Hematology - Coagulation - Suburban Diagnostics

SubUrban Icon Hematology and Coagulation

The department of hematology and coagulation endeavours to work closely with clinicians to provide them a clear insight into the true blood picture of every patient. Our goal is to facilitate timely communication and clinical co-relation of all critical values and parameters.

Complete Blood Count (CBC)

Routine CBC comprising of a report of 26 parameters is performed on a fully automated hematology analyser.

Getting the cell counts correct, every time we perform a CBC is of utmost priority.

The key areas of focus while reporting of CBC are RBC morphology, immature differentiation of cells, and platelet counts.

Auto-repeats

Automated reflex testing and bidirectional interfacing facilitate error-free reporting.

Bidirectional interfacing ensures that the patient registration system and the sample processing system are both automatically synced with each other. Hence, no human errors can take place while entering patient data and bar-coding. This further ensures that no human error occurs at the level of processing samples and entering a patient’s results back into the data system.

Automated slide maker

An integrated and automated slide maker allows good quality staining of slides and is attuned as per International Society for Laboratory Hematology (ISLH) guidelines for review of smears.

Automated Reticulocyte Count
  • Aids in the differential diagnosis of anaemia
  • Classifying and monitoring anaemia based on reticulocyte count and corrected reticulocyte count
  • Follow up cases of iron deficiency anaemia based on mean reticulocyte volume
  • Detection and monitoring of erythropoeitic response according to the stages of maturation
Immature Platelet Fraction

Correlates with bone marrow platelet production and monitoring response in thrombocytopenic patients.

Blood parasites

Detection and confirmation of parasites by thin, thick smears and buffy coat preparation wherever applicable.

Hb Electrophoresis

Exclusive tool for screening thalassemia and other haemoglobinopathies.

Key Offerings in Coagulation (Tests performed on a fully automated analyzer) PT/INR

PT/INR

A prothrombin time (PT) is a test used to help detect and diagnose a bleeding disorder or excessive clotting disorder. The international normalized ratio (INR) is calculated from a PT result and is used to monitor how well the blood-thinning medication (anticoagulant) warfarin (Coumadin®) is working to prevent blood clots.

PTT/aPTT

This test is used as part of an investigation of a possible bleeding disorder or blood clot (thrombotic episode), to monitor unfractionated (standard) heparin anticoagulant therapy or as part of screening before surgery or other invasive procedure.

Fibrinogen

Useful for investigating:

  • The cause of bleeding or thrombotic episodes; when a PT and/or PTT test is prolonged
  • Patients with a hereditary fibrinogen deficiency
  • The risk of developing cardiovascular disease
Lupus Anticoagulant
  • Test based on guidelines by ISTH
  • Helps determine the cause of unexplained:
    • Thrombosis
    • Recurrent miscarriages
    • A prolonged PTT
  • Tests based on two different principles:
    • dRVVT
    • Lupus Sensitive aPTT
  • LA considered positive if at least one of the two tests shows positive results
  • In positive cases, tests needs to be repeated 12 weeks later to determine whether lupus anticoagulant is transient or persistent
D-dimer

D-dimer testing is of clinical use when there is a suspicion of deep venous thrombosis (DVT), pulmonary embolism (PE) or disseminated intravascular coagulation (DIC).

For any further information, please email Dr. Anupa Dixit at dranupa@suburbandiagnostics.com


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