pathologyhandbook
Royal Berkshire NHS Foundation Trust
Investigation Details
For blood specimens, the colour of the text within the 'Container' column indicates the required specimen lid colour.
If unsure, click the text within the column for an image (See 'Sample Containers' section for paediatric versions).
Please note that the volumes quoted relate to individual tests.
If multiple tests are ordered, an appropriate increase in sample volume may be required.
Multiple tests for the same specimen type will normally only require a single specimen.
All requests made electronically via the ICE system will automatically include on the request form the type and number of specimens required.
| Investigation Search | or |
| Test/Profile | Container, Specimen Type & Volume | Additional Information | Department | Turn - around Days | Out of Hrs | Reference |
| 17-hydroxyprogesterone (17-OHP) | Plain Blood (5 mL) | For the investigation of Congenital adrenal hyperplasia (newborns and late-onset). For neonates do NOT use paediatric gel separator tubes as a component of the gel may interfere with analysis. Use plain serum tubes only. The minimum volume for paediatric samples is 0.5 ml of blood. Adult Li Hep and STT specimens with gel separators are acceptable. | Biochemistry Referred Test (7704) | 7 to 21 |  |
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| 5HIAA (24hr urine) | Acidified 24hr Urine or Plain 24hr Urine 24hr Urine | For the investigation of carcinoid syndrome.
Dietary and drug restrictions apply. For more information, click here. |
Biochemistry (7704) | 7 to 14 | |
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| 6 thioguanine (6TG)/ Methyl mercaptopurine | EDTA Blood (4 mL) | Separate sample required. Used to monitor azathioprine therapy. |
Biochemistry Referred Test (7704) | 7 to 14 | |
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| Acid Fast Bacilli (AFB) Culture & Sensitivity | 150ml Container Complete EMU | Three complete early morning samples (not MSU's) are required in screw cap containers | Microbiology (7718) | 42 | |
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| ACTH | EDTA Blood (2 x 4 mL) | For the investigation of Cushing syndrome and on the basal sample of a Synacthen test. Contact biochemistry as requires special sample handling. More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 21 | |
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| Activated Partial Thromboplastin Time Ratio (APTR) | Citrate Blood (2.7 or 1.8 mL) | Sample must be received on day of collection. | Coagulation (7695) | 1 |  |
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| Acylcarnitines | Lithium Heparin or Blood Spot Blood (5 mL) | For the investigation of neonatal/infantile hypoglycaemia, organic acidurias, MCAD deficiency. | Biochemistry Referred Test (7704) | 21 | |
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| ADAMTS-13 | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Test performed at UCL. | Coagulation (7695) | 56 | |
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| Albumin | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Alcohol (ethanol) | SST or Lithium Heparin or Fluoride Oxalate Blood (5 mL) | If a delay of >3hrs is expected before receipt by laboratory, please use Fluoride Oxalate. | Biochemistry (7704) | <1 | |
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| Aldosterone | Lithium Heparin Blood (5 mL) | For the investigation of hypertension. More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 21 | |
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| Alkaline Phosphatase | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. Local guidance exists for isolated raised ALP results. |
Biochemistry (7704) | <1 | |
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| Alkaline Phosphatase Isoenzymes | SST or Plain Blood (5 mL) | GGT may help in the differential diagnosis of raised ALP. Only worthwhile if total ALP > upperlimit of normal and cause of elevation unknown. | Biochemistry (7704) | 21 | |
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| Allergen Specific IgE (RAST allergy) | SST Blood (5 mL) | More information | Biochemistry (7704) | 7 - 28 | |
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| Alpha 1 antitrypsin (A1AT) | SST or Plain Blood (5 mL) | Phenotype will be referred if A1AT is below 1.0 g/L. | Biochemistry (7704) | 7 | |
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| Alpha FetoProtein (AFP) | SST or Plain Blood (5 mL) | As tumour marker used to monitor germ cell tumours and hepatoma. Note not useful for diagnosis of malignancy. |
Biochemistry (7704) | 2 | |
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| ALT | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Aluminium | Trace Metals Blood (5 mL) | Biochemistry Referred Test (7704) | 21 | |
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| Amino Acids | Monovette® Early Morning Urine (10 mL) | For the investigation of neonatal/infantile hypoglycaemia and other inherited metabolic disorders. | Biochemistry (7704) | 7 | |
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| Amino acids (blood) | Lithium Heparin Blood (5 mL) | For the investigation of neonatal/infantile hypoglycaemia and other inherited metabolic disorders. | Biochemistry Referred Test (7704) | 7 to 21 | |
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| Ammonia | EDTA Blood (5 mL) | Contact ext:7704 or bleep out of hours staff (bleep 293) before sending.
Tube on iced water. Immediate transport to laboratory required. Avoid dirty skin. |
Biochemistry (7704) | <1 | |
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| Amylase | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Androgen Profile (inc. Androstenedione & DHAS) | Plain Blood (5 mL) | Includes Testosterone, SHBG, Androstenedione and DHA sulphate. Please select individual tests if the full profile is not necessary. For neonates do NOT use paediatric gel separator tubes as a component of the gel may interfere with analysis. Use plain serum tubes only. The minimum volume for paediatric samples is 0.5 ml of blood. Adult Li Hep and SST specimens with gel separators are acceptable. | Biochemistry Referred Test (7704) | 7 to 21 | |
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| Angtiotensin Converting Enzyme (ACE) | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
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| Antenatal Blood Group Serology | 6ml EDTA Blood (6 mL) | Sample must be handwritten. Adhesive and addressograph labelled samples will not be accepted. | Blood Bank (7697) | 3 | |
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| Antenatal Virology Screen | SST Blood | More information | Virology (7715) | 5 | |
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| Antibiotic Assay: Tobramycin/ Amikacin/ Bactericidal Levels | SST Blood (5 mL) | More information | Microbiology (7718) | 2 | |
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| Antibody Screen (Virology - Chlamydia, Q fever, Mycoplasma, Legionella, Syphilis, Toxoplasma, ASOT, Helicobacter, Lyme Disease (Borrelia)) | SST Blood | More information | Virology (7715) | 5 | |
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| Antidepressants | Lithium Heparin or Plain Blood (5 mL) | Not routinely offered. For ?Toxicity or ?Compliance only. Request to be discussed with Duty Biochemist. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Antieplileptics | Lithium Heparin or Plain Blood (5 mL) | Ethosuximide & Lamotrigine: pre-dose level only. For ?Toxicity or ?Compliance only. For other antiepileptic drugs look under specific name. Request to be discussed with Duty Biochemist. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Antimalarials | Lithium Heparin or Plain Blood (5 mL) | Not routinely offered. For patients on IV quinine only. Request to be discussed with Duty Biochemist. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Antipsychotics | Lithium Heparin or Plain Blood (5 mL) | Not routinely offered. For ?Toxicity or ?Compliance only. Request to be discussed with Duty Biochemist. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Anti-Xa Assay | Citrate Blood (2 x 2.7 mL) | Must be received on day of collection. Requires two 2.7ml samples. Please contact the department if paediatric samples are to be taken. Result only informative if sample taken 3-4 hours post dose. | Coagulation (7695) | 3 | |
