Test:24H Urine Potassium
Other Test Request Name:

• 24 Hour Urine K

Test Composition:

Not applicable

Intended Use:

• used to confirm hyperkalemia or hypokalemia
• used to diagnose a kidney disease or injury, such as medullary cystic kidney disease
• used to diagnose adrenal gland problems, such as hypoaldosteronism and Conn’s syndrome
• used to verify a low or high blood potassium test result
• used to monitor possible side effects of medications or drug treatments

Methodology:

Direct ISE

Laboratory Section:

Chemistry

Special Instructions/Patient Preparations:

Female patients CANNOT collect sample during their monthly period (menstruation). Collection should be done at least 3 days after her last day of menstruation.

24 Hour Urine Collection procedure:

1. Void at the beginning of the collection period and discard the specimen.
2. Collect all urine including the final specimen voided at the end of the collection period.
3. Keep specimen on ice during collection.
4. Label the bottle with patient name and date & time collection started and ended.

Collection/Sample Container:

Clean plastic container

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:

24 Hr Urine Sample
NOTE: 60mL aliquot of the whole 24hr urine sample is acceptable. Ensure correct aliquoting procedure is followed (place all samples in one container and mix well prior to obtaining an aliquot)

Alternative Specimen and Volume Requirement:

Not applicable

Specimen Stability  
•   Room Temperature (15-25°C):

4 Days

•   Refrigerated Temperature (2-8°C):

7 Days

•   Freezer Temperature (-20°C):

6 Months

Transport Temperature:

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria:

• Exceeded sample stability requirement
• Quantity not sufficient
• Improperly labeled specimens
• Improper urine collection

Running Day:

Daily

Cut Off Time:

Monday to Saturday:6:00 PM

 

TAT/Releasing of Results:

RUNNING TIME: 7:00 AM

RELEASING TIME: ROUTINE
• 3 days after receipt of specimen/ arrival of messenger

Reference Interval/Result Interpretation:

25.00-120.00 mmol/24Hr (25.00-120.00 mg/24Hr)

Limitations/Interferences:

None specified

Frequently Asked Questions (FAQs):

Not applicable

Related Words/Test:

electrolytes

 

Test:24H Urine Sodium
Other Test Request Name:

• 24 Hour Urine Na

Test Composition:

Not applicable

Intended Use:

• Used in determining the integrity of tubular reabsorptive function
• Used to distinguish between various forms of renal failure and classifying hyponatremia
• Used to help determine the cause of an abnormal sodium blood level

Methodology:

Direct ISE

Laboratory Section:

Chemistry

Special Instructions/Patient Preparations:

24 Hour Urine Collection procedure:

1. Void at the beginning of the collection period and discard the specimen.
2. Collect all urine including the final specimen voided at the end of the collection period.
3. Keep specimen on ice during collection.
4. Label the bottle with patient name and date & time collection started and ended.

Collection/Sample Container:

Clean plastic container

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:

24 Hr Urine Sample
NOTE: 60mL aliquot of the whole 24hr urine sample is acceptable. Ensure correct aliquoting procedure is followed (place all samples in one container and mix well prior to obtaining an aliquot)

Alternative Specimen and Volume Requirement:

Not applicable

Specimen Stability  
•   Room Temperature (15-25°C):

24 Hours

•   Refrigerated Temperature (2-8°C):

7 Days

•   Freezer Temperature (-20°C):

6 Months

Transport Temperature:

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria:

• Exceeded sample stability requirement
• Quantity not sufficient
• Improperly labeled specimens
• Improper urine collection

Running Day:

Daily

Cut Off Time:

Monday to Saturday: 6:00 PM

 

TAT/Releasing of Results:

RUNNING TIME: 7:00 AM onwards

RELEASING TIME: ROUTINE
• 3 days after receipt of specimen/ arrival of messenger
 

Reference Interval/Result Interpretation:

40.00-220.00 mmol/24Hr (40.00-220.00 mg/24Hr)

Limitations/Interferences:

None specified

Frequently Asked Questions (FAQs):

Not applicable

Related Words/Test:

electrolytes

 

Test:24H Urine Uric Acid
Other Test Request Name:

• 24 Hour Urine UA

Test Composition:

Not applicable

Intended Use:

• Used to help diagnose the cause of recurrent kidney stones and to monitor people with gout for stone formation.

