serum |
Albumin to Creatinine Ratio |
Albumin to Globulin Ratio |
Alcohol in Saliva |
Alcohol in Serum |
Alcohol in Urine |
Aldolase |
Aldosterone |
Aldosterone to Renin Ratio |
Alkaline Phosphatase |
Alkaline Phosphatase Isoenzymes |
Alpha 1 Anti-Trypsin in serum |
Alpha 1 Anti-Trypsin in Stool |
Alpha 1 Anti-Trypsin Phenotype |
Alpha 1 Glycoprotein |
Alpha 2 macroglobulin |
Alpha glucosidase semen |
Alpha Thalassemia genes by PCR |
Aluminium |
Amino Acid Plasma(Amino gram ) |
Amino Acid Urine(Amino gram ) |
Amino Levulinic Acid |
Ammonia |
Amniotic Cell cytogenetic analysis |
Amniotic Fluid Analysis by Fluorecence Insitu Hybridization (FISH) |
Amniotic Fluid |
Amoeba Ab |
Amphetamine |
Amylase Drain |
Amylase Serum |
Amylase Urine |
Amyloid A |
ANA Serum |
Anaerobic Culture |
ANCA |
Androstenedione |
Angiotensen Converting Enzyme (ACE) |
Anion Gap |
Anti Rh Ab |
Anti A Ab Titre |
Anti B Ab Titre |
Anti Cardiolipin IgG |
Anti Cardiolipin IgM |
Anti ds-DNA |
Anti ds-DNA Fluid |
Anti Factor Xa Activity (Heparin) |
Anti GAD Ab |
Anti Gliadin Ab |
Anti Insulin Ab |
Anti Keratin Ab |
Anti Mitochondrial Ab (AMA) |
Anti Mullerian Hormone |
Anti RNP / Sm |
Anti SCL 70 |
Anti Smith Ab |
Anti Smooth Muscle Ab |
Anti Sperm Abs In Serum |
Anti SS-A (Ro) |
Anti SS-B (LA) |
Anti Thyroglobulin Ab |
Anti TPO |
Anti-Carbonic Anhydrase Antibodies |
Anti-CCP |
Anti-Striated Muscle Ab |
Antidiuretic hormone (ADH) |
Antithrombin III |
Apolipoprotein A1 |
Apolipoprotien B |
Arsenic in Blood |
Arsenic in Urine |
ASCA IgA |
ASCA IgG |
Ascitic Fluid Culture |
Ascitic Fluid Examination |
ASOT |
Aspergillus Ab (G |
B-CrossLaps in serum (B-CTx in serum) |
B2 Glycoprotein Ab |
B2 Microglobulin Serum |
B2 Microglobulin Urine |
Bacteriological analysis of water |
Barbiturates |
Basal Membrane Ab |
BCR-ABL Fusion Gene by Real Time PCR |
Bence Jones Protein |
Benzodiazepene qualitative |
Benzodiazepene quantitative |
Beta HCG qualitative |
Beta HCG quantitative |
Beta Lactoglobulin |
Beta Thalassemia genes by PCR (Beta globin gene) |
Beta Thalassemia Genes by PCR in chornionic villus sample |
Beta Trace Protein Nasal Secretions |
Beta Trace Protein Serum |
Bicarbonate (HCO3) |
Bile Acids Total |
Bile Tolerant Gram Negative Bacteria Count |
Bilharzial Ab |
Bilirubin ( Total & Direct ) |
Bilirubin ( Total & Direct ) (fluid) |
Biological Fluid Culture |
Biological Fluid Examination |
BK in serum by PCR |
BK in urine by PCR |
Bleeding Time |
Blood Culture |
Blood gas (arterial) |
Blood gas (venous) |
Blood grouping (Duffy) |
Blood grouping (Kell) |
Blood grouping (Kidd) |
BM Iron Stain |
Bone Alkaline Phosphatase |
Bone Marrow Aspiration |
Bone Marrow Biopsy |
Bone Marrow Film for Consultation |
Borrelia Abs IgG& IgM |
Borrelia DNA by PCR in Blood |
Brucella (Malta) |
C-Peptid After 2 Hrs. |
C-Peptide ‘Fasting’ |
C-Peptide Curve |
C1 Esterase Inhibitor Activity |
C1q |
C2 |