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| Apolipoprotein B (ApoB) | SST, Plain or Lithium Heparin Blood (5 mL) | Should be discussed with the Chemical Pathologist prior to request being made on 0118 322 7704 or royalberkshire.biochemistry@nhs.uk | Biochemistry (7704) | 7 | |
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| Ascitic fluid protein, albumin & LDH | Universal Ascitic Fluid (10 mL) | Please request serum levels at the same time as the fluid request. If these tests are required outside normal working hours then please contact the laboratory directly by bleeping 293 | Biochemistry (7704) | 2 | |
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| Ascitic/ Peritoneal fluid (C&S) | Polycon Container or Universal Ascitic Fluid (2-3 mL) | Sample storage and transport times upon testing < 2 hours at room temperature. | Microbiology (7718) | 24 - 72 hrs | |
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| Ascitic/ Peritoneal fluid (Cell count) | Polycon Container or Universal Ascitic Fluid (2-3 mL) | Sample storage and transport times upon testing < 2 hours at room temperature. | Microbiology (7718) | < 2 hours | |
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| Ascitic/ Peritoneal fluid (Gram stain) | Polycon Container or Universal Ascitic Fluid (2-3 mL) | Sample storage and transport times upon testing < 2 hours at room temperature. | Microbiology (7718) | < 2 hours | |
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| Asialotransferrin | Universal Nasal/Ear Fluid (2 mL) | For the identification of CSF in rhinorrhoea fluid. Also called Tau protein. | Biochemistry Referred Test (7704) | 14 to 21 | |
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| Aspartate Transaminase (AST) | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | <1 | |
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| AT Variants | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Test performed at Addenbrooks. | Coagulation (7695) | 56 | |
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| Bacterial Culture & Sensitivity, Parasites, Rotavirus, Clostridium Difficile | Polycon Container Faeces (1 g) | More information | Microbiology (7718) | 5 | |
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| Beta-2-microglobulin | SST or Plain Blood (5 mL) | For the monitoring of tumour mass and renal function in Myeloma patients. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Beta-hydroxybutyrate | Lithium Heparin Blood (5 mL) | For the investigation of neonatal/infantile hypoglycaemia. The sample should be sent to the laboratory immediately. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Bicarbonate | SST, Plain or Lithium Heparin Blood (5 mL) | Must be received on day of collection. In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Bile acids | SST or Plain Blood (5 mL) | For the diagnosis of Cholestasis of Pregnancy. | Biochemistry (7704) | 2 | |
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| Biotinidase | Lithium Heparin or Blood Spot Blood (5 mL) | For the investigation of inherited metabolic defects with skin problems and epilepsy. For the investigation of adult biotin deficiency suggest vitamin trial. Plasma to be sent on ice to the laboratory within 15 minutes of collection. |
Biochemistry Referred Test (7704) | 7 to 21 | |
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| Blood and CAPD Culture and Sensitivity | Bactec System Bottles Blood/ CAPD Fluid | More information | Microbiology (7718) | 7 | |
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| Blood Culture (Line Sepsis) | Specimen transport time upon testing must be <4 hours at room temperature.Adults: At least 2 sets from two separate venepuncture. Multiple blood culture sets collected from the same venepuncture are regarded as one, not separate sets. However, in neonates and infants two venepunctures may not always be possible. Please refer to the RBFT Blood Culture Protocol on the intranet. | Microbiology (7718) | |
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| Blood Culture (Sepsis) | Blood (See additional) | Specimen transport time upon testing must be <4 hours at room temperature.Adults: At least 2 sets from two separate venepuncture. Multiple blood culture sets collected from the same venepuncture are regarded as one, not separate sets. However, in neonates and infants two venepunctures may not always be possible. Please refer to the RBFT Blood Culture Protocol on the intranet. | Microbiology (7718) | |
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| Blood Film | EDTA Blood (4 mL) | A blood film will be laboratory generated if the results and / or clinical details suggest this will be clinically helpful. | Haematology (7693) | 2 | |
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| Blood gases (ABG - includes pH, pO2, pCO2, O2sat, std bicarb, base excess) | Syringe (Heparinised) Arterial Blood | This test is currently unavailable from the lab. Please use other blood gas analysers located around the trust. Contact bleep 293 if you need assistance. |
Biochemistry (7704) | |
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| BNP (NT-proBNP) | Lithium Heparin Blood (5 mL) | For the investigation of patients with symptoms of heart failure. N.B test only offered for primary care. |
Biochemistry (7704) | 5 | |
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| Bone Profile | SST, Plain or Lithium Heparin Blood (5 mL) | Includes calcium, phosphate, ALP and albumin. In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| C1-esterase inhibitor | SST or Plain Blood (5 mL) | For the diagnosis of angioneurotic oedema. C4 should be requested at the same time. C1-esterase inhibitor will not be analysed if C4 is normal. | Biochemistry Referred Test (7704) | 14 to 21 | |
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| CA 125 (CA125) | SST or Plain Blood (5 mL) | Follow NICE Ovarian Cancer Guidance CG122 (2011) which states: Measure CA125 in primary care if a woman (especially if 50 or over) reports having any of the following symptoms on a persistent or frequent basis (particularly more than 12 times per month): - persistent abdominal distension (women often refer to this as “bloating”) - feeling full (early satiety) and/or loss of appetite - pelvic or abdominal pain - increased urinary urgency and/or frequency CA125 should also be measured in any woman of 50 or over who has experienced symptoms within the last 12 months that suggest irritable bowel syndrome (IBS), because IBS rarely presents for the first time in women of this age. |
Biochemistry (7704) | 2 | |
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| CA 15-3 (CA153) | SST or Plain Blood (5 mL) | For the follow up of breast cancer. Not useful for screening or diagnosis of cancer. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| CA 19-9 (CA199) | Plain Blood (5 mL) | For the follow up of known pancreatic and other gastrointestinal cancers. Not useful for screening or diagnosis of cancer. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Caeruloplasmin | SST, Plain or Lithium Heparin Blood (5 mL) | Refer to copper. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Calcitonin | SST or Plain Blood (5 mL) | For the diagnosis of Medullary Carcinoma of the thyroid. Overnight fasting sample required. Inform lab before taking specimen and urgently transport specimen on ice to laboratory once taken. | Biochemistry Referred Test (7704) | 14 to 21 | |