Methodology:

Enzymatic colorimetric

Laboratory Section:

Chemistry

Special Instructions/Patient Preparations:

• Obtain urine preservative (10mL 10% NaOH) from laboratory prior to collection.
• Place all preservative in sample container prior to collection.
NOTE: Use 1 container for the whole urine collection.

24 Hour Urine Collection procedure:

1. Void at the beginning of the collection period and discard the specimen.
2. Collect all urine including the final specimen voided at the end of the collection period.
3. Keep specimen at room temperature during collection.
4. Label the bottle with patient name and date & time collection started and ended.

Collection/Sample Container:

Clean plastic container with 10mL NaOH

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:

24 Hr Urine Sample
NOTE: 60mL aliquot of the whole 24hr urine sample is acceptable. Ensure correct aliquoting procedure is followed (place all samples in one container and mix well prior to obtaining an aliquot)

Alternative Specimen and Volume Requirement:

Not applicable

Specimen Stability  
•   Room Temperature (15-25°C):

4 Days (Upon addition of NaOH)

•   Refrigerated Temperature (2-8°C):

Unacceptable

•   Freezer Temperature (-20°C):

Unacceptable

Transport Temperature:

Transport specimen at 15-25°C (room temperature)

Rejection Criteria:

• Exceeded sample stability requirement
• Quantity not sufficient
• Improperly labeled specimens
• Improper urine collection/ NO urine preservative added (10 mL of 10% NaOH)

Running Day:

Daily

Cut Off Time:

Monday to Saturday:10:00 PM

Sunday: 6:00pm

TAT/Releasing of Results:

RUNNING TIME: 6:00 AM onwards

RELEASING TIME: ROUTINE
• 4 hours after receipt of specimen/ arrival of messenger
RELEASING TIME: STAT
• After 2½ hours from extraction/messenger arrival

Reference Interval/Result Interpretation:

1200.00-5900.00 umol/24Hr (201.68-991.60 mg/24Hr)

Limitations/Interferences:

• Calcium dobesilate, Levodopa and methyldopa can all cause artificially low uric acid results.
• Dicynone (Etamsylate) at therapeutic concentrations may lead to false-low results.
• High homogentisic acid concentrations in urine samples lead to false results.
• Acetaminophen, Acetylcysteine and Metamizole are metabolized quickly.
• Therefore, interference from these substances is unlikely but cannot be excluded.

Frequently Asked Questions (FAQs):

Not applicable

Related Words/Test:

Kidney stones, Serum Urate; UA, Uric Acid

 

Test:24H Urine VMA
Other Test Request Name:
  • VMA
  • Vanylmandelic acid
Test Composition:

Not applicable

Intended Use:

Supporting a diagnosis of neuroblastoma

Monitoring patients with a treated neuroblastoma.

Major urinary product resulting from the metabolic degradation of catecholamine, norepinephrine and epinephrine.

