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they do acid-fast smears on sputum, etc. Here is link from labcorp.com.

Posted By: Txczech on 2007-11-16
In Reply to: labs for pulmonary exam - vm

Subject: they do acid-fast smears on sputum, etc. Here is link from labcorp.com.





































Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility
    
Number
182675
CPT
87015; 87116; 87206
Related Information

  • Acid-Fast (Mycobacteria) Antibiotic Susceptibilities
  • Default Test Order for Ambiguous Orders
  • Organism Identification, Mycobacteria
  • Synonyms
    Blood Mycobacteria Culture ; Culture, Acid-Fast (Sputum, Tissue, Urine, and Gastric Contents) ; Culture, Blood, Mycobacteria ; Mycobacteria Culture (Sputum, Tissue, Urine, and Gastric Contents)
    Test Includes
    Mycobacteria culture (AFB) and smear when appropriate; smears are not performed on blood or when there is less than 2 mL of cerebrospinal fluid. Susceptibility testing [test 088161] is performed at an additional charge when Mycobacterium spp is recovered. Culture and identification (additional charges/CPT code[s] may apply). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Requests with only a written order and no test number indicated will be processed according to Default Test Order for Ambiguous Orders .
    Specimen
    First morning sputum (not saliva) (three separate specimens from three separate days are recommended), fasting gastric aspirate, induced sputum, whole blood, tissue, biopsy, bronchial aspirate, urine, skin, cerebrospinal fluid, bone marrow, body fluid, stool. Swabs of exudate from skin sources are acceptable, otherwise, swab specimens should not be submitted. Collect aspirate using sterile, nonbacteriostatic saline or other noninhibitory medium. Do not send syringe. It will be rejected.



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    bile acid? fibric acid? Here is a link.
    Subject: bile acid? fibric acid? Here is a link.

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    acid fast bacilli
    Subject: acid fast bacilli

    is this what you are asking?
    AFB...acid-fast bacillus...nm
    Subject: AFB...acid-fast bacillus...nm

    s
    acid-fast stain?
    Subject: acid-fast stain?


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    Subject: got it...wasn't close but was acid-fast bacillae. Thx for help :)


    cough productive of clear, "foamish" sputum, but no discolored sputum. sm
    Subject: cough productive of clear, "foamish" sputum, but no discolored sputum. sm

    Should i type foamish or change to foamy? 


    I found fibrinic acid...Link follows. Hope this helps. sm
    Subject: I found fibrinic acid...Link follows. Hope this helps. sm

    To test whether a fibrinic acid derivative (gemfibrozil) or a ... Fibrinic acid derivatives have the advantage of lowering triglyceride, VLDL, ...


    Try this website.

    http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VRS-445RGTP-4C&_user=1074744&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000051302&_version=1&_urlVersion=0&_userid=1074744&md5=cfe208d7078ffec2dc4877471d774b16


    could be fast disturbance? - fast rhythm sometimes causes poor outcome. - nm
    Subject: could be fast disturbance? - fast rhythm sometimes causes poor outcome. - nm


    Pap smears? HUS or HGUS?
    Subject: Pap smears? HUS or HGUS?

    History of abnormal pap smear (HUS).

    HUS or HGUS? This doc is talking so fast I can't make it out. HVUS maybe? Does anyone have any ideas?
    ? Abnormal Pap smears.
    Subject: ? Abnormal Pap smears.