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| Calcium | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Calcium | Acidified 24hr Urine 24hr Urine | Biochemistry (7704) | 2 | |
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| Calculus (renal) (stone / calculi) | Universal Calculus | For the investigation of the chemical composition of the calculus | Biochemistry Referred Test (7704) | 10 | |
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| Carbamazepine | SST, Plain or Lithium Heparin Blood (5 mL) | Need to know time since last dose. Ideally collect sample shortly before a dose is to be taken. | Biochemistry (7704) | <1 | |
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| Carbapenemase Producing Enterobacteriaceae (CPE) screen | Microbiology (7718) | |
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| CarboxyHaemoglobin/ Methaemoglobin | Lithium Heparin Blood (5 mL) | For hospital users, please note that this test should be carried out on the blood gas analysers available on site at several wards and departments. | Biochemistry (7704) | 1 | |
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| Cardiac Enzymes, Profile | SST, Plain or Lithium Heparin Blood (5 mL) | Includes CK. In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Catecholamines | Acidified 24hr Urine Blood (5 mL) | This test is no longer offered and has been replaced by metadrenalines. | Biochemistry (7704) | |
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| CEA | SST or Plain Blood (5 mL) | Not useful for screening or diagnosis of colorectal cancer. | Biochemistry (7704) | 2 | |
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| Cell Markers | EDTA Blood (4 mL) | To be requested on advice of Consultant Haematologist. GP requests should not be sent on Fridays. | Haematology (7693) | |
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| Chloride (Cl-) | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | <1 | |
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| Cholesterol | SST, Plain or Lithium Heparin Blood (5 mL) | No need to be fasting if required in isolation. | Biochemistry (7704) | 1 | |
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| Cholinesterase (serum) | SST or Plain Blood (5 mL) | For the investigation of suxamethonium sensitivity and organophosphate poisoning. | Biochemistry Referred Test (7704) | 14 to 21 | |
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| Chromagranin A and B | EDTA Blood (2 x 4 mL) | Requires two 4ml EDTA samples. To be sent on ice to the laboratory within 15 minutes of collection. | Biochemistry Referred Test (7704) | 21 to 28 | |
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| Chromium/ Cobalt | Trace Metals Blood (5 mL) | Usually only in secondary care for symptomatic patients post hip prosthesis with ASRTM acetabular cups | Biochemistry Referred Test (7704) | 21 | |
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| Clostridium Difficile | Polycon Container or Universal Faeces | Bristol Stool Chart 5 - 7. Transport time should be less than 2hrs. Between 2200 - 0700: Prior approval by the CMM on call is mandatory. Upon collection of the specimen please notify the laboratory of sample's arrival to expedite testing. | Microbiology (7718) | |
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| Clotting Screen (INR/APTR) | Citrate Blood (2.7 or 1.8 mL) | Must be received in laboratory on day of collection | Coagulation (7695) | 1 | |
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| CMV PCR | Urine | Please request from the department a 3ml CMV transport medium container. | Virology (7715) | |
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| Cold Agglutinins | Plain Blood (6 mL) | Sample must be kept at 37 degrees C. Please send patient for blood collection at RBH Pathology Outpatients | Blood Bank (7697) | 7 days | |
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| Complement (C3 C4) | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
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| Conjugated Bilirubin | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | <1 | |
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| Copper | SST, Plain or Lithium Heparin Blood (5 mL) | For the investigation of Wilson's disease. Caeruloplasmin should be requested at the same time (except in TPN). | Biochemistry Referred Test (7704) | 28 | |
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| Corenal Ulcer | Bed-side inoculated slide and culture Corneal scraping | Microbiology (7718) | |
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| Cortisol | Plain 24hr Urine 24hr Urine | Details in the Endocrinology E-Book. | Biochemistry (7704) | 21 | |
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| Cortisol | SST, Plain or Lithium Heparin Blood (5 mL) | Random levels of limited value. Best investigated by appropriate dynamic test. More details in the Endocrinology E-Book. |
Biochemistry (7704) | 2 | |
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| C-Peptide | Lithium Heparin Blood (5 mL) | Request together with Insulin for the investigation of hypoglycaemia in adults and children. More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 7 to 14 | |
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| C-Reactive Protein (CRP) | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | <1 | |
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| Creatinine | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Creatinine Clearance | Plain 24hr Urine 24hr Urine | A paired serum sample for creatinine is necessary for creatinine clearance calculation. | Biochemistry (7704) | 2 | |
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| Creatinine Kinase (CK) | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Crossmatch | 6ml EDTA Blood (6 mL) | Blood Bank (7697) | |
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| Cryoglobulins | Plain Blood (5 mL) | Patient must attend South Block Blood Tests clinic if they require this test. | Biochemistry Referred Test (7704) | 21 to 28 | |
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| CSF Culture and Sensitivity | Universal CSF (0.5 mL) | More information | Microbiology (7718) | |
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| CSF Glucose | Fluoride Oxalate CSF (0.5 mL) | A blood (fluoride oxalate - grey top) sample for glucose should be taken at the same time.
Specimen must NOT be sent via the pneumatic air-tube system. |
Biochemistry (7704) | <1 | |
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| CSF Lactate | Fluoride Oxalate CSF (0.5 mL) | For the investigation of inherited metabolic disorders with lactic acidaemia.
Paired blood lactate necessary.. Fluoride tubes should be brought to lab on ice ASAP. Specimen must NOT be sent via the pneumatic air-tube system. |
Biochemistry Referred Test (7704) | |
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| CSF Oligoclonal bands | Universal CSF (0.5 mL) | A blood sample (SST or Plain tube) should be taken at the same time.
Specimen must NOT be sent via the pneumatic air-tube system. |
Biochemistry Referred Test (7704) | 21 | |
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| CSF Protein | Universal CSF (0.5 mL) | Blood-stained CSF is not suitable for this test.
Specimen must NOT be sent via the pneumatic air-tube system. |
Biochemistry (7704) | <1 | |
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| CSF Xanthochromia | Universal CSF (0.5 mL) | Sample should be collected at least 12h post onset of symptoms. Collect at least 1.0 ml of the fourth sample. Protect sample from light.
To arrive in Biochemistry within one hour of collection. Please highlight request on form and bleep 293 before sending specimen.