Methodology:

Liquid Chromatography Mass Spectrometry (LCMS/MS)

Laboratory Section:

Special Test

Special Instructions/Patient Preparations:
  • Patient should avoid alcohol, coffee, tea, tobacco (including use of nicotine patch), bananas, citrus fruits and strenuous exercise prior for 48 Hours prior to collection.
  • Note Date and Time of Collection (Start/End)

Collection Procedure:

  1. Instruct the patient to void at the beginning of collection period and discard the specimen.
  2. Collect all urine including the final specimen voided at the end of collection period.
  3. Mix 24 hour urine collected.
  4. Label the bottle with patient name, date & time collection started, date & time collection ended and total volume measured.
  5. Note total volume.
  6. Submit the specimen to HPD


 

Collection/Sample Container:

Leak proof clean container without preservative

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:

100 mL of 24 hour Urine

Alternative Specimen and Volume Requirement:

Not Applicable

Specimen Stability  
•   Room Temperature (15-25°C):

24 Hours

•   Refrigerated Temperature (2-8°C):

7 Days

•   Freezer Temperature (-20°C):

28 Days

Transport Temperature:

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria:
  • Quantity not sufficient
  • Received room temperature
  • Improperly labeled specimen
  • Improper urine collection
Running Day:

Batch Running

Cut Off Time:

Friday, 4:00 PM

TAT/Releasing of Results:

2 weeks after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation:

Available upon request

Limitations/Interferences:

• Common anti hypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal interference.

• Alcohol, coffee, tea, tobacco (including use of nicotine patch), bananas, citrus fruits and strenuous exercise may interfere with the assay.

Frequently Asked Questions (FAQs):

Not applicable

Related Words/Test:

Extracranial solid cancer in childhood, most common cancer in infancy

 

Test:24Hr Metanephrine 1 - 17 y/o
Other Test Request Name:

Not Applicable

Test Composition:
  1. Metanephrine
  2. Normetanephrine
  3. Total Metanephrine
Intended Use:

Aids in diagnosis of pheochromocytoma, a tumor of the adrenal medulla

Test is useful in the evaluation of pheochromocytoma.

To help diagnose or rule out a rare tumor of the adrenal gland called a pheochromocytoma or a rare tumor outside the adrenal glands called a paraganglioma; these tumors (PPGL) produce excess cathecolamines, which are broken down to metanephrines.

Methodology:

Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Laboratory Section:

Special Test

Special Instructions/Patient Preparations:
  • Patient should avoid Tobacco, Tea, coffee for 3 days prior to specimen collection.
  • Medications which are alpha agonists (Aldomet), alpha blockers (Dibenzyline) should be avoided 18-24 hours prior to specimen collection.
  • It is preferable for the patient to be off medications for 3 days prior to collection. Consult your doctor before following this preparation.


Collection Procedures :

  1. Instruct the patient to void at the beginning of collection period and discard the specimen
  2. Collect all urine including the final voided at the end of collection period.
  3. Mix 24 hour urine collected.
  4. Label the bottle with patient name, date & time collection started, date and time collection ended and total volume measured.
  5. Note total volume.
  6. Submit the specimen to HPD.
Collection/Sample Container:

Leak proof clean container without preservative

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:

100 mL of 24 hour Urine

Alternative Specimen and Volume Requirement:

Not Applicable

Specimen Stability  
•   Room Temperature (15-25°C):

2 Days

 

•   Refrigerated Temperature (2-8°C):

7 Days

•   Freezer Temperature (-20°C):

30 Days

Transport Temperature:

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria:
  • Quantity not sufficient
  • Received room temperature
  • Improperly labeled specimen
  • Improper urine collection
Running Day:

Batch Running

Cut Off Time:

Monday, 12:00 PM

 

TAT/Releasing of Results:

2 weeks after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation:

Available upon request

Limitations/Interferences:
  • Common Antihypertensives (diuretics, ace inhibitors, calcium channel blockers, Alpha and Beta Blockers) cause minimal or no interference
  • Medications which are alpha agonist (Aldomet), alpha blockers (Dibenzyline) may interfere with the assay.
  • Substances from Tobacco, Tea, coffee may interfere with the assay.
Frequently Asked Questions (FAQs):

Q: When to get tested?