C3 |
C4 |
C5 |
C9 |
Ca 125 |
Ca 15-3 |
Ca 19-9 |
Ca 19-9 Ascitic Fluid |
Ca 242 |
Ca 50 |
Ca 72-4 |
Calcitonin |
Calcium / Creatinine Ratio |
Calcium in 24 hr Urine |
Calcium Serum |
Calprotectin |
Calretinin |
Candida Ab |
Cannabinoids |
Carbohydrate Deficient Transferrin (CDT) |
Carboxyhemoglobin |
Catecholamines |
Catecholamines |
CD 10 |
CD 117 |
CD 138 |
CD 2 |
CD 20 |
CD 3 |
CD 30 |
CD 34 |
CD 4 |
CD 45 (LCA) |
CD 99 |
CD15 |
CEA |
CEA Ascitic |
Certican |
Ceruloplasmin |
Cervical Discharge Culture |
Cervical Discharge for Cytology |
CH50 |
Chemical analysis of water |
Chlamydia Pneumoniae abs |
Chlamydia Trachomatis Ab |
Chloride In CSF |
Chloride In Serum |
Chloride In Urine |
Cholesterol esters fatty acids |
Cholinestrase in Serum |
Chromogranin A in Serum |
Chromosomal Breakage Study |
Chromosomal study for Hematologic Malignancy |
Chromosomal Study in Bone Marrow |
Chromosomal Study in Chorionic Villous sample |
Circulating immune complex |
Citrate in Urine |
CK-MB Mass |
CK-MM |
Clotting Time |
CMV by Real Time PCR |
CMV IgG |
CMV IgM |
Cocaine |
Cold Agglutinins |
Complement C1 inhibitor total level and activity |
Complete Blood Picture |
Conjunctival Swab Culture |
Conjunctival Swab Examination |
Coomb’s Test (Direct) |
Coomb’s Test (Indirect) |
Copper in Serum |
Copper in Urine |
Corona virus by PCR |
Cortisol (8 am) |
Cortisol (8 pm) |
Cortisol Level After 24 hr ACTH |
Creatine kinase (CK) |
Creatinine Clearance |
Creatinine in 24 hr Urine |
Creatinine In Serum |
Cross matching for blood transfusion |
Cross Matching for Organ Transplantation |
CRP |
CRP Highly Sensitive |
Cryoprecipitate in Serum |
CSF Culture |
CSF Examination |
CSF Immunoglobulin Index |
Culture And Sensitivity for any sample |
Cyclosporine Peak |
Cyclosporine Trough |
CYFRA 21-1 in Serum |
Cystatin C (GFR) |
Cystic Fibrosis by PCR |
Cysticercosis IgG Ab |
Cystine in Urine |
Cytokeratin |
Cytokeratin (CK) 20 |
Cytokeratin (CK) 7 |
Cytological Examination of any sample |
D-dimers |
Delta Amino Levulinic Acid in Urine |
Deoxypyridinoline (DPD) |
Depakene Peak |
Depakene Trough |
Desmin by immunohistochemistry |
Dexamethasone Suppression Test |
DHEA-S |
Digoxin |
DihydroTestosterone |
Diphtheria Ab |
Direct Platelet Ab |
Direct Smear examination |
Dopamine Betahydroxylase |
Down’s Syndrome Markers |
Drain Bilirubin |
Drug of Abuse |
Duchenne Muscle Dystrophy DNA Analysis |
E.S.R. ( Westergren) |
Ear Swab Culture |
EBV By Immunofluorescence |
EBV by PCR |
EBV IgG VCA |
EBV IgM VCA |
Endomysial Ab |
Entamoeba Histolytica Ag in Stool |
Enterovirus RNA by PCR |
Eosinophils in Body Fluid |
Epanutine Peak |
Epanutine Trough |
Epidermal growth factor receptor (EGFR) gene mutation |
Erythropoietin |
Escherichia Coli Culture |
Estimated Creatinine Clearance (Female/Male) |
Estradiol – E2 |
Estriol in Serum (E3) |
Estrogen Receptor (ER) in Breast Tissue |