This test is only offered during normal working hours. If you require this test at any other time, please contact the on call consultant biochemist via the switchboard. Sample must NOT be sent via the pneumatic air-tube system. |
Biochemistry (7704) | 2 | |
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| Culture for Atypical Mycobacteria including MAI | Citrate Blood | 4.5ml glass vacutainers only Two 5mL blood samples are required. Referred to Specialist reference laboratory. |
Microbiology (7718) | 42 | |
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| Cyclosporin/ Ciclosporin | EDTA Blood (4 mL) | Separate sample required. Sample should be taken pre-dose or at 12 hours post dose. Results are available sooner via Oxford's 'Proton' system. |
Biochemistry Referred Test (7704) | 7 | |
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| Cystic fibrosis carrier status | EDTA Blood (4 mL) | Only useful if sweat test is positive or persistently equivocal. If there is a family member with a CF or known carrier status, please provide name, relationship and mutation. | Biochemistry Referred Test (7704) | 21 to 28 | |
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| Cystine | Acidified 24hr Urine 24hr Urine | Biochemistry Referred Test (7704) | 21 | |
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| Cystine Screening Test | Acidified 24hr Urine Blood (5 mL) | This test is no longer offered. Refer to Cysteine |
Biochemistry Referred Test (7704) | 7 | |
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| Cytology | 60ml Dry Vial Random Urine (10 mL) | Must be received in laboratory on day of collection | Cytology | 3 | |
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| Cytology | 60ml Dry Vial Sputum | Must be received in laboratory on day of collection | Cytology | 3 | |
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| D-Dimers (FDPs) | Citrate Blood (2.7 or 1.8 mL) | Must be received in laboratory on day of collection | Coagulation (7695) | 1 | |
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| Digoxin | SST, Plain or Lithium Heparin Blood (5 mL) | Sample should be taken 6-8 hours post dose. A potassium level is useful for the interpretation of digoxin. | Biochemistry (7704) | <1 | |
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| Direct Coombs Test | 6ml EDTA Blood (6 mL) | Blood Bank (7697) | 2 | |
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| Discitis | Polycon Container or Universal Disc Biopsy | Transport time less than 2hrs at room temperature and 2-48hrs refigerated. | Microbiology (7718) | |
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| Elastase | Universal Faeces (1 g) | For the investigation of malabsorption. | Biochemistry Referred Test (7704) | 14 to 21 | |
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| Endophtlamitis or surgery specimens (C&S) | Syringe Aqueous humour tap, vitreal biopsy | Syringe without needle (use steile syringe cap). Transport time must be < 2 hours at room temperature. | Microbiology (7718) | 24 - 72 hrs | |
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| Erythropoietin (EPO) | SST or Plain Blood (5 mL) | Biochemistry Referred Test (7704) | 7 to 24 | |
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| ESR | EDTA Blood (4 mL) | Both FBC & ESR can be done on one fully-filled 4ml lavender bottle. | Haematology (7693) | 2 | |
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| EV PCR for CSF | Polycon Container or Universal | Microbiology (7718) | 3 | |
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| Eye Swab, Culture and Sensitivity, Virus and Chlamydia | Swab | More information | Microbiology (7718) | |
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| Factor Assay | Citrate Blood (2 x 2.7 mL) | Requires two 2.7ml samples. Please contact the department if paediatric samples are to be taken. | Coagulation (7695) | 21 | |
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| Factor V Leiden (FVL) | EDTA Blood (4 mL) | Test performed at North Middlesex Hospital | Coagulation (7695) | 56 | |
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| Faecal Calprotectin | Polycon Container Faeces (1 g) | May be useful to help differentiate non-inflammatory bowel disorders (e.g. irritable bowel syndrome) and inflammatory bowel disease (e.g. ulcerative colitis and Crohn's disease). Calprotectin will also be elevated in some cases of GI tract malignancy (e.g. colorectal cancer). Please only request after discussion with Gastroenterology or by following the protocol. | Biochemistry (7704) | 7 | |
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| Faecal Occult Blood (FOB) | Polycon Container Faeces (1 g) | From November 2014 this test no longer routinely offered, except for Paediatric requests. | Biochemistry (7704) | 2 to 4 | |
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| Ferritin | SST or Plain Blood (5 mL) | Biochemistry (7704) | 2 | |
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| Fibrinogen | Citrate Blood (2.7 or 1.8 mL) | Must be received in laboratory on day of collection | Coagulation (7695) | 1 | |
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| Flecainide | Plain or EDTA Blood (4 mL) | Only useful in children. Sample to be taken pre-dose or 5hrs post-dose. Please discuss with Duty Biochemist. | Biochemistry Referred Test (7704) | 2 to 4 | |
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| Flu A/B PCR | Swabs in VTM Nose and Throat Swabs. Nasal aspirate/ washes | Specimen transport time < 2 hrs at room temperature and 2 - 72 hrs refrigerated. Between 2200 - 0700: Prior approval by the CMM on call is mandatory. Upon collection of the specimen please notify the laboratory of sample's arrival to expedite testing. | Virology (7715) | 2.5hrs | |
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| Folate | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
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| Follicle Stimulating Hormone (FSH) | SST, Plain or Lithium Heparin Blood (5 mL) | Stage of cycle is useful for interpretation. Not useful when on OCP or HRT. | Biochemistry (7704) | 2 | |
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| Free fatty acids | Lithium Heparin Blood (5 mL) | For the investigation of neonatal/infantile hypoglycaemia. The sample should be sent to the laboratory immediately (less than 30 mins). | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Fructosamine | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 7 | |
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| FT3 | SST, Plain or Lithium Heparin Blood (5 mL) | Not routinely measured. More details in the Endocrinology E-Book. |
Biochemistry (7704) | 2 | |
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| FT4 | SST, Plain or Lithium Heparin Blood (5 mL) | Details in the Endocrinology E-Book. | Biochemistry (7704) | 2 | |
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| Full Blood Count (FBC) | EDTA Blood (4 mL) | Both FBC & ESR can be done on one fully-filled 4ml lavender bottle. | Haematology (7693) | 2 | |
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| G6PD | EDTA Blood (4 mL) | For the diagnosis of G6PD deficiency. Interferences: Leukocytes & platelets: cause interference if present beyond normal levels. Copper & Sulphate ions: have been shown to decrease observed levels of G6PD. Higher levels of G6PD are found after a haemolytic crisis as reticulocytes have higher G6PD levels than mature cells. |
Biochemistry (7704) | 2 to 4 | |
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| Galactose-1-phosphate uridyl transferase | Lithium Heparin Blood (5 mL) | For the diagnosis of Galactosaemia. Please discuss with Duty Biochemist. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Gamma GT | SST, Plain or Lithium Heparin Blood (5 mL) | Not usually helpful if other LFTs significantly abnormal. Helpful in finding out the source of raised Alkaline phosphatase. | Biochemistry (7704) | <1 | |
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| Gastric Washings for AFB Culture | Gastric Washings | Please contact the department in advance for a specimen container and to make arrangments. | Microbiology (7718) | 5 | |
|