A: When your healthcare provider either suspects that you have a tumor that produces catecholamines or wants to rule out the possibility; when you (especially if you are younger than age 40) have sudden bursts (paroxysms) of signs and symptoms, such as high blood pressure (especially if it doesn't respond to standard treatment), severe headaches, rapid heart rate (palpitations), sweating, tremors and flushing; when you have a hereditary (genetic) risk for developing PPGL; when a tumor has been treated or removed, to monitor for recurrence; occasionally, when an adrenal tumor is detected incidentally, such as during an imaging test.

Q: When is it ordered?

A:Urine metanephrines are ordered when your healthcare provider either suspects that you have a tumor that produces cathecolamiomines or wants to rule out the possibility. It may be ordered when you (especially if you are younger than age 40) have sudden bursts (paroxysms) of signs and symptoms  such as:

  • High blood pressure, especially when your hypertension is not responding to treatment (people with these tumors are frequently resistant to standard therapies)
  • Severe headaches
  • Sweating
  • Flushing
  • Rapid heart rate (palpitations)
  • Tremor

Testing may also be ordered when a tumor that releases catecholamines has been treated or removed to monitor for recurrence.

Occasionally, the test may be ordered when an adrenal tumor is detected by chance, such as during a scan conducted for another purpose, or when you have an inherited (genetic) risk or a family history of  pheochromocytomas.

Q: What does the result mean?

A:Normal urine levels of metanephrine and normetanephrine mean it is unlikely that you have a tumor that produces cathecolamines. This test is very sensitive and these tumors are rare, so the negative predictive value of the test is very good.

Elevated levels of metanephrine and normetanephrine when you have signs and symptoms suggest the presence of a tumor. Generally, two times the upper limit of normal is considered positive for total metanephrine. If levels are elevated after you have been treated for one of these tumors, it may be an indication that the treatment was not fully effective or that the tumor is recurring and appropriate follow up is needed.

The test for metanephrines is very sensitive and false positives do occur. The test is affected by stress, drugs, smoking, and various foods. If you have only moderately elevated metanephrines, then your healthcare provider may re-evaluate your medications, diet, and stress level to look for interfering substances or conditions. Once these are resolved, you may be tested again to determine whether the metanephrines are still elevated.

Q: Can I have more than one pheocromocytoma at once?

A:Yes. Usually a single adrenal tumor will arise in one gland or the other, but multiple tumors can form. This is more likely in people with a strong family history of  pheochromocytomas. You may have a tumor in each adrenal gland or occasionally in other locations.

Related Words/Test:
Catecholamines, Plasma Free Metanephrines, Vanillylmandelic Acid (VMA)

 

Test:24Hr Metanephrine > 18 y/o
Other Test Request Name:

Not Applicable

Test Composition:
  1. Metanephrine
  2. Normetanephrine
  3. Total Metanephrine
Intended Use:

  Aids in diagnosis of pheochromocytoma, a tumor of the adrenal medulla

Test is useful in the evaluation of pheochromocytoma.

To help diagnose or rule out a rare tumor of the adrenal gland called a pheochromocytoma or a rare tumor outside the adrenal glands called a paraganglioma; these tumors (PPGL) produce excess cathecolamines, which are broken down to metanephrines.

Methodology:

Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Laboratory Section:

Special Test

Special Instructions/Patient Preparations:
  •    Patient should avoid Tobacco, Tea, coffee for 3 days prior to specimen collection.
  • Medications which are alpha agonists (Aldomet), alpha blockers (Dibenzyline) should be avoided 18-24 hours prior to specimen collection.
  • It is preferable for the patient to be off medications for 3 days prior to collection. Consult your doctor before following this preparation.


