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Author : Muhammad Amali Bin Kamarudin, Medical Laboratory Scientist, MAHPC(MLS)01171

The list of test provided are the test currently available testing in-house in clinical diagnostic laboratory

Integrated Unit (Chemical Pathology)

  1. Liver Function Test (LFT) - Total Protein, Albumin, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (ALP), Total Bilirubin, Direct Bilirubin
  2. Renal Function Test (RFT) - Sodium, Potassium Chloride, Urea, Creatinine, Uric Acid, Calcium, Phosphate
  3. Lipid Profile (LP) - Cholesterol, Triglyceride, High Density Lipoprotein (HDL), Low Density Lipoprotein (LDL)
  4. Cardiac Enzymes Profile - Creatinine Kinase (CK), Lactate Dehydrogenase (LDH), Aspartate Aminotransferase (AST)
  5. Diabetic Screen - Glucose, HbA1c
  6. Tumour Markers - CA 125, CA 15-3, Carcino Embryonic Antigen (CEA), Prostate Specific Antigen (PSA), Alpha Feto Protein (AFP), Beta Human Chorionic Gonadotropin (BHCG)
  7. Thyroid Function Test - Thyroid Stimulating Hormone (TSH), Free Thyroxine (FT4), Free Triiodothyronine (FT3)
  8. Blood Gas Arterial / Venous Blood Gas
  9. Sodium in serum
  10. Potassium in serum
  11. Chloride in serum
  12. Urea in serum
  13. Creatinine in serum
  14. Uric Acid in serum
  15. Calcium in serum
  16. Phosphate in serum
  17. Total Protein in serum
  18. Albumin in serum
  19. Alanine Aminotransferase (ALT) in serum
  20. Aspartate Aminotransferase (AST) in serum
  21. Alkaline Phosphatase (ALP) in serum
  22. Total Bilirubin in serum
  23. Direct Bilirubin in serum
  24. Cholesterol in serum
  25. Triglyceride in serum
  26. High Density Lipoprotein (HDL) in serum
  27. Low Density Lipoprotein (LDL) in serum
  28. Creatinine Kinase (CK) in serum
  29. Lactate Dehydrogenase (LDH) in serum
  30. Glucose in serum
  31. HbA1c in Blood
  32. Magnesium in serum
  33. Serum Osmolarity
  34. C-Reactive Protein (CRP) in serum
  35. CA 125 in serum
  36. CA 15-3 in serum
  37. Carcino Embryonic Antigen (CEA) in serum
  38. Prostate Specific Antigen (TPSA) in serum
  39. Beta Human Chorionic Gonadotropin (BHCG) in serum
  40. Thyroid Stimulating Hormone (TSH) in serum
  41. Free Thyroxine (FT4) in serum
  42. Free Triiodothyronine (FT3) in serum
  43. Ferritin in serum
  44. Feacal Occult Blood
  45. Progesterone in serum
  46. Urine Pregnancy Test
  47. Iron in Serum
  48. UIBC in Serum
  49. TIBC in Serum
  50. Troponin-T
  51. Urine Microalbumin
  52. Urine Analysis (Urine microscopy, pH, Specific Gravity, Haemoglobin, Nitrite, Glucose, Protein, Bilirubin, Urobilinogen, Ketone)
  53. 24-hour Urine Protein Creatinine clearance
  54. 24-hour Urine Creatinine index
  55. 24-hour Urine Creatinine
  56. Urine FEME
  57. Urine Osmolarity (Random)
  58. Urine Drug of Abuse Test (Amphetamine, Benzodiazepines, Marijuana, Methamphetamine, Morphine)
  59. 24-hour Urine/CSF Protein
  60. Urine/CSF Protein (Random)
  61. 24-hour Urine Sodium
  62. Urine Glucose (Random)
  63. 24-hour Urine Potassium
  64. 24-hour Urine Chloride
  65. 24-hour Urine Calcium
  66. Urine Calcium (Random)
  67. 24-hour Urine Phosphate
  68. 24-hour Urine Urea
  69. 24-hour Urine Uric Acid
  70. 24-hour Urine Magnesium