| Gastrin | EDTA Blood (4 mL) | Requires four 4ml EDTA samples. To be sent on ice to the laboratory within 15 minutes of collection. Overnight fasting necessary. Must stop proton pump inhibitors for 2 weeks and H2 antagonists for three days. Do not request all gut hormones if only gastrin is necessary. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Genital HSV | Virus Transport Media | Transport Time less than 2 hours. | Virology (7715) | 3 | |
|
| Genital Specimens, Culture and Sensitivity | Transwab Swab | More information | Microbiology (7718) | |
|
|
| Genital Swabs, Chlamydia Detection | Chlamydia Swab Swab | Specimens should be collected using the transport kits provided. A swab from the endocervix is the specimen of choice for females. Include the details of the anatomical site, relevant clinical information, age and EDD if pregnant. | Microbiology (7718) | |
|
|
| Gentamycin Assay-TDM | Plain Blood | Please refer to IV gentamicin/IV teicoplanin/IV vancomycin guide line on the RBFT Intranet. | Microbiology (7718) | |
|
|
| Glucagon | EDTA Blood (4 mL) | Requires four 4ml EDTA samples. To be sent on ice to the laboratory within 15 minutes of collection. Overnight fasting necessary. Must stop proton pump inhibitors for 2 weeks and H2 antagonists for three days. Do not request all gut hormones if only gastrin is necessary. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Glucose (as part of profile) | SST, Plain or Lithium Heparin Blood (2 mL) | Time limit for acceptable result is two hours from collection. | Biochemistry (7704) | <1 | |
|
| Glucose (as single test) | Fluoride Oxalate Blood (2 mL) | Biochemistry (7704) | <1 | |
|
|
| Glucose Tolerance Test (GTT) | Fluoride Oxalate Blood (2 mL) | Click for GP information or for patient information. |
Biochemistry (7704) | 1 | |
|
| Group & Save | 6ml EDTA Blood (6 mL) | Sample must be handwritten. Adhesive and addressograph labelled samples will not be accepted. | Blood Bank (7697) | 2 | |
|
| Growth hormone | SST or Plain Blood (5 mL) | Random measurement not useful for investigation of low stature. Best investigated by appropriate dynamic test or IGF-1. More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 7 to 14 | |
|
| Gut hormones | EDTA Blood (4 x 4 mL) | Requires four 4ml EDTA samples. To be sent on ice to the laboratory within 15 minutes of collection. Overnight fasting necessary. Must stop proton pump inhibitors for 2 weeks and H2 antagonists for three days. Do not request all gut hormones if only gastrin is necessary. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Haematinics (Ferritin, B12, Folate) | SST or Plain Blood (5 mL) | Biochemistry (7704) | 2 | |
|
|
| Haemochromatosis gene | EDTA and SST Blood (See additonal info) | Request only in cases with haematinics suggestive of haemochromatosis. Two x 4mL EDTA tubes and one 2mL SST tube necessary. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Haemoglobin A1c (HbA1c) | EDTA Blood (4 mL) | Biochemistry (7704) | 3 | |
|
|
| Haemoglobinopathy Screen | EDTA Blood (4 mL) | Haematology (7693) | 3 | |
|
|
| Haptoglobin | SST Blood (5 mL) | For the investigation of haemolysis | Biochemistry (7704) | 7 | |
|
| H-bodies (HbH Disease) | EDTA Blood (4 mL) | Non UKAS accredited test. | Haematology (7693) | 2 | |
|
| HDL Cholesterol | SST, Plain or Lithium Heparin Blood (5 mL) | Overnight fasting sample required (12 - 14 hours). Water can be taken. | Biochemistry (7704) | 1 | |
|
| Heliobacter Antibody | SST Blood | Virology (7715) | 3 | |
|
|
| Hepatitis Serology (A, B, C) | SST Blood | A 6ml SST sample is required. Hepatitis A IgM is measured only in patients less than 70 yrs old. | Virology (7715) | 2 | |
|
| HIV Antibodies | SST Blood | More information | Virology (7715) | 2 | |
|
| HIV-1/2 antibodies and HIV-1 p24 antigens | SST Blood | Transport time < 2 hrs. Between 2200 - 0700: Prior approval by the CMM on call is mandatory. Upon collection of the specimen please notify the laboratory of sample's arrival to expedite testing. | Virology (7715) | |
|
|
| HLA B27 | 6ml EDTA Blood (6 mL) | Blood Bank (7697) | 21 | |
|
|
| Homocysteine | EDTA Blood (4 mL) | As a risk factor for cardiovascular disease. Immediate transport to laboratory required | Biochemistry Referred Test (7704) | 14 to 42 | |
|
| Homocysteine | Universal Random Urine (20 mL) | For the investigation of patients with possible homocystinuria. | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Homovalinic acid | Universal Random Urine (20 mL) | For the investigation of children with possible neuroblastoma. Send to the laboratory immediately for acidification. More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 7 to 14 | |
|
| HSV PCR for CSF | Polycon Container or Universal | This is a reference lab test. | Microbiology (7718) | 3 | |
|
| Human Chorionic Gonadotropin (hCG) | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | <1 | |
|
|
| IgE | SST Blood (5 mL) | For the investigation of allergy. | Biochemistry (7704) | 7 | |
|
| IGF-1 | SST or Plain Blood (5 mL) | For the investigation of growth hormone disorders. More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 7 to 14 | |
|
| Immunoglobulins (IgG, IgA, IgM) | SST Blood (5 mL) | Biochemistry (7704) | 2 | |
|
|
| Immunoreactive Trypsin | Guthrie Spot Blood | For the investigation of cystic fibrosis. In children older than 3 months do sweat test instead. | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Infectious Mononucleosis (IM) Screen | EDTA Blood (4 mL) | Haematology (7693) | 2 | |
|
|
| INR | Citrate Blood (2.7 or 1.8 mL) | Must be received in laboratory on day of collection | Coagulation (7695) | 1 | |
|
| Insulin | Lithium Heparin Blood (5 mL) | Together with C-peptide for the investigation of hypoglycaemia in adults and children (plasma glucose has to be <2.5 mmol/L). For the investigation of insulin resistance in children (insulin only, whatever the plasma glucose level). More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Iron | SST, Plain or Lithium Heparin Blood (5 mL) | A request for Iron will usually include Iron, Transferrin and Transferrin Saturation | Biochemistry (7704) | <1 | |
|
| Joint Fluid/ Aspirate (C&S) | Polycon Container or Universal Joint Fluid/ Aspirate | Sample storage and transport times upon testing < 24 hours at room temperature. | Microbiology (7718) | 24 - 72 hrs (neg) <5 days (pos) | |
|
| Joint Fluid/ Aspirate (Gram Stain) | Polycon Container or Universal Joint Fluid/ Aspirate | Sample storage and transport times upon testing < 24 hours at room temperature. | Microbiology (7718) | < 2 hours | |
|
| Kleihauer | 6ml EDTA Blood (6 mL) | Blood Bank (7697) | 2 | |
|
|
| Lactate | Fluoride Oxalate Blood (2 mL) | Contact ext:7704 or bleep out of hours staff (bleep 293) before sending.
Immediate transport to laboratory required. |
Biochemistry (7704) | <1 | |
|
| Lactate dehydrogenase (LDH) | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Lead (blood) | EDTA Blood (4 mL) | Separate sample required. For the investigation of lead exposure. |
Biochemistry Referred Test (7704) | 7 to 14 | |
|
| Lipid profile | SST, Plain or Lithium Heparin Blood (5 mL) | Fasting (overnight 12-14hrs). triglyceride, cholesterol [if the cholesterol is greater than 6.5 mmol/L, then HDL-cholesterol will also be measured] | Biochemistry (7704) | 1 | |
|
| Liquid Pus and Other Fluid Specimen, Culture and Sensitivity | Fluid | More information | Microbiology (7718) | |
|
|
| Lithium | SST or Plain Blood (5 mL) | Taken 12 hours post dose. This can not be a Lithium Heparin sample. |
Biochemistry (7704) | <1 | |
|
| Liver Function Tests (LFT), (profile) | SST, Plain or Lithium Heparin Blood (5 mL) | Includes total protein, albumin, globulins, alkaline phosphatase, ALT, total bilirubin. In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Lupus Anticoagulant | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Please contact the department if paediatric samples are to be taken. | Coagulation (7695) | 56 | |
|
| Luteinizing Hormone (LH) | SST, Plain or Lithium Heparin Blood (5 mL) | State day in cycle or menstrual status. Not useful in determining menopausal status. | Biochemistry (7704) | 2 | |
|
| Magnesium | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Malaria Parasites | EDTA Blood (4 mL) | Haematology (7693) | 1 | |