    Maybe just frank smears? nm
    Subject: Maybe just frank smears? nm

    nm
    something to do with annual Pap smears? wild guess nm
    Subject: something to do with annual Pap smears? wild guess nm


    Nope, I definitely hear Zank smears
    Subject: Nope, I definitely hear Zank smears


    Don't know if this will help. Got from labcorp.com. sm
    Subject: Don't know if this will help. Got from labcorp.com. sm

    Lysozyme, an hydrolytic enzyme - a bacteriolytic glycosidase, when present in large amounts may appear as a far cathodal migrating ("cationic") band on serum or urine protein electrophoresis. Lysozyme has been found in all three human neutrophil granules (azurophil, specific, and gelatinase types).3 It is elevated in some cases of myelogenous, and most cases of myelomonocytic and monocytic leukemia. The elevation is proportional to the degree of monocytic differentiation and to tumor cell burden and if marked, can result in potassium wasting and hypokalemia.4 Lysozyme has been found within the granules of normal and leukemic eosinophils by immunoelectron microscopic study. Elevated serum lysozyme may not establish presence of monocytic differentiation in cases of acute myelogenous leukemia with eosinophilia. 5 The level of serum lysozyme has been used as a predictor of CNS involvement in these leukemias.6 Serum lysozyme has been shown to be elevated in a number of conditions, including tuberculosis and sarcoidosis as well as leukemia.1 Sensitivity for prediction of sarcoidosis was 79% in a recent study (c.f. that of serum angiotensin-converting enzyme (ACE) at 59% in the same study). 1 The serum lysozyme level increased with the number of organs involved. Serum lysozyme, however, is less specific for sarcoidosis than serum ACE. Utilizing a turbidimetric method for measurement of serum lysozyme activity, there was evidence that such an assay was useful in differentiating infection from rejection in transplant recipients. 7
    You can go to labcorp.com and sm
    Subject: You can go to labcorp.com and sm

    type "rheumatoid arthritis" or arthritis in the search box and it will pull up the tests they use for these diseases. Great tool. You can then click on the tests and it will give you alternate names etc. Good luck. E mail me if you need any more refs and I will try to give you a good list etc.
    See what I found on labcorp.com. sm
    Subject: See what I found on labcorp.com. sm

































    Catecholamines, Fractionated, Urinary Free and Vanillylmandelic Acid (VMA), 24-Hour Urine
        
    Number
    286161
    CPT
    82384; 84585
    Related InformationRelated

  • Catecholamines, Fractionated, Urinary Free, 24-Hour Urine
  • Catecholamines, Fractionated, Urinary Free, Random Urine
  • Urine Testing: Preservative Quick Reference Chart
  • Vanillylmandelic Acid (VMA), 24-Hour Urine
  • Synonyms
    Catecholamines and VMA; Vanillylmandelic Acid (VMA) and Catecholamines, Fractionated, Urinary Free; VMA and Catecholamines
    Test Includes
    Total free catecholamines (norepinephrine plus epinephrine, urine); vanillylmandelic acid (VMA), urine; urinary epinephrine, urinary norepinephrine, urinary dopamine


    Went to labcorp.com and found this. sm
    Subject: Went to labcorp.com and found this. sm








     


    Antineutrophil Cytoplasmic Antibody (ANCA) Profile


    Test Includes

    Antimyeloperoxidase (MPO) antibodies; antiproteinase 3 (PR3) antibodies; cytoplasmic antineutrophil cytoplasmic antibodies (cANCA); perinuclear antineutrophil cytoplasmic antibodies (pANCA)

    Here is a list of Hep C tests from LabCorp. sm
    Subject: Here is a list of Hep C tests from LabCorp. sm