Examination for Bronchial Wash |
Examination of Biological Fluid |
Examination of Prostatic Secretion |
Extended C-Peptide Curve |
Extended Insulin Curve |
Extended Oral Glucose Tolerance Curve |
Factor II Activity |
Factor Inhibitors assay |
Factor IX Assay |
Factor V Assay |
Factor V Leiden – Prothrombin gene mutation – MTHFR gene mutation |
Factor VII Assay |
Factor VIII Assay |
Factor VIII Associated Ag |
Factor X Assay |
Factor XI Activity |
Factor XII Activity |
Factor XIII Activity |
Familial Mediterranean Fever by PCR |
Fasciola Ab |
Ferritin |
FIB 4 |
Fibrin Degradation Products (FPDs) |
Fibrinogen |
Fibro – Acti Test |
Fibro max |
Filaria Film |
Filariasis IgG Ab |
First Trimester Screening |
FISH for CLL |
FISH for SRY gene |
FISH panel for acute leukemia |
Folic Acid |
Food allergy panel |
Fragile X Chromosome |
Free Androgen Index |
Free Carnitine in Serum |
Free Cortisol in 24 hr Urine |
Free HCG |
Free Protein S |
Free PSA |
Free T3 |
Free T4 |
Free Testosterone |
Fructosamine |
Fructose in semen – Qualitative |
Fructose in semen – Quantitative |
FSH |
Fungal Culture |
Fungus Examination by KOH |
G6PD Quantitative assay |
Gabapentin |
Galactosaemia Screen |
Galactose in Urine |
Gamma GT |
Gastrin |
Genetic Counceling |
Gentamycin |
Globulin |
Glucagon |
Glucose (1hour after 50 gm oral glucose intake) |
Glucose Fasting |
Glucose P.P |
Glucose Random |
Glutathione (Total and Reduced) |
Glycosylated Hb (HbA1C) |
Growth Hormone (Basal) |
Growth Hormone Stimulation Test (after Clonidine) |
Growth Hormone Stimulation Test (after Exercise) |
Growth Hormone Suppression Test (after 75 gm Glucose) |
H.Pylori IgA |
H.Pylori IgG |
H.Pylori in Stool |
H.Pylori Virulent Strains (Line test) |
H1N1 by PCR |
Ham’s test |
Haptoglobin |
HAV IgG |
HAV IgM |
HBc IgM |
HBc Total IgG |
HBe Ab |
HBe Ag |
HBs Ab |
HBs Ag |
HBV PCR Qualitative |
HBV PCR Quantitative |
HCV Ab |
HCV Genotyping |
HCV IgG Immunoblot |
HCV PCR in Mononuclear Cells |
HCV PCR Qualitative |
HCV PCR Quantitative |
HDL Cholesterol |
HDV RNA PCR |
Heavy metal analysis for water |
Hematocrit |
Hemoglobin (Hb) |
Hemoglobin Electrophoresis |
Hemosiderin in Urine |
Hepatitis Delta IgG Ab |
Hepatitis Delta IgM Ab |
HER 2 Protein |
HEV IgG |
HEV IgM |
Hexosaminidase AB Variant |
Histamine in Blood |
Histoplasmosis Ab |
HIV by western blot |
HIV Ab |
HIV by PCR |
HLA Class I by PCR |
HLA-B27 by PCR |
HLA-B5 by PCR |
HLA-Class ll (DRB1) by PCR |
HOMA-IR |
Homocysteine in Serum |
Homocysteine in Urine |
Homogentisic Acid |
HSV I & II IgM |
HSV I IgG |
Hydatid Ab in CSF |
Hydatid Ab in Serum |
Hydroxycorticosterone |
IgA in CSF |
IgA in Saliva |
IgA in Serum |
IGF-1 |
IgG / Albumin Ratio in CSF |
IgG 4 |
IgG in Urine |
IgG Subclasses |
IgM |
IL-28B Genotype Polymorphism |
Imipramin |
Immuno Fixation |
Immunoelectrophoresis in Serum |
Immunophenotyping ( CD 38 / Zap-70 ) |
Immunophenotyping ( CD113 |
