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Makmal Diagnostik Termaju

Makmal Diagnostik Termaju adalah salah satu perkhidmatan di bawah Perkhidmatan Klinikal yang terletak di Kompleks Penyelidikan Klinikal (CTC), IPPT, USM Bertam, Kepala Batas, Pulau Pinang.  Makmal Diagnostik Termaju menyediakan perkhidmatan makmal dalam bidang Haematology, Chemical Pathology, Genetics, Histopathology and Cytology, Microbiology dan Transfusion Medicine. Pelanggan adalah terdiri daripada klinik IPPT, hospital kerajaan, hospital swasta dan makmal swasta. Makmal Diagnostik Termaju telah terlibat aktif dalam aktiviti MS ISO 15189:2007 sejak tahun 2008 dan aktiviti 5S sejak 2012.

Perkhidmatan

+ - Heamatology Click to collapse

Ujian yang ditawarkan:

Full Blood Count (FBC)

  • Haemoglobin (Hb)
  • Total White Blood Cell (TWBC)
  • Total Red Blood Cell (TRBC)
  • Platelet
  • Packed Cell Volume (PCV)
  • MCH, MCH, MCHC

Full Blood Picture (FBP)

  • Haemoglobin (Hb)
  • Total White Blood Cell (TWBC)
  • Total Red Blood Cell (TRBC)
  • Platelet
  • Packed Cell Volume (PCV)
  • MCH, MCH, MCHC
  • Differential White Cell (DC)
  • Reticulocytes
  • Peripheral Blood Film (PBF)

PT / APTT*
Factor Assay*#
Erythrocytes Sedimentation Rate (ESR)*
Bone Marrow Staining*# G6PD Screening*
G6PD Assay*
Osmotic Fragility Test (OFT)* #
Haemoglobinopathy Analysis*
Haemoglobin Electrophoresis*
*Note: The marked tests are not ISO15189 accredited.
#Note: The marked tests are by appointment.

+ - Chemical Pathology Click to collapse

Ujian Yang Ditawarkan 

  PROFILE   TEST   CONTAINER   VOLUME   SPECIMEN   REMARKS  
  *Blood Gas   Arterial/Venous Blood gas   Heparinized syringe   1 mL   Whole blood   Refer to 6.0 Special Procedures  
  Renal Function Test (RFT)   Sodium  

Plain tube /Lithium
Heparin

   3 – 5 mL   Whole blood   -  
    Potassium          
    Chloride          
    Urea          
    Creatinine          
    Uric Acid          
    Calcium          
    Inorganic Phosphate          
             
  Liver Function Test (LFT    Total Protein   Plain tube    3 – 5 mL   Whole blood            -  
     Albumin          
     Globulin          
     Albumin/Globulin ratio          
     Alanine Transaminase (ALT)          
   

Aspartate Aminotransferase
(AST

          
     Alkaline Phosphate (ALP)          
     Total Biliribun          
     Direct Bilirubin          
             
   Lipid Profile (LP)   Total Cholesterol  

Plain tube /
EDTA tube

    3 – 5 mL    Whole blood    Require at least  8 hours fasting sample  
    Triglyceride          
    High Density Lipoprotein(HDL)          
    Low Density Lipoprotein(LDL)          
             
     Creatinine Kinase (CK)          
  Cardiac Profile    Lactate Dehydrogenase (LDH)    Plain tube    3 – 5 mL    Whole blood    
     Aspartate Aminotransferase (AST)          
             
  Diabetic Profile   Glucose   Sodium Fluoride tube   3 mL  

Whole blood

   Refer to 6.0 Special Procedures (MGTT)  
    *HbA1c   EDTA tube   2.5 ml  

Whole blood

   -  
             
  -   Magnesium   Plain tube / Lithium Heparin   3 mL   Whole blood   -  
             
  *-    Osmolality    Plain tube    3 ml    Whole blood    -  
       Universal bottle    5 ml (spot)    Urine    -  

  PROFILE   TEST   CONTAINER   VOLUME   SPECIMEN   REMARKS  
  -   Amylase   Plain tube   3 ml   Whole blood   -  
             
    Ca 125          
  Tumor Markers   Carcino Embryonic Antigen (CEA)   Plain tube   3 – 5 mL   Whole blood   -  
    Total Prostate Specific Antigen (TPSA)          
             
  Thyroid Function Test   Thyroid Stimulating Hormone (TSH)   Plain tube   3 – 5 mL   Whole blood   -  
    Free Thyroxine (FT4)          
    Free Triiodothyronine (FT3)          
             
  Cardiac Marker   Troponin I   Plain tube   3 – 5 mL   Whole blood   -  
             
  *Infectious disease   Anti-Hbs   Plain tube   3 – 5 mL   Whole blood   -  
    HbsAg          
    Anti-HCV          
    HIV Ag/Ab          
             
  Anaemia Test   Vitamin B12   Plain tube   3 – 5 mL   Whole blood   -  
    Ferritin          
    Folate          
             
  *Fertility Test   Estradiol    Plain tube    3 – 5 mL    Whole blood    -  
    Follicle Stimulating Hormone (FSH          
    Leutinizing Hormone (LH)          
    Progesterone          
    Prolactin          
    Testosterone          
    TIBC          
             
   *Urine Analysis    Urine FEME (microscopy)    Urine container    10 ml    Urine    Magnification x 40  
                         
     pH          
      Specific Gravity                  
      Haemoglobin                  
      Nitrite                  
      Glucose                  
      Protein                  
      Bilirubin                  
      Urobilinogen                  
      Ketone                  
      Haemosiderin                  
      Bence Jones Protein                  
                         
   *Urine drug    Cannabis    Urine container    10 ml    Urine    -  
             

Note: All specimen collection with EDTA, Sodium Fluoride and Lithium Heparin tube should be mixed gently and thoroughly for 1 minute by a rotary wrist movement.

