This assay is used for evaluation of patients with suspected Sarcoidosis & confirm Gaucher disease and Leprosy.
Plain clotted blood/CSF Immediately freeze separated serum.
Overnight fasting is preferred (10 hrs). Fasting is defined as no consumption of food or beverages other than water before blood collection.
This assay is useful for biochemical diagnosis and monitoring of intestinal carcinoid syndrome. It is an indicator of serotonin producing tumor.
24 hrs urine
The patient should strictly avoid Banana, Kiwis, Walnut, Avocado, Eggplant, Pineapple, Plum, Tomato and Promethazine, Alcoholic beverages, Tea/Coffee, Tobacco and strenuous exercise at least 72 hrs before and during specimen collection. Drugs including
Helps differentiate between primary and secondary adrenal insufficiency & helps diagnose Cushing 's disease.
EDTA blood (Chilled tube) Obtain ice before draw for specimen transport.
Draw blood between 6 -10 am Limit your physical activities for 10-12 hrs before the test. You may be put on a low carbohydrate diet for 2 days before. Alcohol (ethanol, whiskey, wine or beer) can also affect test results.
This assay is useful in the management of diabetes. It is also used for diagnosis of insulin resistant status. Helps confirm diagnosis of hypoglycemia resulting from tumor, abnormal increase of pancreatic islet cells, glucocorticoid deficiency or severe liver disease.
Plain clotted blood
Preferred fasting. Fasting is defined as no consumption of food or beverages other than water for at least 8-12 hrs before blood collection.
Investigation of primary Aldosteronism (Adrenal Adenoma / Carcinoma and Adrenal Cortical hypoplasia) and secondary Aldosteronism (Renovascular disease, salt depletion, potassium loading , cardiac failure with ascites and pregnancy)
Plain clotted blood (Chilled tube)
Complete 30 min rest before blood collection. Eat a law carbohydrate, normal salt diet (3g/day for at least 2 weeks before the test. If possible eat this diet for 30 days before the test. Don't eat licorice for at least 2 weeks before the test.
This assay provides additional information or Coronary Heart Disease (CHD).
Plain clotted blood
10 -12 hrs fasting before blood collection. Fasting is defined as no consumption of food or beverages other than water. Eat a normal diet for 2 weeks before the test.
Lipid disorders. Helps determines the risk of heart disease, especially the risk of coronary- artery disease. Evaluates fat metabolism Helps confirm diagnosis of nephrotic syndrome Pancreatitis, liver disease, hypothyroidism (CHD)
Plain clotted blood
Overnight fasting is required. Minimum 12 hours. (Fasting is mandatory)
Adults: 12 -14 hrs
Pediatric less than 6 yrs: Just before the feed/meal
Pediatric older than 6 yrs: Overnight fast specially the fasting period
For optimal results, the patient should be on a stable diet for 2- 3 weeks prior to testing. Fasting is defined as no consumption of food or beverages other than water before blood collection.
This assay useful for diagnosis and differential diagnosis of hypercalcemia. It also help in the diagnosis of Primary/Secondary/Tertiary Hyperparathyroidism and Hypoparathyroidism.
Plain clotted blood
Adrenocortical function Helps confirm diagnosis of Cushing' s disease &Addison' s disease Helps diagnose secondary adrenal insufficiency.
Plain clotted blood
Cortisol blood test may be drawn at about morning 9 am or mid night or any special request .Limit your physical activity for 10 -12 hrs before the test. Eat normal salt diet (3g/day) for 3 days before the test.
CORTISOL, STIMULATION BY ACTH J CORTISOL SUSPRESSION TEST BY ZONE.
Measurement of free testosterone may be useful when disturbances in SHBG are suspected as in obesity and estrogen excess.
Plain clotted blood
C-peptide is useful in distinguishing insulinomas from exogenous insulin administration. Its concentration is severely decreased or absent in Type I Diabetes mellitus. C- peptide is also useful in monitoring patients who have received Islet cell or pancreatic transplants.
Plain clotted blood
Fasting is defined as no consumption of food or beverages other than water for 10 hrs before blood collection.
