Common Workups – Adults

• FBC
• RP
• LFT
• Coag
• GSH / GXM

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💡Most of the time, patients planned for major operations should have these ‘Pre-op blood’ taken recently and optimised accordingly prior to operations

• Full blood picture

• Iron studies: serum iron, serum ferritin, TIBC, UIBC, TSAT
• Vitamin B12
• Folate

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Other tests if indicated:
• Serum LDH (if haemolysis is suspected)
• Serum bilirubin (if haemolysis is suspected)
• Reticulocytes (if haemolysis is suspected)
• Coombs test

• Chlamydia pneumoniae antibody
• Legionella pneumophilia antigen
• Anti-Mycoplasma pneumoniae IgM

• Serum random blood sugar
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• FEME
• Culture and sensitivity
• Biochemistry
• MTB C&S
• AFB

Others (if indicated):
• Cytology
• Cryptococcal antigen

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💡CSF for FEME and C&S can be combined in 1 container + 1 lab form

• CRP

• ANA
• Anti-dsDNA
• Extractable nuclear antigen (ENA)
• Anti-neutrophil cytoplasmic antigen (ANCA)
• Rheumatod factor

• C3, C4

• Full blood count
• Thyroid function test
• Iron studies, vitamin B12, folate
• Renal profile, calcium, phosphate, magnesium
• Liver function test
• Fasting blood sugar

• Syphilis screening

• HbeAg
• HbeAb
• HBV viral load
• AFP

• USG HBS

• TFT
• Alpha fetoprotein (AFP)
• HCV viral load
• HCV genotype

• USG HBS

Paired samples of:
• Serum osmolality
• Urine osmolality
• Serum sodium (send as renal profile)
• Urine sodium

• AM Cortisol

• HBsAg
• Anti-HCV
• HIV combo Ab/Ag
• Rapid plasma reagin (RPR)

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💡There is NO indication to send HBs-antibody

Non-invasive tests
• Urine protein electrophoresis
• Serum protein electrophoresis
• Full blood picture
• Skeletal survey

Invasive tests
• Bone marrow aspiration
• Bone marrow trephine biopsy

Blood:
• Liver function test

Peritoneal fluid:
• Biochemistry + SAAG
• C&S + FEME
• Cytology
• AFB
• MTB C&S

Blood:
• Liver function test
• Serum LDH

Pleural fluid:
• Biochemistry
• C&S + FEME
• Cytology
• AFB
• MTB C&S

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Further reading:
• Light’s criteria

Blood
• HIV Ab/Ag (if not yet sent recently)
• Fasting blood sugar
• Liver function test

Referral
• Refer ophthalmology for formal eye assessment

• Full blood count (FBC)
• C-reactive protein (CRP)
• Erythrocyte sedimentation rate (ESR)
• Blood C&S
• Urine FEME
• Urine C&S
• Sputum C&S

• Chest X ray

Blood
• Fasting blood sugar (FBS)
• Fasting serum lipid (FSL)

Imaging
• Echo
• USG carotid doppler

Blood
• ESR
• FBC

Sputum samples
• Sputum AFB day 1 , day 2, day 3
• Sputum Mycobacterium C&S

Imaging
• Chest X ray

Others
• Mantoux test

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💡If patient unable to produce sputum, can take specimen via gastric lavage

First line test
• Serum random cortisol
• Renal profile
• Thyroid function test
• UFEME

Second line test
• 24H-urine cortisol
• 24H-urine VMA

Imaging
• USG KUB + doppler

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📑 Urine VMA: In lab form label as urine catecholamine