|
|
| Manganese | Trace Metals Blood (5 mL) | For assessment of manganese status in TPN patients please consult the TPN team | Biochemistry Referred Test (7704) | 21 | |
|
| Metadrenalines | Acidified 24hr Urine or Plain 24hr Urine 24hr Urine | Only two 24hr urines are necessary for the diagnosis of phaechromocytoma or neuroblastoma, preferrably when the patient is symptomatic. Random urines are accepted in very small children. More details in the Endocrinology E-Book. |
Biochemistry (7704) | 7 to 14 | |
|
| Metadrenalines | Lithium Heparin Blood (5 mL) | Not routinely offered unless patient cannot produce urine. More details in the Endocrinology E-Book. |
Biochemistry (7704) | 14 to 21 | |
|
| Microalbumin/ Urine albumin:creatinine ratio | Monovette® Random Urine (10 mL) | Biochemistry (7704) | 3 | |
|
|
| Microbiology, Urine Culture and Sensitivity | Boric Monovette® Mid-Stream Urine | Monovette®. Please specify MSU, CSU etc. and include clinical details, the date and time of collection and previous and intended antibiotic therapy. The sample should be refrigerated before transport to the department. If examination for Leptospira or Schistosomes is required, please contact the department first. | Microbiology (7718) | 3 | |
|
| MRSA Screen | Transwab Nose/Throat | For all admitted patients | Microbiology (7718) | 1 or 2 | |
|
| MTHFR Gene Mutation | EDTA Blood (4 mL) | Test performed at North Middlesex Hospital | Coagulation (7695) | 56 | |
|
| Mucopolys. (urine GAG) | Universal Random Urine (20 mL) | For the investigation of mucopolisaccharidoses. | Biochemistry Referred Test (7704) | 7 to 14 | |
|
| Mycobacterium tuberculosis (MTB) (Culture) | Microbiology (7718) | |
|
|||
| Mycobacterium tuberculosis (MTB) (Microscopy) | Microbiology (7718) | |
|
|||
| Mycobacterium tuberculosis (MTB) (PCR) | Polycon Container or Universal Sputum BAL/NBL, if performed | Transport time must be <2hrs at room temperature. Between 2200 - 0700: Prior approval by the CMM on call is mandatory. Upon collection of the specimen please notify the laboratory of sample's arrival to expedite testing. | Microbiology (7718) | |
|
|
| Mycology - Fungal Culture - Skin Nail Hair | 60ml Dry Vial Tissue | More information | Microbiology (7718) | 21 | |
|
| Necrotising skin and soft tissue infection specimens e.g, Necrotising fascilltis or incision and drainage of abscesses | Polycon Container or Universal Tissue Specimen or Pus | Tranport time upon testing must be < 2 hours at room temperature and 2 - 72 hours refigerated. | Microbiology (7718) | |
|
|
| Neurone-specific enolase | SST or Plain Blood (5 mL) | For the follow-up of APUD tumours and small-cell bronchial carcinoma | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Oestradiol | SST, Plain or Lithium Heparin Blood (5 mL) | Should not be measured to monitor HRT except in subjects with implant. Levels may be misleading during menopausal transition. Rely on FSH. | Biochemistry (7704) | 2 | |
|
| Oligosaccharides | Universal Random Urine (20 mL) | For the investigation of oligosaccharidoses. | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Organic Acids | Universal Random Urine (20 mL) | Useful in the investigation of certain inherited errors of metabolism. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Orthopaedic Impant-associated infections | Polycon Container or Universal Tissue Biopsy 1 x 0.5 x 0.5 cm3 | Transport time less than 2hrs at room temperature and 2-48hrs refigerated. 2 biopsies from the inside of the capsule prior to any manipulation of the prosthesis, (One specimen/ polycon or universal container) 3 biopsies from the Interface membrane, the membrane between the prosthesis and the bone (One specimen/ polycon or universal container) Debridement specimens from fracture fixation operations or prosthetic joint washout procedures (One specimen/ polycon or universal container) | Microbiology (7718) | |
|
|
| Orthopaedic Implant-associated infections | Polycon Container or Universal Synovial Fluid | Transport time less than 2hrs at room temperature and 2-48hrs refigerated. Preoperative aseptically collected SF, in theatre or under X-ray guidance in sterile polycon/universal container. Intra-operative joint aspirate before incision of the joint capsule in sterile polycon/universal container. | Microbiology (7718) | |
|
|
| Osmolality | SST Blood (5 mL) | Details in the Endocrinology E-Book. | Biochemistry (7704) | 1 | |
|
| Osmolality | Monovette® Random Urine (10 mL) | Details in the Endocrinology E-Book. | Biochemistry (7704) | 2 | |
|
| Oxalate | Acidified 24hr Urine 24hr Urine | For the investigation of patients with renal stones. | Biochemistry Referred Test (7704) | 21 | |
|
| P1NP | Lithium Heparin or Plain Blood (5 mL) | For the follow up of patients with osteoporosis. This test substitutes P1CP, which is no longer offered. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Pancreatic Polypeptide | Lithium Heparin + trasylol Blood (5 mL) | Refer to gut hormones. Special sample tube required. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Paracetamol | SST, Plain or Lithium Heparin Blood (5 mL) | Please consider timing in relation to OD. Only one measurement is necessary (unless first measurement was before 4 hours post dose). | Biochemistry (7704) | <1 | |
|
| Parathyroid Hormone (PTH) | EDTA Blood (4 mL) | Separate EDTA sample required | Biochemistry (7704) | 2 | |
|
| Perinasal Swab, Culture for Bordetella Pertussis (Whooping Cough) | Pernasal Swab Swab | More information | Microbiology (7718) | |
|
|
| Peritoneal Dialysate (PD) Fluid Cell Count | Polycon Container or Universal PD Fluid (2-3 mL) | Specimen transport and storage <2 hours at room temperature. PMN cells disingtegrate (32% in 1 hour and 50% in 2 hours) | Microbiology (7718) | <2hrs | |
|
| Phenobarbital | SST or Plain Blood (5 mL) | Preferred time is pre-dose. | Biochemistry (7704) | <1 | |
|
| Phenylalanine | Guthrie Spot Blood | For the follow up of known PKU patients | Biochemistry (7704) | 5 to 10 | |
|
| Phenytoin | SST, Plain or Lithium Heparin Blood (5 mL) | Preferred time is pre-dose. | Biochemistry (7704) | <1 | |
|
| Phosphate | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Phosphate | Acidified 24hr Urine 24hr Urine | Biochemistry (7704) | 2 | |
|
|
| Platelet Aggregation Studies | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Please liase with the department if samples are to be taken. Test performed at Haemophilia Centre, Churchill Hospital. | Coagulation (7695) | 56 | |
|
| Platelet Antibodies | Blood | Contact laboratory for details | Blood Bank (7697) | 21 | |
|
| Platelet Function Analysis (PFA-100) | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Please liase with the department if samples are to be taken. Test performed at Haemophilia Centre, Churchill Hospital. | Coagulation (7695) | 56 | |
|
| Platelet Function Test | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Please liase with the department if samples are to be taken. Test performed at Haemophilia Centre, Churchill Hospital. | Coagulation (7695) | 56 | |
|
| Pleural Culture and Sensitivity | Fluid | More information | Microbiology (7718) | |
|
|
| Pleural Fluid Glucose | Fluoride Oxalate Pleural Fluid (2 mL) | A fresh sample is required | Biochemistry (7704) | 1 | |
|
| Pleural fluid protein, pH and LDH | Universal Pleural Fluid (10 mL) | A fresh sample should be sent for pH. If these tests are required outside normal working hours then please contact the laboratory directly by bleeping 293. | Biochemistry (7704) | 1 | |
|
| Porphyrins | Universal Random Urine (20 mL) | Sample should be protected from light e.g. with aluminium foil. | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Porphyrins | Polycon Container Faeces (1 g) | Sample should be protected from light e.g. with aluminium foil. | Biochemistry Referred Test (7704) | 21 | |
|
| Porphyrins (red cell) | EDTA Blood (4 mL) | Separate sample required. Sample should be protected from light e.g. with aluminium foil. |
Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Post-Hep B Vaccine Immune Status | SST Blood | More information | Virology (7715) | |
|
|