Immunophenotyping (CD3 |
Immunophenotyping (CD4 |
Immunophenotyping (CD55/59) |
Immunophenotyping for CD 117 |
Immunophenotyping for CD 20 |
Immunophenotyping For MRD |
Immunophenotyping For multiple myeloma (CD38 |
Immunophenotyping of Acute leukemia |
Immunophenotyping of Chronic lymphoproliferative Disorders |
Influenza A Virus Ab |
Influenza B Virus Ab |
Inhalation allergy panel |
Inhibin B |
Insulin After 2 hr |
Insulin Curve |
Insulin Fasting |
Insulin-Like Growth Factor Binding Protein-3 |
Intrinsic Factor Ab |
Ionized Calcium |
Iron in Serum |
Islet Cells Antibody |
JAK 2 Exon 14 Gene Mutation |
Jo-1 Ab |
Kappa Free Light Chain in Serum |
Kappa Free Light Chain in Urine |
Kappa to Lambda Ratio |
Karyotyping |
Karyotyping for Amniotic Fluid |
Ki-67 |
KRAS Gene Mutation |
Lactate in Blood |
Lactate in CSF |
Lambda Free Light Chain in Serum |
Lambda Free Light Chain in Urine |
Lamotrigine |
LDH |
LDH isoenzymes |
LDL Cholesterol |
Lead in Blood |
Lead in Urine |
Leishmania Film |
Leishmania IgA Ab |
Leishmania IgG Ab |
Leishmania IgM Ab |
Leptospira IgG Ab |
Leptospira IgM Ab |
Leukocyte Alkaline Phosphatase (LAP) score |
Levetiracetam |
LH |
LH to FSH Ratio |
Lipase |
Lipase from Drain |
Lipid electrophoresis |
Lipid Profile |
Lithium |
Liver Cytosol 1 IgG specific Ab |
Liver Kidney Microsomal Abs (LKM Ab) |
Liver Specific Protien Ab |
Long chain fatty acids |
Lupus Anticoagulant |
Lymph Node Aspirate |
Lymphoid Tissue (CD20) |
Lysozyme in Serum |
Magnesium in Serum |
Magnesium in Urine |
Malaria Film |
Manganese in Serum |
Manganese in Urine |
Measles Ab (IgG/ IgM) |
Mercury in Blood |
Metanephrine and nor metanephrine in Urine |
Methadone |
Microscopic examination of body fluid |
Monospot Test |
Morphine |
MRSA Screening Test |
MTHFR Gene mutation |
Mucopolysaccharides in Urine |
Mumps Virus Abs |
Muscle Specific Receptor Tyrosine Kinase Ab |
Mycobacterium TB Culture (LJ Culture) |
Mycobacterium TB Culture and Sensitivity |
Mycobacterium TB Culture by MGIT |
Mycoplasma pneumoniae Ab |
Myelin Associated Glycoprotein Ab |
Myelin Basic Protein Ab |
Myoglobin Quantitative in Serum |
Myoglobin Quantitative in Urine |
Nasal Discharge Culture |
NASH Test |
Neisseria gonorrhea Culture |
Neuromyelitis optica IgG |
Neuron Specific Enolase (NSE) |
Nickel in 24 hr Urine |
Nickel in Serum |
Nicotine in Serum |
Nitrate in Urine |
Non HDL Cholesterol |
Noradrenaline in Blood |
Noradrenaline in Urine |
Occult Blood in Stool |
Oligoclonal Bands in CSF |
Oligosaccharides |
Opiates |
Oral Glucose Tolerance Curve |
Oral Glucose Tolerance Curve Pregnancy (after 75 and 100 g glucose load) |
Organic Acid in Urine |
Osmolality in 24 hr Urine |
Osmolality in Serum |
Osmotic Fragility |
Osteocalcin |
Ovary IgG antibodies in serum |
Oxalate in Urine |
Oxalic Acid in Serum |
Oxcarbazepine (including 10-OH-metabolite) |
p24 Antigen |
Pancreatic Elastase in Stool |
