| | | | Analize medicale de laborator | | | | Detalii | |  | | | Hematologie - morfologie: Hemograma cu formula leucocitara, Hemoglobina, Hematocrit, indici si Reticulocite, Concentrat leucocitar, Test peroxidaze, Test de siclizare a hematiilor, Determinare corpi Heinz, Indice FAL, Examen citologic frotiu sangvin, Medulograma (executie+citire), Hemosiderina medulara Perls, Hemosiderina urinara Perls, Celule lupice. Hematologie - hemostaza: Timp de protrombina Quick, Timp de tromboplastina partial APTT, Timp de trombina, Testul monomerilor de fibrina, Fibrinogen, Timp de liza a cheagului euglobulinic, Timp de sangerare, Retractia cheagului, Proba Rumpel Leed. Imunohematologie: Test Coombs direct, Titrare aglutinine la rece, Determinare grup sanguin OAB, Determinare factor Rh, Determinare anticorpi: Rh imun, A imun, B imun, altii. Biochimie substrat: Proteine totale serice, Proteine urinare, Microalbuminurie, Proteine in LCR, Bilirubina totala, Bilirubina indirecta, Bilirubina directa, Uree serica, Uree urinara, Acid uric seric, Acid uric urinar, Creatinina serica, Creatinina urinara, Clearance - creatinina endogena, Colesterol total, HDL Colesterol, LDL Colesterol, Trigliceride, Glucoza serica, Glucoza urinara, Hemoglobina glicozilata, Test de toleranta la glucoza per os. Biotoxicologie: Acetona, Acid Hipuric, Acid mandelic, Acid tricloracetic, Acid oxalic, Ortocrezol, Metiletilcetona, Nichel, Cadmiu, Mercur, Plumb, Acid delta - aminolevulinic, Porfobilinogen, Uroporfirine, Coproporfirine, Carboxihemoglobina, Methemoglobina, Compusi tricloro totali, Fenoli liberi si conjugati, Fluor, Reactia Fujiwara, Mangan urinar, Sulfat index, Tiocianati, Tioeteri urinari, Arsen, Crom. Biochimie electroliti: Calciu seric, Calciu ionic, Calciu urinar, Magneziu seric, Magneziu urinar, Fosfor seric, Fosfor urinar, Sodiu seric, Sodiu urinar, Potasiu seric, Potasiu urinar, Clor seric, Clor urinar, Fier seric. Biochimie enzime: Alaninaminotransferaza (GPT), Aspartataminotransferaza (GOT), Fosfataza alcalina, Gamaglutamiltransferaza, Amilaza serica, Amilaza urinara, Lipaza, Lactatdehidrogeneza, Creatinkinaza totala, Fosfataza acida (totala si prostatica), Colinesteraza serica. Chimie urina: Biochimie urina, Sediment urina, Proba Stansfeld Webb. Chimie fecale: Proba de digestie, Hemoragii oculte in fecale. Chimie medicamente: Digoxin, litiu. Electroforeza: Electroforeza proteinelor serice, Electroforeza proteinelor serice cu imunofixare, Electroforeza proteinelor urinare cu imunofixare, Electroforeza proteinelor in LCR, Electroforeza hemoglobinei in mediu alcalin, Electroforeza lipoproteinelor. Imunologie celulara: IDR la PPD 2UT/0.1 ml, IDR la PPD 10UT/0.1 ml Imunologie umorala: Ig G, Ig A, Ig M, Ig E, Complement C3, Complement C4, Proteina C reactiva (CRP), Factor reumatoid, Factor antinuclear calitativ, Factor antinuclear cantitativ, Anti ADN dublu catenar calitativ, Anti ADN dublu catenar cantitativ, Determinare crioglobuline. Imunodozaje markeri tumorali: CA 15-3, CA 125, CEA, CA 19-9, AFP (alfafetoproteina), PSA (antigen specific prostatic), Free PSA, Melanurie. Imunodozaje markeri infectiosi: Ag HBs - screening, Anti HBs, Anti HBc, Anti HBc-IgM, AgHBe, Anti HBe, Anti HAV total, Anti HAV-IgM, Anti HCV, AgHD, Anti HD, Anti HD-IgM, Anti HIV1+2 depistare. Imunodozaje markeri endocrini: T3 (triodotironina), FT3(triodotironina libera), T4(tiroxina totala), FT4(tiroxina libera), TSH(hormon de stimulare tiroidiana), Tiroglobulina (TG), Anti-tiroglobulina, Anti-TPO (antitiroidperoxidaza), Anti receptori TSH, Estradiol, Estriol neconjugat, FSH (hormon de stimulare foliculara), LH (hormon luteinizant), Progesteron, 17-OH progesteron, Prolactina, DHEAS (dehidroepiandrosteron-sulfat), Testosteron, Beta hCG, hCG total, ACTH, Cortisol, Insulina, Insulinemie in cadrul