ALL LISTED LABS

#757

3 month blood sugar average.  Used to diagnose and manage diabetes.  Recommend every 3-6 months

#496

Determines blood type and Rh.  Rh in mothers assesses the risk of hemolytic disease of the newborn.

#7788

Collect specimen between 7 a.m. and 10 a.m.  Useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders

#211

More accurate with 24 hour urine as serum levels vary with sodium intake and body position

#229

#2958

Most common cause of elevation of serum amylase is inflammation of the pancreas (pancreatitis).  Other causes include mumps, biliary tract disease, bowel obstruction and certaine drugs such as morphine. 

#243

Associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE.

#249

Looks for bacteria overgrowth in vagina

#10016

Measures about 8 tests to provide information on kidney function and electrolytes

#10165

Pancreatic cancer biomarker that is overexpressed in 81% of patients with pancreatic cancer.  It may be associated with other GI cancers, including bile duct, liver, gastric, and colorectal.

#4698

The CA 125 level can provide prognostic information in the follow-up management of patients with ovarian carcinoma. It is not recommended for cancer screening 

#29256

#303

A non-specific marker of bowel inflammation

#16796

Looks for yeast overgrowth in vagina

#10121

Levels are monitored to assure adequate therapeutic levels and to avoid toxicity.

#329

#309

Celiac disease is caused by an immune response to gluten. Diagnosis is largely based on a biopsy of the small intestine, but this test may support a diagnosis and assist identification of patients who may require biopsy.

#19955

Gives information about production of all blood cells including : White Blood Cells (WBC), Red Blood Cells (RBC), Hemoglobin (Hgb), Hematocrit (Hct), and Platelets

#6399

Measures 14 tests to provide information on kidney function, liver function, and electrolytes

#10231

Increased in Cushing's Disease and decreased in Addison's Disease 

#4212

#34499

Nonspecific marker found in inflammatory conditions

#4420

Useful in predicting risk for cardiovascular disease.

#10124

Discriminates Rheumatoid Arthritis from other diseases.

Rheumatoid Arthritis work up should also include rheumatoid factor, C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR).

#11173

This test is used in the differential diagnosis of hirsutism, premature puberty, PCOS, and adrenal tumors

#402

Digoxin levels are monitored to assure adequate therapeutic levels of the medication and to avoid toxicity.

#418

Measuring the circulating levels of estradiol is important  for infertility.
Hormone levels are not helpful in determining menopause

#4021

Total estrogens provide an overall picture of estrogen status for men and women.

#439

Factor V Leiden is the most common genetic determinant for hereditary venous thrombosis. Another DNA variant, the HR2 allele, has been associated with a 3-4 fold increased risk to venous thrombosis when it occurs in the presence of the Factor V Leiden mutation

#11327

Useful in the diagnosis of hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload

#457

#466

Usually ordered following an abnormally low TSH.  Measured in concert with TSH and free T4 to diagnose and treat thyroid disorders.  

#34429

Measured in concert with free T3 and TSH to diagnose and treat thyroid disorders.  Has replaced the total T4 test because it is less affected by levels of other proteins. 

#866

Useful in the differential diagnosis of pituitary and gonadal insufficiency and in children with precocious puberty.

It is NOT helpful in determining menopause

#470

Helps to determine Type 1 vs Type 2 diabetes

#10584

Used in the diagnosis and treatment of alcoholic cirrhosis, as well as primary and secondary liver tumors.

#482

Do not urinate within one hour prior to collection.  Do not cleanse prior to providing the specimen.

#11363

Assess liver injury, diagnosis of liver disease, monitor treatment of liver disease and adverse effects of hepatotoxic drugs.  Includes total protein, albumin/globulin ratio, total bilirubin, direct bilirubin, indirect bilirubin, AST, ALT, ALP. 

#10256

Hepatitis A Antibody, Total

Hepatitis B Surface Antibody, Qualitative

Hepatitis B Surface Antigen with Reflex Confirmation

Hepatitis B Core Antibody, Total

Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR

#6462

Indicates prior or acute infection with, or immunization to, Hepatitis A virus.

#508

Appears 1 to 6 months following exposure to Hepatitis B virus and peaks shortly after onset of symptoms. It typically disappears within 1 to 3 months. Persistence of Hepatitis B Surface Antigen for greater than 6 months indicates chronic Hepatitis B infection.

#498

The "window" between Hep C exposure and + testing is highly variable; up to six months.

#8472

Used to determine immune status for Hepatitis B 

#8475

Detect both HSV1 and 2.  HSV Type 2 is more commonly associated with genital tract, while HSV Type 1 is more commonly associated with infections of non-genital sites.  The mean time to seroconversion using the type specific assay is 25 days.

#6447

Detects acute HIV-1 infection before seroconversion occurs, allowing for earlier diagnosis.   Can also detect HIV-1 and HIV-2 post-seroconversion

#91431

Found in patients with ankylosing spondylitis and Reiter's disease

#528

Should fast one hour before collection of baseline breath sample.  This test offers 95.2% sensitivity and 89.7% specificity compared with endoscopic methods.

#14839

Elevated concentration is an independent risk factor for cardiovascular disease. When used in conjunction with methylmalonic acid (MMA), these tests are useful to diagnose and monitor vitamin B12 (cobalamin) and folic acid deficiency.

