Pathology Tests

Here is a place where I am collecting useful combinations of pathology tests.

Abdominal Pain

  • Full Blood count
  • Creatinine, Urea, electrolytes
  • Liver function tests
  • Lipase or Amylase
  • Beta HCG
  • Calcium

Abortion

  • FBC
  • blood group
  • Histology of tissue passed, or of curette specimen

Abortion, recurrent

  • Fasting glucose
  • TSH
  • APTT
  • cardiolipin antibody
  • antinuclear antibodies
  • extractable nuclear antigen antibodies
  • Tests from Thrombosis
  • Blood for cytogenetics (both parents)

Abortion, septic

  • Cervical swab
  • curettage tissue - microscopy and culture
  • Blood culture
  • FBC, blood film

Abortion, spontaneous

  • beta HCG
  • Brucella serology
  • Parvovirus B19 serology

Anaemia

  • Full Blood Count
  • Iron studies
  • B12 / Folate / Red Cell Folate
  • Creatinine
  • Reticulocyte count

Anorexia Nervosa

  • FBC, blood film
  • electrolytes
  • thyroid function tests

Antenatal First Tests

  • Full Blood Count
  • Liver function tests
  • Creatinine, urea, electrolytes
  • Urate
  • Blood Group (ABO + Rhesus)
  • Antibody Screen
  • Rubella Titre
  • Urine microscopy and Culture
  • Tests from STD Screen

Antenatal Second Tests (20-24 weeks)

  • Glucose Challenge Test
  • Antibody screen

Antenatal Third Tests (30-36 weeks)

  • Full Blood count
  • Antibody Screen if Rhesus negative
  • Group B streptococcus screening

Arthritis

  • FBC
  • CRP
  • Joint aspiration for culture or biochemistry
  • Synovial biopsy
  • Rheumatoid factor
  • Calcium
  • Urate
  • antinuclear antibodies and extractable nuclear antigen antibodies
  • Iron Studies
  • HLA typing (HLA-DR4 and HLA-B27)
  • Rubella antibodies
  • arbovirus antibodies (Ross River virus, Barmah Forest virus)
  • cytomegalovirus antibodies
  • parvovirus B19 antibodies
  • hepatitis B virus testing (HepBSAg)
  • HIV antibodies

Atherosclerosis Risk

  • Fasting Cholesterol (total, HDL, LDL)
  • Triglycerides
  • Fasting glucose
  • Homocysteine

Diabetes Annual Assessment

  • Tests from Atherosclerosis Risk
  • HbA1c
  • Creatinine, urea, electrolytes
  • liver function tests
  • urinary albumin / creatinine ratio

Jaundice

  • Full blood count
  • Liver Function Tests including bilirubin conjugated and unconjugated fractions
  • Hepatitis A, B, C serology
  • Epstein Barr virus serology
  • Cytomegalovirus serology

Muscle and Joint Aches

  • FSH and E2 (for females)
  • Thyroid function tests
  • Creatinine Kinase
  • Full Blood count
  • ESR
  • CRP
  • Calcium / Phosphate
  • Ferritin
  • Arbovirus titres (eg Dengue Fever)

Pneumonia

  • Sputum - microscopy and culture
  • blood culture
  • FBC, blood film, differential WCC
  • electrolytes, creatinine, urea
  • blood gases
  • Mycoplasma pneumoniae antibodies
  • Legionella antibodies
  • Chlamydia pneumoniae antibodies
  • Influenza virus antibodies
  • parainfluenza virus antibodies
  • adenovirus antibodies

Renal

  • Full Blood count
  • Creatinine
  • EGFR (Estimated from Creatinine Age Weight and Sex Glomerular Filtration Rate)
  • Urea
  • Electrolytes
  • Albumin
  • Calcium
  • Phosphate
  • Magnesium
  • Parathyroid Hormone
  • Urine microscopy and culture

STD Screen

  • Syphilis serology
  • HIV
  • Hepatitis B and C serology
  • Urinary chlamydia PCR
  • Cervical Swab (gonorrhea, chlamydia)
  • Penile swab (gonorrhea, chlamydia)
  • Cervical cytology

Tiredness or Lethargy

  • Full Blood Count
  • Thyroid function tests
  • Urea, electrolytes and creatinine
  • Liver function tests
  • Urine for microscopy and culture
  • Cytomegalovirus serology
  • Epstein Barr Virus serology
  • Fasting Glucose
  • Ferritin
  • ESR
  • Cortisol

Thrombosis

  • Full blood count
  • Protein C
  • Protein S
  • Homocysteine
  • Factor V Leiden Mutation
  • Antithrombin III
  • Cardiolipin Antibodies
Topic revision: 25 Apr 2005, AdrianMidgley
 
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