| Potassium (K+) | SST, Plain or Lithium Heparin Blood (5 mL) | Must be received in laboratory on day of collection. In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Pregnancy Test | 60ml Dry Vial Urine | More information | Microbiology (7718) | 2 | |
|
| Progesterone | SST, Plain or Lithium Heparin Blood (5 mL) | Useful only if collected during mid-luteal phase - day 21 - in 28 days cycles or estimated 7 days before period in long or short cycles. Random levels are not useful. Not helpful in amenorrhoea. | Biochemistry (7704) | 2 | |
|
| Prolactin | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
|
|
| Prostate Specific Antigen (PSA) | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
|
|
| Protein | Monovette® Random Urine (10 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Protein Electrophoresis | SST or Plain Blood (5 mL) | Biochemistry (7704) | 7 | |
|
|
| Protein S Free Antigen (PSFA) | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Please contact the department if paediatric samples are to be taken. | Coagulation (7695) | 56 | |
|
| Prothrombin Gene Mutation (PGM) | EDTA Blood (4 mL) | Test performed at North Middlesex Hospital | Coagulation (7695) | 56 | |
|
| Pyridoxine | Lithium Heparin Blood (5 mL) | Refer to Vitamin B6 | Biochemistry Referred Test (7704) | |
|
|
| Red Cell Folate (RCF) | Blood (5 mL) | Red cell folate testing has been withdrawn as from 18/3/13 as it is now considered to have no benefit over serum folate as an indication of folate deficiency. Folate replacement therapy should be started on the basis of low serum folate alone. | Biochemistry (7704) | |
|
|
| Reducing Substances (FRS) | Polycon Container Faeces (1 g) | Must be received in laboratory within 3 hours of collection. Mark requests as 'URGENT ' |
Biochemistry (7704) | 10 | |
|
| Reducing Substances (URS) | Monovette® Random Urine (10 mL) | Must be received in laboratory within 3 hours of collection. Mark requests as 'URGENT ' |
Biochemistry (7704) | 10 | |
|
| Renal Profile | SST, Plain or Lithium Heparin Blood (5 mL) | Includes sodium, potassium, bicarbonate, urea, creatinine, calcium, albumin, urate & phosphate. | Biochemistry (7704) | <1 | |
|
| Renin | Lithium Heparin Blood (5 mL) | Lying and ambulatory samples necessary for investigation of primary hyperaldosteronism. Random sample only for monitoring fluorocortisone replacement in CAH. Sample should be sent to Biochemistry within half an hour of collection. More details in the Endocrinology E-Book. |
Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Respiratory syncytial virus (RSV) Antigen | NPA collection Kit Nasal Pharyngeal Aspirate | More information Between 2200 - 0700: Prior approval by the CMM on call is mandatory. Upon collection of the specimen please notify the laboratory of sample's arrival to expedite testing. | Virology (7715) | <2 hrs | |
|
| Reticulocytes | EDTA Blood (4 mL) | Must be received in laboratory on day of collection | Haematology (7693) | 2 | |
|
| Rheumatoid Factor | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
|
|
| Rubella Antibodies | SST Blood | More information | Virology (7715) | |
|
|
| Salicylate | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | <1 | |
|
|
| Selenium | Trace Metals Blood (5 mL) | For the assessment of selenium status in patients with special diets (eg. PKU). In long term TPN patients (>3 weeks, once every 4 weeks). | Biochemistry Referred Test (7704) | 7 to 14 | |
|
| Serum free light chains (SFLC) | SST Blood (5 mL) | Not routinely offered unless for monitoring of known Multiple Myeloma patients by Haematology or Renal consultants. | Biochemistry (7704) | 14 | |
|
| Sex Hormone Binding Globulin (SHBG) | SST Blood (5 mL) | Biochemistry (7704) | 7 | |
|
|
| Sickle Test (Solubility) | EDTA Blood (4 mL) | Both FBC & the Sickle Test can be done on one fully-filled 4ml lavender bottle. | Haematology (7693) | 1 | |
|
| Sickle/Thalassaemia screen | EDTA Blood (4 mL) | Haematology (7693) | 1 | |
|
|
| Small Biopsy | Cellstor Tissue | Histology | 7 | |
|
|
| Sodium (Na+) | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Somatostatin | EDTA Blood (4 mL) | Requires four 4ml EDTA samples. To be sent on ice to the laboratory within 15 minutes of collection. Overnight fasting necessary. Must stop proton pump inhibitors for 2 weeks and H2 antagonists for three days. Do not request all gut hormones if only gastrin is necessary. | Biochemistry Referred Test (7704) | 21 to 28 | |
|
| Sputum Culture and Sensitivity | 60ml Dry Vial Sputum | More information | Microbiology (7718) | |
|
|
| Sputum for Acid Fast Bacilli Culture | 60ml Dry Vial Sputum | More information | Microbiology (7718) | |
|
|
| Steroid profile | Plain 24hr Urine 24hr Urine | For the investigation of newborns with ambiguous genitalia. | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| STS (Syphilis Screen) | SST Blood | More information | Virology (7715) | 7 | |
|
| Swab Samples (wound, ulcer, skin lesion etc.) Culture and Sensitivity/Virus Culture | Swab | More information | Microbiology (7718) | |
|
|
| Sweat Chloride | Wescor Macroduct Collector Sweat | For the diagnosis of Cystic Fibrosis. | Biochemistry (7704) | 2 | |
|
| Tacrolimus | EDTA Blood (4 mL) | Separate sample required. Pre dose level necessary. |
Biochemistry Referred Test (7704) | 7 | |
|
| Tau-protein | Universal Nasal/Ear Fluid (2 mL) | Refer to asialotransferrin | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Teicoplanin Assay-TCM | Plain Blood | Please refer to IV gentamicin/IV teicoplanin/IV vancomycin guide line on the RBFT Intranet. | Microbiology (7718) | |
|
|
| Testosterone | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
|
|
| Theophylline | SST, Plain or Lithium Heparin Blood (5 mL) | Ideally collect samples 4 - 6 hours post dose. | Biochemistry (7704) | <1 | |
|
| Thiopurine methyl transferase (TPMT) | EDTA Blood (4 mL) | Separate sample required. Analysed prior to azathioprine therapy. |
Biochemistry Referred Test (7704) | 7 to 14 | |
|
| Throat Swab, Culture and Sensitivity | Transwab Swab | More information | Microbiology (7718) | |
|
|
| Throat Swab, Virus Culture | Virus Transport Swab | More information | Virology (7715) | |
|
|
| Thrombophilia Screen | Citrate Blood (4 x 2.7 mL) | Includes AT III, Protein C, Protein S Free Antigen and Lupus Anticoagulant - must be received on day of collection. Requires four 2.7ml or six 1.7ml tubes. Please contact the department if paediatric samples are to be taken. Taken in conjunction with an anti-cardiolipin antibody test. | Coagulation (7695) | 28 | |
|
| Thyroglobulin | Plain Blood (5 mL) | For the follow up of papillary and follicular thyroid carcinoma. TSH should be supressed. Thyroglobulin anti-bodies may interfere. | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Thyroid-stimulating Hormone (TSH) | SST, Plain or Lithium Heparin Blood (5 mL) | TSH will be measured as first line test. FT4 or FT3 will be measured as appropriate. Relevant clinical details are vital. More details in the Endocrinology E-Book. |
Biochemistry (7704) | 2 | |
|
| Total Bilirubin | SST Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
|
| Total Protein | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | <1 | |
|
|
| Toxicology | Universal Random Urine (20 mL) | Contact Department for Turnaround Time. All requests that have, or are likely to have, medico/legal consequences must be accompanied by a Chain of Custody form. |
Biochemistry (7704) | 5 | |
|
| Transferrin | SST, Plain or Lithium Heparin Blood (5 mL) | Biochemistry (7704) | 2 | |
|
|
| Transferrin Glycoforms | SST, Plain or Lithium Heparin Blood (5 mL) | For the investigation of inherited metabolic disorders with dysmorphism (not alcoholism). | Biochemistry Referred Test (7704) | 28 to 42 | |
|
| Transketolase (RBC) | Please contact the laboratory (7704) to discuss Blood | No longer routinely offered | Biochemistry Referred Test (7704) | |
|
|
| Triglyceride (Fasting) | SST, Plain or Lithium Heparin Blood (5 mL) | Overnight fasting sample required (12 -14 hours). Water can be taken. No alcohol for 12 hours. |
Biochemistry (7704) | <1 | |
|
| Troponin T (High sensitivity TNT) | Lithium Heparin Blood (5 mL) | Sample should be taken >2 hours post onset of symptoms.