Integrated Unit (Immunology)

  1. Total IgE in serum
  2. Specific IgE - Allergen d1 (Dermatophagoides pteronyssinus) in serum
  3. Specific IgE - Allergen d2 (Dermatophagoides farinae) in serum
  4. Specific IgE - Allergen d201 (Blomia tropicalis) in serum
  5. Specific IgE - Allergen e1 (Cat Dander) - Felis catus in serum
  6. Specific IgE - Allergen e215 (Pigeon Feathers) - Streptopelia spp in serum
  7. Specific IgE - Allergen f1 (Egg White) - Gallus domesticus in serum
  8. Specific IgE - Allergen f2 (Milk) - Bos spp. in serum
  9. Specific IgE - Allergen f3 (COD Fish) - Gadus morhua in serum
  10. Specific IgE - Allergen f4 (Wheat) - Triticum aestivum in serum
  11. Specific IgE - Allergen f9 (Rice) - Oryza sativa in serum
  12. Specific IgE - Allergen f13 (Peanut) - Arachis hypogaea in serum
  13. Specific IgE - Allergen f14 (Soya Bean) - Glycine max in serum
  14. Specific IgE - Allergen f23 (Crab) - Chionoecetes spp. in serum
  15. Specific IgE - Allergen f24 (Shrimp) - Pandalus borealis, Penaeus monodon, Metapenaeopsis barbata, Metapenaus joyneri in serum
  16. Specific IgE - Allergen f27 (Beef) - Bos spp. in serum
  17. Specific IgE - Allergen f41 (Salmon) - Salmo salar in serum
  18. Specific IgE - Allergen f58 (Pasific Squid) - Todarodes pacificus in serum
  19. Specific IgE - Allergen f75 (Egg Yolk) - Gallus spp. in serum
  20. Specific IgE - Allergen f76 (Milk) NBOS D4, Alpha-Lactalbumin in serum
  21. Specific IgE - Allergen f77 (Milk) NBOS D5, Beta-Lactalbumin in serum
  22. Specific IgE - Allergen f78 (Milk) NBOS D8, Casein Milk in serum
  23. Specific IgE - Allergen f83 (Chicken Meat) - Gallus domesticus in serum
  24. Specific IgE - Allergen f93 (Cacao) - Theobroma cacao in serum
  25. Specific IgE - Allergen f207 (Clam) - Ruditapes spp. in serum
  26. Specific IgE - Allergen f300 (Goat’s Milk) in serum
  27. Specific IgE - Allergen f313 (Anchory) in serum
  28. Specific IgE - Allergen GX2 (Mix Grass Pollen) - Bermuda grass, GX2 Rye grass, Timothy grass, Meadow grass, Johnson grass, Bahia grass in serum
  29. Specific IgE - Allergen I6 (Cockroach) - Blatella germanica in serum
  30. Specific IgE - Allergen K82 (Latex) - Hevea braziliensis in serum
  31. Specific IgE - Allergen MX2 (Mix Fungi) – Penicillium chrysogenum, Cladosporium herbarum, Aspergillus fumigatus, Candida albicans, Alternaria alternata, Setomelanomma rostrata in serum
  32. Specific Antibody Response - Tetanus in serum
  33. Specific Antibody Response - Pneumovax in serum

Integrated Unit (Hematology)

