Page 181 - pathology_services_handbook_5th_edition_2018

CHEMICAL PATHOLOGY

1.0 INTRODUCTION

The Chemical Pathology Laboratory provides biochemical investigations for the CHEMICAL PATHOLOGY
purpose of diagnosis, monitoring disease progression and screening in Hospital Tengku
Ampuan Afzan. It also serves as a referral centre for the State of Pahang.

2.0 SERVICES

The Chemical Pathology Laboratory provides the following services:

1. Specialised Chemical Pathology - The tests offered include Hormonal Assays,
Tumour Markers, HbA1c and Urine/ Dialysate Chemistry. The specialised tests
are analyze in batches according to the workload and needs.
2. Drug of Abuse - The service provided are Morphine (screening and confirmation),
Cannabinoids (screening and confirmation) and Amphetamine-Type Stimulant
(screening).
3. Outsource - Specialised investigations not offered in are referred to outside
reference laboratories. Specimens received will be prepared and stored
according to the requirement before being transported to the referral laboratory.

All tests are offered during office hours; with the exception of TFT for congenital
hypothyrodism screening programme/ urgent and ThCG urgent.

Testing of samples for congenital hypothyroidism screening programme is available on
weekends and public holiday. Analysis of these samples will be done in batches.

Urgent testing may be required in the following conditions:
1. TFT in suspected thyroid storm
2. ThCG in suspected ectopic pregnancy

To arrange for urgent testing, please request via the pathology medical officer on-call/
chemical pathologist. Result of indicated urgent request will be relayed back to the
requesting clinicians within 24 hours.

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