testului de toleranta la glucoza per os, hGH (hormon uman de crestere), Test de supresie a hGH dupa administrare de glucoza, PTH (parathormon), Test de sarcina, Triplu test cu interpretare statistica in sarcina. Alte imunodozaje: Vitamina B12 in ser Microbiologie - Examinare microbiologica /micologica: Examen microscopic preparat proaspat/colorat. Microbiologie - culturi: Urocultura, Cultura-secretie din zona genitala, Examen microbiologic complex secretie vaginala, Cultura sperma, Examen microbiologic complex sperma, Cultura Neisseria Gonorrhoeae, Coprocultura, Cultura sputa, Cultura aspirat bronsic, Cultura exsudat faringian, Cultura secretie nazala, Cultura secretie oculara, Cultura secretie auriculara, Cultura produs colectie purulenta, Cultura alte produse biologice, Cultura lichid biologic de punctie, Cultura lichid cefalorahidian, Cultura tesut/os/maduva, Antibiograma. Microbiologie - determinari antigen bacterian, parazitar: Antigen Chlamydia in secretii, Antigen Chlamydia in urina, Antigen Chlamydia in sperma, Antigen Mycoplasma Hominis/Ureaplasma, Antibiograma Mycoplasma Hominis/Ureaplasma, Antigen Giardia in fecale (ELISA), Identificare micelii, Antifungigrama, Determinare grup streptococ. Microbiologie - determinari anticorpi fata de bacterii: Antistreptolizina O (ASLO), Anticorpi Helicobacter Pylori IgG, Anticorpi Chlamydia IgG, Anticorpi Chlamydia IgM, Anticorpi Mycoplasma IgG, Anticorpi Mycoplasma IgM, Anticorpi Lysteria, Anticorpi Rickettsia, Anticorpi Coxiella Burneti, Anticorpi Leptospira, Serologie sifilis (VDRL, TPHA), Ancorpi Brucella. Microbiologie - determinari anticorpi fata de virusuri: Anti - Virus herpetic 1 IgG, Anti - Virus herpetic 1 IgM, Anti - Virus herpetic 2 IgG, Anti - Virus herpetic 2 IgM, Anti - Virus herpetic 1+2 IgG, Anti - Virus herpetic 1+2 IgM, Anti - Rubeola IgG, Anti - Rubeola IgM, Anti - Citomegalovirus IgG, Anti - Citomegalovirus IgM, Anti - Virus Epstein Barr IgG, Anti - Virus EpsteinBarr IgM, Anticorpi heterofili (mononucleoza infectioasa). Microbiologie - determinari anticorpi fata de paraziti: Anti - Toxoplasma IgG, Anti - Toxoplasma IgM, Anti - Toxocara canis IgG. Biologie moleculara PCR: genotipare HPV, incarcari virale VHB si VHC. Pentru genotiparea HPV folosim metoda INNO LiPA HPV Genotyping Extra , test de diagnostic in vitro care identifica 28 genotipuri diferite ale virusului HPV. Aceasta metoda are specificitate si sensibilitate crescuta ( specificitate 98 % , sensibilitate 95 % ). Exista mai multe tipuri: - 7 tipuri cu risc scazut (LR) : 6, 11, 40, 43, 44, 54, 70. - 18 tipuri cu risc crescut (HR) : 16, 18, 26, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, 68, 73, 82. - 3 tipuri inca neclasificate : 69, 71, 82. Prin determinarea exacta a tipului de virus se poate ierarhiza riscul de a face cancer de col uterin . Unele paciente pot avea o infectie multipla si acest lucru poate fi demonstrat prin Genotipare HPV. Datorita Genotiparii se poate monitoriza evolutia infectiei determinate de un anumit tip HPV si eficienta tratamentului. Anatomopatologie, imunohistochimie -Diagostic histopatologic (aparat genital feminin, patologie placentara, punctii biopsice de glanda mamara, biopsii endoscopice si piese operatorii pentru aparatul digestiv, Diagnostic histopatologic ORL, dermatologie,etc); -Diagnostic citopatologic : punctii aspirative cu ac fin, secretii mamelonare, amprente mamelonare, punctii ovariene ecoghidate; -Second opinion. Diverse: VSH, Examen coproparazitologic, Examen coproparazitologic amprenta anala, Spermograma, Examen picatura groasa si frotiu pentru malarie, Examen Microscopic - BK (sputa, urina), Examen macroscopic al fragmentelor parazitare, Coprocitograma, Examen Babes Papanicolau. | | | | | | | | | |
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