Panel for Collagen disease |
Pap Smear |
Parathormone (PTH) |
Parietal Cells Ab |
Parvo Virus B19 Abs (IgG & IgM) |
Paternity Test (DNA Sequencing) |
Paternity Test in Amniotic Fluid (DNA Sequencing) |
Pathological Examination of Specimens |
PCR for Hemoglobin C Disease |
PCR for Herpes Simplex Virus in CSF |
Pericardial Fluid Culture |
Pericardial Fluid Examination |
Phenylalanine in Serum |
Phospholipids fatty acids |
Phosphorus in 24 hr Urine |
Phosphorus in Serum |
PIVKA II |
Placenta Alkaline Phosphatase |
Plasma free Metanephrine |
Plasminogen Activator Inhibitor |
Platelet Aggregation |
Platelet Count |
Pleural Fluid Culture |
Pleural Fluid Examination |
PML-RARA by FISH |
Polyoma JCV-DNA by LCPCR |
Porphobilinogen (PBG) |
Potassium in Serum |
Potassium in Urine |
PRA Class I and Class II |
Pre-Albumin |
Pregnancy test in urine |
Pro-BNP |
Pro-Insulin |
Procalcitonin |
Procollagen III |
Progesterone |
Progesterone Receptor (PR) in Breast Tissue |
Prolactin |
Prostatic fluid Culture |
Prostatic Acid Phosphatase |
Protein / Creatinine Ratio in urine |
Protein C |
Protein Electrophoresis |
Protein in 24 hr Urine |
Protein S |
Prothrombin Time |
PSA ( Total & Free ) |
PSA Complex |
PSA Ratio |
PTT |
Pus Culture |
Pyruvate in Blood |
Pyruvate Kinase |
Quantiferon TB |
Rectal Swab Culture |
Red Cell Ab Identification |
Red Cell Count |
Reducing Substances in Stool |
Reducing Substances in Urine |
Renin |
Reticulocytic Count |
RH |
RH phenotype |
Rheumatoid Factor |
Rose Waaler |
Rotavirus Ag in Stool |
RPR (Rapid Plasma Reagin) |
Rubella IgG |
Rubella IgM |
S100 protein |
Salmonella culture |
SCC |
Schistosoma Ag |
Scotch Tape test |
Selenium in Serum |
Semen Analysis |
Semen Analysis (CASA) |
Semen Culture |
Semen Processing |
Serotonin |
Serum IgD |
SGOT |
SGPT |
SHBG |
Shigella Ab |
Sialic Acid |
Sickle Cell Anemia by PCR (HbS) |
Sickling test |
Slide for Consultation |
Sodium in Serum |
Sodium in Urine |
Soluble Liver Ag Ab (SLA) |
Soluble Transferrin Receptor |
Special Stains (Stool) |
Specific Gravity of fluid |
Sperm Ab Direct (MAR) |
Spinal Muscular Atrophy by PCR |
Sputum Culture |
Sputum Examination |
Stamy’s Test |
Standard Low Dose Dexamethasone (Suppression Test ) |
Steato Test |
Stone Analysis |
Stool Analysis |
Stool Culture |
Stool Osmotic Gap |
Stool pH |
Streptococal Hyaluronidase Ab |
Streptococcal DNAse B Ab |
Swab for Bacterial Count |
Swab for Bacterial Identification |
Synacthen stimulation test ( cortison after synacthen ) |
Synovial Fluid Examination |
T3 ( Total Triiodothyronine) |
T4 (Total Thyroxine) |
Tacrolimus (FK506) |
Tartrate Resistant Acid Phosphatase (TRAP) |
TB Ab |
TB By PCR |
TB Examination ( 3 samples) |
Tegretol Peak (Carbamazepine) |
Tegretol Trough (Carbamazepine) |
Tetanus Ab |
Throat Swab Culture |
Thrombin Time |
Thyroglobulin |
TIBC |
Tissue Polypeptide Ag (TPA) |
Tissue Transglutaminase Ab |