*Note: Marked tests are not ISO15189 accredited

+ - Genetics Click to collapse

Ujian yang ditawarkan:

Cytogenetics

  • Blood cytogenetics
  • Bone marrow cytogenetics*
    *Note: The bone marrow cytogenetics is not ISO15189 accredited.

Molecular Cytogenetics (FISH)

  • Di George Syndrome probe
  • Prader Willi / Angelman Syndrome probe
  • Whole Chromosome Painting (WCP)
  • Down Syndrome probe (probe 21)
  • Patau Syndrome probe (probe 13)
  • Edward Syndrome probe (probe 18)
  • BCR/abl probe
  • William Syndrome

Molecular Genetics

  • Southeast Asian Ovalocytosis (SAO)
  • Sex-determining Region Y (SRY) gene

+ - Hispathology and Cytology Click to collapse

Ujian yang ditawarkan:

Histopathology (HPE)

  • Routine HPE test
  • Histochemistry
  • Immunohistochemistry

Cytology*

Non-Gynaecologic Cytology:

  1. Bile duct brushings
    • Bronchiole brushings and washings
    • Cerebrospinal fluid
    • Esophageal brushing
    • Gastric brushing
    • Pericardial fluid
    • Peritoneal fluid
    • Pleural fluid
    • Sputum cytology
    • Urinary tract specimen
  2. Gynaecologic Cytology
    • Cervical / PAP smear
  3. Fine Needle Aspiration Cytology (FNAC) #

*Note: The cytology tests are not ISO15189 accredited.

# Note: The marked tests are by appointment

+ - Microbiology Click to collapse

Ujian yang ditawarkan:

Bacteriology tests:

  • Cerebro spinal fluid (CSF) culture and sensitivity
  • Blood culture and sensitivity
  • Urine culture and sensitivity
  • Sterile body fluids (pericardial, synovial, intraocular fluid, peritoneal)

Culture and sensitivity

  • Nasal swab culture and sensitivity
  • Throat swab culture and sensitivity
  • Sputum culture and sensitivity
  • Eye (conjunctival) swab culture and sensitivity
  • Corneal scraping culture and sensitivity
  • Ear swab culture and sensitivity
  • Pus (wound) swab culture and sensitivity
  • Aspirates from abscesses or deep wound culture and sensitivity
  • Tissue and biopsy culture and sensitivity
  • Stool culture and sensitivity
  • Stool FEME for ova and cyst (wet mount)
  • High vaginal swab culture and sensitivity

Mycobacteriology tests

  • Sputum for AFB detection
  • Sterile body fluid (other than CSF) for AFB detection

Serology tests

  • Anti –streptolysin ‘O’ test (ASOT)
  • Dengue IgM/IgG
  • VDRL anti-treponemal screening

+ - Transfusion Medicine Click to collapse

  ROUTINE IMUNOHEMATOLOGI    TEST    CONTAINER   VOLUME  
   ABO and Rhesus grouping    ABO grouping  

Plain tube and
K2EDTA tube or
Oxalate tube or
Heparin tube

                    		  

Adults: 2-3 ml
Infants: 1-2 ml
(for each test)

                    		  
    Rhesus (D) grouping      
  Group and crossmatch (GXM     ABO grouping      
    Rhesus (D) grouping      
    Crossmatch      
  Group, screen and hold (GSH)     ABO grouping      
    Rhesus grouping      
    Indirect Coombs test      
  Neonatal study     ABO grouping      
    Rhesus (D) grouping      
    Direct Coombs test      
  Antibody screening    Direct Coombs test (DCT)      
    Indirect Coombs test (ICT)      
  Antenatal study     ABO grouping      
    Rhesus (D) grouping      
    Antibody screening      
  Antibody identification    Antibody screening  

Plain tube and
K2EDTA tube or
Oxalate tube or
Heparin tube

                       		                   

Adults: 2-3 ml
Infants: 1-2 ml
(for each test)

                   		  
    Antibody identification      
  Rhesus phenotyping I       C      
    Ć      
    E      
    É      
    K      
  Rhesus phenotyping II        Weak D/Du      
    C      
    Ć      
    E      
    É      
    K      
  Antigen profile I       Pi      
    Lea      
    Leb      
    Lua      
    Lub      
  Antigen profile II       K      
    Kpa      
    Kpb      
    Jka      
    Jkb      
  Antigen profile III        M      
    N      
    S      
    Ś      
    Fya      
    Fyb      
  Investigation of transfusion reaction   ABO grouping      
    Rhesus (D) grouping      
    Antibody screening      
    Antibody identification      
  Erythrocyte antibody titre, isohemagglutinin titre, IgG & IgM   Erythrocyte antibody titre, red cells elution and adsorption test      

 *Note: All specimen collection with anticoagulant tube should be mixed gently and thoroughly for 1 minute by a rotary wrist movement.

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