  • 1: Hepatitis C Virus Antibody
  • 2: Hepatitis C Virus Antibody with Reflex to RIBA
  • 3: Immunoblot Assay (RIBA), HCV Antibody
  • 4: Hepatitis C Virus (HCV) FibroSURE
  • 5: Hepatitis C Virus (HCV) Genotyping
  • 6: Hepatitis C Virus (HCV), RNA, Quantitative With Reflex to Genotyping, by PCR (Nongraphing)
  • 7: Hepatitis C Virus (HCV), RNA by PCR, Qualitative, With Reflex to Quantitative
  • 8: Hepatitis C Virus (HCV), NGI SuperQuantÛ
  • 9: Hepatitis C Virus (HCV), NGI UltraQualÛ
  • 10: Hepatitis C Virus (HCV), RNA, Quantitative With Reflex to Genotyping, by PCR
  • 11: Alanine Aminotransferase
  • 12: Hepatitis C Virus (HCV), RNA, Qualitative, by PCR
  • 13: Hepatitis C Virus (HCV), RNA by PCR, Qualitative With Reflex to Genotype
  • 14: Hepatitis C Virus (HCV), QuantaSureÛ Plus, Quantitative, by TaqManÛ PCR (Serial Monitor)
  • 15: Hepatitis C Virus (HCV), QuantaSureÛ Plus, Quantitative, by TaqManÛ PCR
  • 16: Hepatitis C Virus (HCV), NGI QuantaSureÛ, Quantitative, by PCR
  • 17: Protein, Total, Quantitative, 24-Hour Urine
  • 18: Rapid Plasma Reagin (RPR), Quantitation
  • 19: Hepatitis Panel, Acute



  • I pasted this info from labcorp.com. sm
    Subject: I pasted this info from labcorp.com. sm

    Your S/L may be in here. Is it promyelocytes? See below.


     









    Additional Information
    Presence of one or more of the following may be indications for further investigation: hemoglobin <10 g/dL, hemoglobin >18 g/dL, MCV >100 fL, MCV <80 fL, MCHC >37%, WBC >20,000/mm3, WBC <2000/mm3, presence of sickle cells, and significant spherocytosis, basophilic stippling, stomatocytes, schistocytosis, oval macrocytes, tear drop red blood cells, eosinophilia (>10%) monocytosis (>15%), nucleated red blood cells in other than the newborn, malarial organisms or the possibility of malarial organisms, hypersegmented (five or more nuclear segments) PMNs, agranular PMNs, Pelger-Huët anomaly, Auer rods, Döhle bodies, marked toxic granulation, mononuclears in which apparent nucleoli are prominent (blast type cells), presence of metamyelocytes, myelocytes, promyelocytes, neutropenia, presence of plasma cells, peculiar atypical lymphocytes, significant increase or decrease in platelets.


    According to labcorp.com, Sted's and me, T-cell. nm
    Subject: According to labcorp.com, Sted's and me, T-cell. nm


    Stool for O&P? Here is a list of studiesfrom labcorp.com. sm
    Subject: Stool for O&P? Here is a list of studiesfrom labcorp.com. sm

    Stool Culture
  • 2: Occult Blood, Stool
  • 3: Ova and Parasite Examination
  • 4: Stool Culture, Campylobacter sp Only
  • 5: Occult Blood, Fecal, Immunoassay
  • 6: Stool Culture, Yersinia Only
  • 7: Stool Culture, Vibrio Only
  • 8: White Blood Cells (WBC), Stool
  • 9: pH, Stool
  • 10: Giardia lamblia, Direct Detection EIA
  • 11: Helicobacter pylori Stool Antigen
  • 12: Acid-Fast (Mycobacteria) Broth-Based Culture and Smear
  • 13: Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility
  • 14: Fungus (Mycology) Culture
  • 15: Fecal Fat, Quantitative
  • 16: Enterohemorrhagic E. coli (EHEC) Shiga Toxin, EIA
  • 17: Giardia lamblia, EIA and Ova and Parasite Examination
  • 18: Cyclospora Smear, Stool
  • 19: Osmolality, Fecal
  • 20: BAT-26, Microsatellite Instability (MSI) for Hereditary Nonpolyposis Colorectal Cancer (HNPCC)



  • karotype. go to labcorp.com and it will give you more info. nm
    Subject: karotype. go to labcorp.com and it will give you more info. nm


    Labcorp.com lists a Basic Metabolic Panel (8) sm
    Subject: Labcorp.com lists a Basic Metabolic Panel (8) sm