Collection Procedures :

  1. Instruct the patient to void at the beginning of collection period and discard the specimen
  2. Collect all urine including the final voided at the end of collection period.
  3. Mix 24 hour urine collected.
  4. Label the bottle with patient name, date & time collection started, date and time collection ended and total volume measured.
  5. Note total volume.
  6. Submit the specimen to HPD.
Collection/Sample Container:

Leak proof clean container without preservative

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:

100 mL of 24 hour Urine

Alternative Specimen and Volume Requirement:

Not Applicable

Specimen Stability  
•   Room Temperature (15-25°C):

2 Days

•   Refrigerated Temperature (2-8°C):

7 Days

•   Freezer Temperature (-20°C):

30 Days

Transport Temperature:

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria:
  • Quantity not sufficient
  • Received room temperature
  • Improperly labeled specimen
  • Improper urine collection
Running Day:

Batch Running

Cut Off Time:

Monday, 12:00 PM

 

TAT/Releasing of Results:

2 weeks after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation:

Available upon request

Limitations/Interferences:
  • Common Antihypertensives (diuretics, ace inhibitors, calcium channel blockers, Alpha and Beta Blockers) cause minimal or no interference
  • Medications which are alpha agonist (Aldomet), alpha blockers (Dibenzyline) may interfere with the assay.
  • Substances from Tobacco, Tea, coffee may interfere with the assay.
Frequently Asked Questions (FAQs):

Q: When to get tested?

A: When your healthcare provider either suspects that you have a tumor that produces catecholamines or wants to rule out the possibility; when you (especially if you are younger than age 40) have sudden bursts (paroxysms) of signs and symptoms, such as high blood pressure (especially if it doesn't respond to standard treatment), severe headaches, rapid heart rate (palpitations), sweating, tremors and flushing; when you have a hereditary (genetic) risk for developing PPGL; when a tumor has been treated or removed, to monitor for recurrence; occasionally, when an adrenal tumor is detected incidentally, such as during an imaging test.

Q: When is it ordered?

A:Urine metanephrines are ordered when your healthcare provider either suspects that you have a tumor that produces cathecolamiomines or wants to rule out the possibility. It may be ordered when you (especially if you are younger than age 40) have sudden bursts (paroxysms) of signs and symptoms  such as:

  • High blood pressure, especially when your hypertension is not responding to treatment (people with these tumors are frequently resistant to standard therapies)
  • Severe headaches
  • Sweating
  • Flushing
  • Rapid heart rate (palpitations)
  • Tremor

Testing may also be ordered when a tumor that releases catecholamines has been treated or removed to monitor for recurrence.

Occasionally, the test may be ordered when an adrenal tumor is detected by chance, such as during a scan conducted for another purpose, or when you have an inherited (genetic) risk or a family history of  pheochromocytomas.

Q: What does the result mean?

A:Normal urine levels of metanephrine and normetanephrine mean it is unlikely that you have a tumor that produces cathecolamines. This test is very sensitive and these tumors are rare, so the negative predictive value of the test is very good.

Elevated levels of metanephrine and normetanephrine when you have signs and symptoms suggest the presence of a tumor. Generally, two times the upper limit of normal is considered positive for total metanephrine. If levels are elevated after you have been treated for one of these tumors, it may be an indication that the treatment was not fully effective or that the tumor is recurring and appropriate follow up is needed.

The test for metanephrines is very sensitive and false positives do occur. The test is affected by stress, drugs, smoking, and various foods. If you have only moderately elevated metanephrines, then your healthcare provider may re-evaluate your medications, diet, and stress level to look for interfering substances or conditions. Once these are resolved, you may be tested again to determine whether the metanephrines are still elevated.

Q: Can I have more than one pheocromocytoma at once?

A:Yes. Usually a single adrenal tumor will arise in one gland or the other, but multiple tumors can form. This is more likely in people with a strong family history of  pheochromocytomas. You may have a tumor in each adrenal gland or occasionally in other locations.