Tongue Swab Culture |
Topiramate |
Total Acid Phosphatase |
Total Bacterial Count |
Total Carnitine in Serum |
Total Cholesterol |
Total Combined Molds and Yeasts Fungal Culture |
Total IgE |
Total IgG |
Total Leucocyte Count |
Total Protein |
Total Testosterone |
Toxocara Canis IgG Antibodies in Serum |
Toxoplasmosis Avidity |
Toxoplasmosis IgG |
Toxoplasmosis IgM |
TPHA (Treponema Pallidum Particle Agglutination) |
Tramadol |
Transferrin |
Transferrin Saturation |
Trichinosis Abs IgG & IgM |
Triglyceride |
Triple Test |
Troponin I |
Troponin T |
Tryptase |
TSH |
TSH Receptor Ab |
Tuberculin Test |
Urate in Urine |
Urea Breath Test |
Urea Clearance |
Urea in Serum |
Urea in Urine |
Uretheral Discharge Culture |
Uretheral Discharge Examination |
Uric Acid / Creatinine Ratio |
Uric Acid in 24 hr Urine |
Uric Acid in Serum |
Urine Analysis |
Urine Culture |
Urine Cytology |
Urine for Dysmorphic RBCs |
Urine for Glucose and Acetone (Fasting) |
Urine for Glucose and Acetone (Post prandial) |
Urine for Glucose and Acetone (Random) |
Urine for Hemoglobinuria |
Urine pH |
Urine Protein Electrophoresis |
Vaginal Discharge Culture |
Vaginal Discharge Examination |
Vanillylmandelic Acid in 24 hour urine collection |
Varicella Zoster Ab |
Vasoactive Intestinal Polypeptide (VIP) |
VDRL |
Vitamin A |
Vitamin B1 |
Vitamin B12 |
Vitamin B3 |
Vitamin B6 |
Vitamin C |
Vitamin D (1 |
Vitamin D (25 – Hydroxy Cholicalciferol) |
Vitamin E |
Vitamin H (biotin) |
Vitamin K1 |
Von Willebrand disease profile |
Von Willebrand Factor (Factor VIII Ristocetin Cofactor) |
Water test for legionella |
WBCs Total & Differential |
Widal Test |
Wound Culture |
Y chromosome microdeletion by PCR |
Zinc |
Reflex testing is an important tool in providing timely, cost-effective and quality care to patients. A reflex test is a laboratory test performed subsequent to an initially ordered and resulted test. Reflex testing occurs when an initial test result meets pre-determined criteria (e.g., positive or outside normal parameters), and the primary test result is inconclusive without the reflex or follow-up test. It is performed after informing the patient with his/her test results and taking consent for the reflex (additional) tests to be done. Reflex testing may prevent the need for additional specimen procurement from the patient. The reflex test adds valuable diagnostic information and is consistent with best medical practices.
Some examples for our Reflex Testing:
ANA titre > 1:80 (positive) | ENA panel | |
Positive | HCV PCR | |
Hypochromic microcytic anaemia | Iron profile | |
Blasts | Immunophenotyping and bone marrow aspirate. | |
CML | BCR/ABL fusion by PCR | |
Proteinuria in absence of pus | Urinary albumin:creatinine ratio | |
Elevated | CK-MB | |
Positive | Quantitative BHCG | |
Abnormal | Free T4 | |
Prolonged in absence of anticoagulant intake | AST,ALT, albumin |