- Saturday, 31 May 2014
Nowadays, laboratory has a special place in new medical profession. Passing the time, the importance & expanse of using diagnosis tests will be more obvious in clinical medicine. Laboratory is of great importance at Shiraz Central Hospital. Having modern equipment, sets and apparatus along with experienced doctors and technicians make it ready to serve patients 24 hours a day. This laboratory is able to do all the routine & specialized tests and. It consists of different sections as follows:
1) Medical Diagnosis Laboratory
3) Pathology & Cytology
4) Blood Bank
6) Urine Analysis
8) Clinical Biochemistry
11) Hormone (Endocrinology)
At Hematology Ward: by using Automatic Blood Cell Counters such as Helena, KX21 & K1000, CBC tests are done. Some other tests which will be done at Hematology ward are: Sickles-Cell Tests, L.E. Cell, G6PD, Retic Count, PT, PTT, Malaria and also Electrophoresis HbF & HbA2. By using Electrophoresis style we are able to determine Minor & Major Thalassemia.
At Blood Bank Section: Cross Match Tests will be done by mixing the patient's serum with donor's blood in order to diagnose the compatibility of patient and donor's blood. One of the most important tests in this ward determines patient's blood group. Coombs test is also done direct & indirect at this ward.
At Microbiology Section: by using the routine base environment and diagnosis environment every kind of infection is diagnosable in every fluid of the body. Different kinds of cultures which can be done in this ward are: 1) Throat Culture, 2) Blood Culture, 3) Urine Culture & all other body fluids Culture. In this part, incubator with 37c heat prepares the necessary environment for the growth of bacteria to be diagnosed.
At Urine Analysis Ward: urine will be checked by using urine stripe first. Then, the number of white, red & other cells in urine will be reported by using a microscope.
At Clinical Biochemistry Ward: chemical routine tests such as PH, LFT, Creatinine, Uric Acid, Cholesterol, TG, LDL, HDL, Ca, FBS & BUN will be done by using different sets as RA1000 & Nova14.
Liver tests including: Total & Direct Bilirubin, ALK-PH, Protein, SGOT, SGPT and Albumin of blood serum will also be done in this ward. Meanwhile, more special tests at chemistry ward are done including: LDH, CPK, TIBC, Fe, Amylase, Troponin, CKMB, Acid Phosphates & Lipase.
Using the Flame Photometer sets Sodium (Na) & Potassium (K) tests will be done. Moreover, Using Cardiac Reader Sets patient's Troponin will be measured in a very short time at this ward.
At Immunology Ward: different kind of tests such as ANCA, Kala-Azar, Toxoplasmosis, IgA, IgG, IgM, ANA, ASO, RF, CRP, C3, C4, and dsDNA will be done by using Elisa & Nephrometry sets and other different modern sets.
At Hormone Ward: Thyroid tests TSH, T3, T4, T3up, PSA TITER and other Hormonic tests will be done by using Elisa set.
At Serology Ward: different tests such as 2ME, ASO, CRP, RA, VDRL, Wright, Widal, BHCG, HIV, HCV, HBS and H. Pylori will be done.
SOME OF OUR LABORATORY'S EQUIPMENTS:
1) Helena Cell Counter (Hb Electrophoresis Helena)
2) Frozen Section
3) Sysmex KX-21
5) ESR Set
6) Eschweiler Electrolyte
7) Nova Phox Blood Gas
8) Serological Water Bath
9) Clay Adams Sero-Fuge
10) ACL Coagulometer
13) Tecan Elisa
14) DiaSorin Liaison Chemiluminescence's Analyzer
15) Zeiss Binocular Microscope
16) IEC Centrifuge
17) SEAC Flame Photometer
18) Cardiac Reader for measuring Troponin, Myoglobin & D- Dimer
19) Technicon RA-1000 Chemistry Analyzer
20) Nova Electrolyte 14+ Analyzer
21) Prestige 24i Chemistry Analyzer
22) Apel Bilirubin Meter
23) Milton Roy Spectronic Analyzer
24) Zeiss Dark Field Binocular Microscope
25) Slee Frozen Section for Pathology use
26) Sakura Tissue Processor
27) Leica Digital Microtome Blade Sharpener
28) Memmert Incubator
29) Automatic Serial ESR-SED-100
30) PCR PX2, Hybaid PCR
31) Sakura Tissue Processor
32) Leitz Automatic Microtome
33) Zeiss Immunofluorescence Microscope
34) Apel Bilirubinometer
35) Advanced Shandon Cytosine for doing Cytology on all different body liquid
36) Sysmex K-1000
37) Blood Bank Refrigerator
All the mentioned equipment are in different models and quantity.
Points which should be considered by patients:
-The best sample for Urine Culture Test is the early morning urine sample.
-Stool test can be done only if patients use the delivered dish.
-Reception of emergency patients will be done 24 hours a day, however, reception of non-emergency patients will be done from 07:30am up to 10:30am except holidays.
-For fast blood sugar test, Urea (BUN), Creatinine, Calcium, Phosphor, Cholesterol, Uric Acid, Iron & Liver (LFT) tests 8 to 12 hours fast is required and it is 14 to 16 hours for Triglyceride.
Two Hours Blood Sugar Test:
First a blood sample will be taken from the fast patient and then the patient must have a complete breakfast (Preferred sweet meals) and refers to laboratory exactly two hours after breakfast. In that time another sample will be taken again.
REMINDER: After having breakfast do not eat anything until the next blood sample is taken.
URIC CULTURE TEST:
Wash urine canal with water & soap sanitarily. Put the middle of the urine sample in a sterile dish which has already been given to patient by laboratory staff.
DIFFERENT KIND OF TESTS WHICH ARE DONE IN THIS LABORATORY:
-Frozen Section Pathology
-Quantitative D. Dimer
-Bone Marrow Aspiration & Biopsy
-Fine Needle Aspiration (FNA) Source (Site) bar body
HEMATHOLOGY & COAGULATION
-Hb & HCT
-Sed. rate (ESR)
-Bleeding Time (BT)
-Clotting Time (CT)
-Hb F & A 2
-Osmotic Fragility Test
-Type & RH
-Serum Fe & TIBC
-Complement (C3, C4)
-IgG, IgM, IgA, Kala Azar
-ds. DNA, ANA, Toxo Plasma
-Culture & Sensei
-Complete Urinalysis (Routine)
-24hr. Urine for: Protein, Creatinine, Uric Acid
-Ca, PO4, Na, K
-Scotch Tape Test
-T4, T3, TSH, T3UT, Anti TPO, Anti Tg, Tg
-LH, FSH, Prolactin, BHCG teeter
-Testos, Progest, Est, DHEA, SO4, Cortisol, PSA. Titer, Estrogen, AFP
-Tb Skin Test (PPD)