Suspected colorectal cancers. Polyps, gastrointestinal bleeding.
Approximately 5 -10 g
Random sample In case of menstrual period, delay the sample collection by 3 days. Refrain from taking alcohol, aspirin or other gastro-irritant medicine which could provoke bleeding, at least 48 hrs before the sample collection. For the three day before and during stool collection eat a well-balanced diet including fiber such as bran cereals, fruit and vegetable. Avoid red meats Including beef, lamb, and liver.
Helps distinguish between folic-acid deficiency and vitamin B 12 deficiency.
Plain clotted blood
Fasting is preferred, defined as no consumption of food or beverages for 10 hrs other than water before blood collection. However, your doctor may request that you have blood drawn when you are not fasting. Don't drink any alcohol for 24 hours before the test
This assay helps for determining male fertility status.
Patient should refrain from ejaculation for 2 - 7 days (ideally 3 days ) prior to collection. If you are taking any drugs or medication, discuss with your doctor
OUTSTATION SAMPLES ARE NOT ACCEPTABLE
Folate & iron deficiency
EDTA blood
Fasting is preferred. No consumption of food or beverages for 10 hrs other than water before blood collection. However, your doctor may request that you have blood drawn when you are not fasting. Do not drink any alcohol for 24 hours before the test.
This test along with Homo vanillic acid is useful for screening children for catecholamine Secreting tumor Helps detect pheochromocytoma tumor and some disorders of the autonomic nervous system. Evaluates the function of adrenal medulla
24 hour urine collection
This patient should strictly avoid Theophylline, Chocolate, Vanilla, Banana, Alcoholic beverages, Tea/Coffee, Tobacco, and strenuous exercise at least 72 hrs before and during collection.
The following drugs may affect test results, you may be asked not to take this medications before the test.
This assay is extremely useful in the diagnosis of Gastrinoma. Helps determines cause of severe ulcer disease of the stomach or small intestine. Helps detect pernicious anemia.
Plain clotted blood
Overnight fasting is preferred (12 hrs) Fasting is defined as no consumption of food or beverages other than water before blood collection. Don't drink any alcohol for 24 hours before the test.
Determines if blood clots properly Detects congenital and acquired platelet bleeding disorders
Sodium Citrate blood & EDTA blood
Avoid following drugs for 10 days prior to the test.
Fasting is defined as no consumption of food or beverages other than water.
Anterior pituitary function. This assay is useful for the diagnosis of Acromegaly/ Gigantism and assessment of treatment efficacy. It is used to diagnose Growth Hormone deficiency specially in children with short stature, helps confirm diagnosis of Dwarfism and suspected Tumor of the Pituitary.
Plain clotted blood
Fasting 8 - 12 hrs & complete rest 30 min before blood collection. Fasting is defined as no consumption of food or beverages other than water before blood collection.
This assay is a screening test for the diagnosis of catecholamine secreting Pheochromocytoma & Paragangliomas.
24 hour urine collection.
Patient should strictly avoid alpha-methyldopa, buspirone, codeine, isoproterenol metabolite, mandelamine, L dopa, paracetamol, metoclopramide, pepper, alcoholic beverages, tea/coffee tobacco and strenuous exercise at least 72 hours before and during specimen collection.
.Screening for Diabetes mellitus
Na F and potassium oxalate in 1:3 ratio
Overnight Fasting
Adults: 10 hours
Pediatric less than 6 years: Just before the feed/meal
Pediatric more than 6 years: Overnight fast
Fasting is defined as no consumption of food or beverages other than water before blood collection. Avoid the strenuous exercise before the test
All specimens should be transported to the laboratory without delay as specimens kept for long periods would not give accurate results on culture.
The OGTT is used for the diagnosis of diabetes mellitus, where the random or fasting plasma glucose concentration is inconclusive in reaching a diagnosis. The test is also used in pregnancy to diagnose gestational diabetes (GD1v1) in women who are in a high risk group.
OGTT
This assay is used to evaluate diabetic patients to assess the potential of early onset of nephropathy before overt proteinuria develops.
Second morning urine collection
Patient should be rest before the sample collection.