Related Words/Test:

Catecholamines, Plasma Free Metanephrines, Vanillylmandelic Acid (VMA)

 

Test:25-OH Vitamin D (CMIA)
Other Test Request Name:

• 25-Hydroxy Vitamin D
• Total Vitamin D
• Vitamin D

Test Composition:

Not applicable

Intended Use:

• To determine if abnormal Calcium, Phosphorus and PTH is a result of a deficiency or excess of vitamin D.
• To help diagnose or monitor problems with parathyroid gland functioning
• To screen people who are at high risk of Vitamin D deficiency
• To help monitor the health status of individuals with diseases that interfere with fat absorption, such as cystic fibrosis and Crohn's disease
• To monitor people who have had gastric bypass surgery and may not be able to absorb enough vitamin D
• To help determine the effectiveness of treatment when vitamin D, calcium, phosphorus, and/or magnesium supplementation is prescribed

Methodology:

Chemiluminescent Microparticle Immunoassay (CMIA)

Laboratory Section:

Chemistry

Special Instructions/Patient Preparations:

No patient preparation necessary.

Collection/Sample Container:

Red or Gold tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:

1-3 mL Serum
 

Alternative Specimen and Volume Requirement:

1-3 mL Plasma (K2 and K3 EDTA, Na-Heparin, Li-heparin powder, Li-heparin plasma separator)

Specimen Stability  
•   Room Temperature (15-25°C):

72 Hours

•   Refrigerated Temperature (2-8°C):

12 Days

•   Freezer Temperature (-20°C):

12 Months (4 Freeze-Thaw cycles)

Transport Temperature:

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria:

• Markedly hemolyzed specimen
• Lipemic sample
• Exceeded sample stability requirement
• Quantity not sufficient
• Improperly labeled specimen
• Improper collection tube used

• Specimen stored/transported outside the temperature range

• Heat inactivated specimens

• Pooled specimens

• Specimens with obvious microbial contamination

• Specimens with fungal growth

Running Day:

Monday, Wednesday, Friday

Cut Off Time:

Monday to Saturday:10:00 PM

Sunday:6:00PM

 

TAT/Releasing of Results:

ROUTINE
• 4 hours after receipt of specimen/ arrival of messenger
STAT
• 2½ hours from extraction/messenger arrival

Reference Interval/Result Interpretation:

75.00~100.00 nmol/L  ( 30.00~40.00 ng/mL)

Limitations/Interferences:
  • When testing samples from patients whose predominant form of vitamin D is vitamin D2, such as patients receiving vitamin D2 supplementation, results that are subtherapeutic should be confirmed with another method, such as LC-MS/MS, before being used for patient management.
  • Specimens from patients who have received preparations of rabbit monoclonal antibodies for diagnosis or therapy may contain human anti-rabbit antibodies (HARA). Such specimens may show either falsely elevated or depressed values when tested with assay kits that employ rabbit monoclonal antibodies.
  • Heterophilic antibodies in human serum can react with reagent immunoglobulins, interfering with in vitro immunoassays. Patients routinely exposed to animals or to animal serum products can be prone to this interference, and anomalous values may be observed.
  • Rheumatoid factor (RF) in human serum can react with reagent immunoglobulins, interfering with in vitro immunoassays.
  • Alinity I 25-OH Vitamin D assay is susceptible to interference effects from triglycerides at >500 mg/dL.
Frequently Asked Questions (FAQs):

Q: What are the composition of 25-OH Vitamin D (CMIA)?
A: Vitamin D3(Cholecalciferol) and Vitamin D2 ( Ergocalciferol)

Q: Is Vitamin D3 same with 25-OH Vitamin D (CMIA)?
A: No, this assay (Vitamind D Total) detects both D2 and D3. This assay is also kown as Vitamin D Total.

Related Words/Test:

Calcium, Phosphorus, PTH, Magnesium, Bone Markers, Trace Minerals

 

Test:CHEST X-RAY (DECUBITUS)
Other Test Request Name:Not Applicable
Test Composition:Not Applicable
Intended Use:

is used to demonstrate small pleural effusions, or for the investigation of pneumothorax and air trapping due to inhaled foreign bodies.

Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation. you will be asked to remove your lower garment and for female to wear a gown during the exam.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A.
All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A
. There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to be X-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will provide the clearest images possible.
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A.
Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line?
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7.
Only the x-ray reading can be viewed in the Health Online. If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately.

Related Words/Test:Not Applicable

 

Test:CLAVICLE X-RAY
Other Test Request Name:

Colar bone x-ray

Test Composition:Not Applicable
Intended Use:

is used to detect bony tenderness, fracture, congenital abnormalities and deformity.

Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation. you will be asked to remove your upper  garment and brassiere for female to wear a gown during the exam. Patients are advised not to wear clothes with buttons or with rubberized material prior to the procedure instead, please wear any color plain T-shirt.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A
. All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A.
There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to be X-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will provide the clearest images possible
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A.
Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7.
Only the x-ray reading can be viewed in the Health Online. If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately
 

Related Words/Test:Not Applicable

NOTE:After testing, HPD stores samples at refrigerated temperature for 6 days. Additional tests may only be entertained within 6 days provided sample is still stable for the analyte requested.

 

Test:ELBOW X-RAY
Other Test Request Name:Not Applicable
Test Composition:Not Applicable
Intended Use:

is used for trauma, bony tenderness,  suspected fractures, dislocations, obvious deformity,  detecting joint effusions,  arthritis,  infection.

Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation. you will be asked to remove your upper  garment and brassiere for female to wear a gown during the exam. Patients are advised not to wear clothes with buttons or with rubberized material prior to the procedure instead, please wear any color plain T-shirt.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A.
All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A.
There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to beX-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will provide the clearest images possible
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A
. Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7. Only the x-ray reading can be viewed in the Health Online. If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately.

Related Words/Test:Not Applicable

 

Test:FEMUR X-RAY
Other Test Request Name:

Thigh x-ray

Test Composition:Not Applicable
Intended Use:

The femur or thigh x-ray is comprised of an anteroposterior (AP), and lateral radiograph. This utilized to asses for abnormalities pertaining to the shaft of the femur (often requested when fringe abnormality is seen on hip or knee radiographs).


It is also used to detect the following:

  • trauma
  • obvious deformities
  • suspected foreign body
  • inability to weight bear
  • osteomyelitis
Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation. you will be asked to remove your lower garment and for female to wear a gown during the exam.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A.
All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A.
There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to be X-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will
provide the clearest images possible
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A.
Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7.
Only the x-ray reading can be viewed in the Health Online.
If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately.

Related Words/Test:Not Applicable

 

Test:FOOT X-RAY
Other Test Request Name:Not Applicable
Test Composition:Not Applicable
Intended Use:

Foot x-ray is comprised of a dorsoplantar (DP), medial oblique, and a lateral projection. This x-ray often utilized in emergency departments after trauma or sports related injuries.

It also use to detect the following:

 

  • bony tenderness at the base of the 5th metatarsal
  • bony tenderness at the navicular bone
  • inability to weight-bear more than four steps
  • non-traumatic foot pain
Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation. you will be asked to remove your lower garment and for female to wear a gown during the exam.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A.
All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A.
There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to be X-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will provide the clearest images possible
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A.
Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7. Only the x-ray reading can be viewed in the Health Online. If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately.

Related Words/Test:Not Applicable

 

Test:FOREARM X-RAY
Other Test Request Name:

Radius Ulna

Test Composition:Not Applicable
Intended Use:

Forearm x-ray is comprised of an anteroposterior and lateral projection. It is used to examine the entire radius and ulna including articulations distally and proximal. Typically requested for midshaft injuries

Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation. you will be asked to remove your upper  garment and brassiere for female to wear a gown during the exam. Patients are advised not to wear clothes with buttons or with rubberized material prior to the procedure instead, please wear any color plain T-shirt.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A.
All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A.
There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to be X-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will provide the clearest images possible
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A.
Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7.
Only the x-ray reading can be viewed in the Health Online.
If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately.