#31789

Useful for initial evaluation of hypo/hypercalcemia, when abnormal PTH levels would suggest hypo or hyperparathyroidism

#35202

Ionized calcium represents the true "bioavailable" calcium in the circulation.  Confirms hypercalcium from routine calcium lab

#306

#11177-red culture tube

#571

Measures 3 cholesterol levels; Total, HDL (good cholesterol), LDL (bad cholesterol); and Triglycerides

#7600

Elevated concentrations of Lp(a) are associated with increased risk of coronary artery disease.

#34604

Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT

#10256

#622

May be present as early as the fourth day of illness, and by the twenty-first day of illness.

#654

#17911

#91001

For ages 21-30 years old.

Screening and detection of cervical cancer, pre-cancerous lesions, atypical cells

#90887

For women over 30 years old.

Screening and detection of cervical cancer, pre-cancerous lesions, atypical cells

#90933

#718

#733

hCG beta subunit and offers sensitivity necessary to detect pregnancy as early as ten days post conception.

#396

hCG may reach detectable limits within 7-10 days of conception.

#8396

Increase sharply during the luteal phase of the menstrual cycle.  Used for fertility.  Not helpful in determining menopause

#745

Consistently elevated serum prolactin levels are indicative of hyperprolactinemia. Can be caused by pituitary adenomas, hypothalamic disease, breast or chest wall stimulation, renal failure, hypothyroidism or interaction with a medication. 

#746

Prostate cancer screening

#5363

Screening test for abnormalities of coagulation factors, to monitor effects of Warfarin therapy and to study patients with hereditary and acquired clotting disorders.

#8847

Screening test that will detect deficiencies or inhibitors to the intrinsic (Factors VIII, IX, XI and XII) and common (Factors II, V, X and fibrinogen) pathway coagulation factors.

#763

Found in Systemic Lupus, rheumatoid arthritis, scleroderma, Sjogren's syndrome, leprosy, tuberculosis, syphilis, malignancy, thyroid disease and can be normal in elderly patients.

#4418

Nonspecific inflammatory marker

#809

#5507

Evaluation post-vasectomy 

#3187

Increased in pregnancy, hyperthyroidism, cirrhosis, oral estrogen administration and certain drugs. Decreased by testosterone, hypothyroidism, Cushings syndrome, acromegaly and obesity.

#30740

Screening test  to determine which individuals are at risk of crisis when exposed to prolonged anoxia (surgery, athletic programs or high altitude conditions).

#825

Identifies Salmonella, Shigella, and Campylobacter.

#32114

C-dif is an opportunistic anaerobic bacterium that grows in the intestine once the normal flora has been altered by antibiotics.  

#16377

Detects blood in stool samples.
Can be a screening for colon cancer, annually.  Can also aid in detecting primarily lower gastrointestinal disorders

#11290

#681

Syphilis screening and diagnosis.  Detects nontreponemal antibodies associated with syphilis, followed by confirmatory testing for T pallidum antibodies

#36126

Free-Aids in the diagnosis of hypogonadism in men, when total testosterone level is near the lower normal limit.  This test may also aid in the diagnosis of hyperandrogenemia in women.  Total-Helps to assess erectile dysfunction, infertility, gynecomastia, osteoporosis and hormone replacement therapy

#30741

#394

Thyroglobulin (TG) is a secretory product only of the thyroid gland. The major clinical use of serum TG measurement is to monitor, but not to diagnose, patients with well-differentiated thyroid cancers and to determine metastasis.

#267

Serum iron quantification is useful in confirming the diagnosis of iron-deficiency anemia or hemochromatosis.

#7573

Checks for:

Anaplasma Phagocytophilum DNA, Qualitative Real-Time PCR

Babesia microti DNA, Real-Time PCR

Borrelia miyamotoi DNA, Real-Time PCR,

Ehrlichia chaffeensis DNA, Real-Time PCR

Borrelia Species DNA, Qualitative Real-Time PCR

#94322

Done if TSH is abnormal.  Suggests that the cause of thyroid disease is an autoimmune disorder (ie Hashimoto's or Graves' disease)

#5081

Add if TSH is low, free T3 is high and, free T4 is normal or high.

Measures the ability of antibodies to inhibit TSH binding to its receptor, helps to diagnose Graves' disease, Hyperthyroidism.  

#38683

Do not urinate within one hour prior to collection.  Do not cleanse prior to providing the specimen.

#19550

Gold standard lab to determine thyroid function.  If abnormal, may repeat in 1-3 months and add free T3 and free T4

#899

Add if TSH is low, free T3 is high, and free T4 is high or normal to help diagnose Graves' disease which is caused by IgG immunoglobulins (TSI).  

#30551

Useful in the diagnosis and treatment of renal failure, gout, leukemia, psoriasis, starvation, and in those receiving cytotoxic drugs.

#905

Helps to determine an infection.  May need a urine culture as well for confirmation

Results determine which bacteria is causing infection and best antibiotic to treat it

#395

Monitor early or worsening kidney function in diabetics, single kidney or history of kidney disease

#6517

#921

#90353

#10191

Can be low if diabetic.  Current recommendation is to check annually

#927

Provides a good index of circulating vitamin D activity in patients not suffering from renal disease

#17306

#4550