    Metabolic Panel (8), Basic
    Try going to labcorp.com typing in anemia profile in search. May get you started. nm
    Subject: Try going to labcorp.com typing in anemia profile in search. May get you started. nm


    Maybe CNS sputum or of sputum? nm
    Subject: Maybe CNS sputum or of sputum? nm

    s
    sputum for ...
    Subject: sputum for ...

    pneumocystis and "Gerovasi" ?? 
    sputum for
    Subject: sputum for

    s/l E-CO-ECKY ??


    s/l VI colonization in the sputum
    Subject: s/l VI colonization in the sputum

    Any ideas for VI? 
    could it be endo-sputum??
    Subject: could it be endo-sputum??


    sputum culture
    Subject: sputum culture


    s/l emshilani in sputum. TIA nm
    Subject: s/l emshilani in sputum. TIA nm


    "Guany sputum"
    Subject: "Guany sputum"

    s/l "guany" sputum.  Is guany right?


    Thanks in advance!


    sputum bact. culture
    Subject: sputum bact. culture


    Mucosal or sputum thickening?
    Subject: Mucosal or sputum thickening?

    nm


    Most likely hemoptysis -- blood in sputum. sm
    Subject: Most likely hemoptysis -- blood in sputum. sm

    Here is a good review of systems link:


     


    http://medinfo.ufl.edu/year1/epc97/handouts/ros.html


    all it says is AFB and endo-sputum (?) were negative x3
    Subject: all it says is AFB and endo-sputum (?) were negative x3


    did you mean for C&S? sputum for culture and sensitivity?
    Subject: did you mean for C&S? sputum for culture and sensitivity?


    C&S sputum? culture and sensitivity?
    Subject: C&S sputum? culture and sensitivity?


    Remember this one? It was induced sputum.
    Subject: Remember this one? It was induced sputum.


    Complete laboratories? Sputum specimen? What comes before this? nm
    Subject: Complete laboratories? Sputum specimen? What comes before this? nm

    s
    Sputum culture shows S/L cominceal
    Subject: Sputum culture shows S/L cominceal

    s
    Sputum sample: s/l H-Priori, s/l Staphoria
    Subject: Sputum sample: s/l H-Priori, s/l Staphoria

    The patient had a sputum sample obtained, which was found to be positive for s/l H-Priori and s/l Staphoria.


    Help?  Is staphoria equal to staph aureus? Thanks!!!


    verbatim or not, I'd give 'em pus-like sputum
    Subject: verbatim or not, I'd give 'em pus-like sputum

    x
    I would have changed it to purulent sputum. (nmsg)
    Subject: I would have changed it to purulent sputum. (nmsg)

    xx
    Could be stuttering on just "a sputum" with the "for cytology or CNS"
    Subject: Could be stuttering on just "a sputum" with the "for cytology or CNS"

    s
    Sputum shows a few s/l polymorphil leukocytes sm
    Subject: Sputum shows a few s/l polymorphil leukocytes sm

    cannot reference polymorphil anywhere.  TIA


    Lipoic Acid, 300 mg, also known as Alpha Lipoic acid.? nm
    Subject: Lipoic Acid, 300 mg, also known as Alpha Lipoic acid.? nm


    Could be that the rhinorrhea is green and not sputum from the cough, I would flag, just me...
    Subject: Could be that the rhinorrhea is green and not sputum from the cough, I would flag, just me...


    Sputum culture did show s/l lite-no-morris trophor as well. Any help, please?
    Subject: Sputum culture did show s/l lite-no-morris trophor as well. Any help, please?

    x
    Sputum cultures have come back negative for fungus "asp a sill ae". nm
    Subject: Sputum cultures have come back negative for fungus "asp a sill ae". nm


    See if this link helps. Lists Mycobacterium tuberculosis, See link.
    Subject: See if this link helps. Lists Mycobacterium tuberculosis, See link.

    ==


    http://www.dsmz.de/microorganisms/html/bacteria.genus/mycobacterium.html