Result interpretation information available from Cardiology. A separate specimen will improve turnaround. |
Biochemistry (7704) | <1 | |
|
| Trypanosomes | EDTA Blood (4 mL) | Haematology (7693) | 2 | |
|
|
| Tryptase | Plain or EDTA Blood (4 mL) | Three specimens necessary: during episode and 4 and 24 hours after. | Biochemistry Referred Test (7704) | 14 to 21 | |
|
| Urea | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Urea & Electrolytes | Monovette® Random Urine (10 mL) | Biochemistry (7704) | 2 | |
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| Urea & Electrolytes | Plain 24hr Urine 24hr Urine | Biochemistry (7704) | 2 | |
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| Urea & Electrolytes (U&E), Profile | SST, Plain or Lithium Heparin Blood (5 mL) | Includes sodium, potassium, creatinine, urea. In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Uric Acid | Plain 24hr Urine 24hr Urine | No Preservative | Biochemistry (7704) | 2 | |
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| Uric Acid | SST, Plain or Lithium Heparin Blood (5 mL) | In patient turn around time <4hrs. Out patient turn around time within 24 hours. | Biochemistry (7704) | <1 | |
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| Urine Albumin to Creatinine ratio (ACR) / Microalbumin |
Monovette® Random Urine (10 mL) | Biochemistry (7704) | 2 | |
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| Urine antigen tests for Legionella and Pneumococcus | Polycon Container or Universal Urine | Transport and stored at room temperature. Between 2200 - 0700: Prior approval by the CMM on call is mandatory. Upon collection of the specimen please notify the laboratory of sample's arrival to expedite testing. | Virology (7715) | <2 hrs | |
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| Urine Protein | Plain 24hr Urine 24hr Urine | Biochemistry (7704) | 2 | |
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| Urine Protein electrophoresis a.k.a Bence Jones Protein (BJP) |
Monovette® Early Morning Urine (10 mL) | Biochemistry (7704) | 7 | |
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| Urine Protein:Creatinine Ratio (PCR) | Monovette® Random Urine (10 mL) | Biochemistry (7704) | 2 | |
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| Valproate | Plain Blood (5 mL) | Routine monitoring not useful as concentration and clinical effect are not correlated. Please discuss with Duty Biochemist. | Biochemistry Referred Test (7704) | 7 to 14 | |
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| Vancomycin Assay-TDM | Plain Blood | Please refer to IV gentamicin/IV teicoplanin/IV vancomycin guide line on the RBFT Intranet. | Microbiology (7718) | |
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| Vancomycin Resistant Enterococcus (VRE) screen | Microbiology (7718) | |
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| Varicella Zoster | SST Blood | Virology (7715) | 2 | |
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| Vasoactive Intestinal Peptide (VIP) | EDTA Blood (4 mL) | Requires four 4ml EDTA samples. To be sent on ice to the laboratory within 15 minutes of collection. Overnight fasting necessary. Must stop proton pump inhibitors for 2 weeks and H2 antagonists for three days. Do not request all gut hormones if only gastrin is necessary. | Biochemistry Referred Test (7704) | |
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| Very long chain fatty acids (VLCFA) | Lithium Heparin or EDTA Blood (4 mL) | For the investigation of peroxisomal disorders. | Biochemistry Referred Test (7704) | 21 to 28 | |
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| Vitamin A | SST, Plain or Lithium Heparin Blood (5 mL) | Protect sample from light. Cholesterol to be analysed at the same time to calculate Vitamin A/cholesterol ratio. | Biochemistry Referred Test (7704) | 14 to 21 | |
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| Vitamin B1 (Thiamine) | Lithium Heparin Blood (5 mL) | The safest confirmatory test of Vitamin B1 deficiency is a trial of vitamin supplementation. Please contact laboratory before sending sample. | Biochemistry Referred Test (7704) | 21 to 28 | |
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| Vitamin B12 | SST, Plain or Lithium Heparin Blood (5 mL) | More information. | Biochemistry (7704) | 2 | |
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| Vitamin B6 | Please contact the laboratory (7704) to discuss Blood | The safest confirmatory test of Vitamin B6 deficiency is a trial of vitamin supplementation. Please contact laboratory before sending sample. Please note that this test is not routinely available and the referral laboratory only accepts samples during normal working hours Monday to Friday. |
Biochemistry Referred Test (7704) | 21 to 28 | |
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| Vitamin D (25 OH) | SST or Plain Blood (5 mL) | Vitamin D and Bone Health: A Practical Clinical Guideline for Patient Management (2013) - National Osteoporosis Society | Biochemistry (7704) | 21 to 28 | |
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| Vitamin E | SST, Plain or Lithium Heparin Blood (5 mL) | Protect sample from light. Cholesterol to be analysed at the same time to calculate Vitamin E/cholesterol ratio. | Biochemistry Referred Test (7704) | 14 to 21 | |
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| VMA | Acidified 24hr Urine 24hr Urine | Refer to Metadrenalines. More details in the Endocrinology E-Book. |
Biochemistry (7704) | 7 | |
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| Von Willebrand's Factor | Citrate Blood (4 x 2.7 mL) | Must be received on day of collection. Requires four 2.7ml samples. Please contact the department if paediatric samples are to be taken. Test performed at Haemophilia Centre, Churchill Hospital | Coagulation (7695) | 56 | |
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| White cell enzymes (WCE) | Lithium Heparin Blood (5 mL) | Contact Biochemistry before sending sample. Samples can only be taken Monday - Thursday during normal working hours. A specific enzyme profile is performed according to clinical details. | Biochemistry Referred Test (7704) | 28 to 56 | |
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| Zinc | Trace Metals Blood (5 mL) | For assessment of zinc status in TPN patients please consult the TPN team | Biochemistry Referred Test (7704) | 21 | |
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