Related Words/Test:Not Applicable

 

Test:HAND X-RAY
Other Test Request Name:Not Applicable
Test Composition:Not Applicable
Intended Use:

Hand x-ray consists of posteroanterior, oblique, and lateral projections. Although additional radiographs can be taken for specific indications. This is use to primarily examines the radiocarpal and distal radioulnar joints, the carpals, metacarpals, and phalanges.

Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A.
All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A.
There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to be X-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will provide the clearest images possible
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A.
Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7.
Only the x-ray reading can be viewed in the Health Online.
If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately.

Related Words/Test:Not Applicable

 

Test:HIPS (PELVIC) X-RAY
Other Test Request Name:Not Applicable
Test Composition:Not Applicable
Intended Use:

Hips x-ray is comprised of an anteroposterior (AP) with additional projections such as frogleg view and Judet view. It is used to evaluate multi-trauma patients. It examines the main pelvic ring, obturator foramina, sacroiliac joints, symphysis pubis, acetabulum, sacral foramina, and the proximal femur.

Methodology:Not Applicable
Laboratory Section:Not Applicable
Special Instructions/Patient Preparations:

• There is no special preparation. you will be asked to remove your lower garment and for female to wear a gown during the exam.
• Bring the latest previous result of x-ray including the film or CD if any.
• Bring a Doctor's request.
• Patient must notify the Radiologic Technologist if she is pregnant or suspect to be pregnant. if it is necessary for the pregnant Patient to have an X-ray, an written OB clearance is required.

Collection/Sample Container:Not Applicable
Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.
:Not Applicable
Alternative Specimen and Volume Requirement:Not Applicable
Specimen Stability  
•   Room Temperature (15-25°C):Not Applicable
•   Refrigerated Temperature (2-8°C):Not Applicable
•   Freezer Temperature (-20°C):Not Applicable
Transport Temperature:Not Applicable
Rejection Criteria:Not Applicable
Running Day:Not Applicable
Cut Off Time:Not Applicable
TAT/Releasing of Results:

Result will be available online the next day at 2PM.

Reference Interval/Result Interpretation:

Radiopaedia

Limitations/Interferences:Not Applicable
Frequently Asked Questions (FAQs):

Q. Do I need to schedule an appointment for an X-ray?
A.
All x-rays are on a walk-in basis. Please check the x-ray hours for each branch.
Q. How do I prepare for an X-ray exam?
A.
There is no special preparation needed for a regular diagnostic X-ray. You may be asked to change your clothes and wear a gown, or at least remove clothing on the part of the body that needs to be X-rayed. You may be asked to remove any metal objects such as eyeglasses, jewelry, or watches that may interfere.
Q.  How is the x-ray performed?
A.
Once you’re fully prepared, your X-ray technologist will tell and help you to position your body to create clear mages. They may ask you to lie, sit, or stand in several positions during the test. They may take images while you stand in front of a specialized plate or sensors. or lie or sit on a specialized plate to capture X-ray images. It’s important to stay still while the images are being taken. This will provide the clearest images possible
Q. Does it hurt?
A.
You will not feel anything during the exposure. It is the same as having your picture taken with a regular camera.
Q. How long will the procedure take and how will I learn my results?     
A.
Depending on the procedure to be done, and the complexity of the exam requested, the x-ray could take 10 to 20 minutes, and you will get the results next working day at 2:00 pm.          
Q. Can I view my results on-line
A.
Yes, Hi-precision offers an online result for patients to view their results 24/7.
Only the x-ray reading can be viewed in the Health Online. If patient requested a copy of x-ray film, patient needs to pick up in imaging department.
Q. Is there any side effect after the X-ray procedure?
A.
There are no side effects or after-effects of a regular X-ray and you should be able to return to your normal daily activities immediately.

Related Words/Test:Not Applicable