  1. Full Blood Count (FBC)
    1. Haemoglobin (Hb)
    2. Total White Blood Cell (TWBC)
    3. Total Red Blood Cell (TRBC)
    4. Platelet Count
    5. Haematocrit (HCT)
    6. MCV, MCH, MCHC
  2. Full Blood Picture (FBP)
    1. Haemoglobin (Hb)
    2. Total White Blood Cell (TWBC)
    3. Total Red Blood Cell (TRBC)
    4. Platelet
    5. Packed Cell Volume (PCV)
    6. MCV, MCH, MCHC
    7. Differential White Cell (DC)
    8. Reticulocytes
    9. Peripheral Blood Film (PBF)
  3. Routine Coagulation Test
    1. Prothrombin time(PT) & International normalised ratio (INR)
    2. Activated partial thrombin time(APTT)*
    3. Fibrinogen Level(FIB)*
    4. Thrombin time (TT)*
  4. DIC Screening*

  5. D-Dimer (qualitative)*

  6. Erythrocytes Sedimentation Rate (ESR)*

Histopatology & Cytology

  1. Histopathology
  2. Routine Diagnostic
    1. Histochemistry
    2. Immunohistochemistry
    3. Cytology
    4. Non- Gynaecologic Cytologic
    5. Bile duct brushings
    6. Bronchiole brushings and washings
    7. Cerebrospinal fluid
    8. Esophageal brushing
    9. Gastric brushing
    10. Pericardial fluid
    11. Peritoneal fluid
    12. Pleural fluid
    13. Sputum cytology
    14. Urinary tract specimen
    15. Nipple discharge
    16. Fluid from breast mass
  3. Gynaecologic Cytology
    1. Cervical smear
  4. Fine Needle Aspiration Cytology (FNAC)
    • Appointment should be made at least 24 hours before the procedure.
    • FNAC appointment can be made anytime during office hour just for case by case (urgent or special case only).

Microbiology

  1. Bacteriology Test
    1. Culture & Sensitivity
  2. Mycobacteriology Test
    1. AFB detection
  3. Serology Tests
    1. Hepatitis B surface antigen (HBsAg)
    2. Hepatitis B surface antibody (anti-HBs)
    3. Human immunodeficiency virus antigen/ antibody (HIV Ag/Ab)
    4. Hepatitis C virus antibody (anti-HCV)
    5. RPR anti-nontreponemal screening for syphilis
    6. Treponema pallidum particle agglutination (TPPA)
    7. Dengue NS1/IgM/IgG
    8. Leptospira IgM/IgG
    9. Rotavirus
    10. Blood film for malarial parasites (BFMP)
    11. Needle Prick Injury Screening (Urgent)

Tranfusion Medicine

  1. Services
    1. Blood donation
    2. Blood donation campaign
    3. Stem cell collection
  2. Tests
    1. Group & Crossmatch (GXM)Group, Screen and Hold (GSH)ABO and Rh GroupingRhesus Phenotyping
    2. Direct Antiglobulin TestAntibody ScreeningAntibody Identification
    3. Antigen PhenotypingInvestigation of Transfusion Reaction
    4. Isohemagglutinin titre
    5. Antibody titre
    6. Adsorption and Elution Test
    7. Saliva secretor status
  3. Blood Product
    1. Blood Components
    2. Apheresis
    3. Leuco-reduced packed cells
    4. Irradiated blood component

Molecular Diagnostic

  1. Polymerase Chain Reaction (PCR)
    1. Southeast Asian Ovalocytosis (SAO)
    2. Sex-determining Region Y (SRY) gene
  2. DNA Extraction
    1. Blood samples
    2. Tissue samples: chorionic villus sampling, fresh tissue sample
  3. Multiplex PCR for Molecular Alpha Thalassemia

Genetics

  1. Cytogenetics:
    1. Blood cytogenetics
    2. Bone marrow cytogenetics
  2. Molecular Cytogenetics (FISH):
    1. DiGeorge Syndrome microdeletion probe
    2. Prader-Willi/Angelman Syndromemicro deletion probe
    3. Williams Syndrome microdeletion probe
  3. Molecular Genetics (Molecular Diagnostics Unit):
    1. Sex-determining Region Y (SRY) gene (performed with cytogenetics test for
    2. Ambiguous genitalia case or sex related syndrome / abnormality).