IT - Haematology and Parasitology

Sekarang masuk minggu kedua Industrial Training. Minggu lepas di Hematology Unit dan minggu ini di Parasitology Unit. Dua minggu juga saya 'bergaul mesra' dengan blood yang entah siapa-siapa tuannya, urine yang memiliki bermacam-macam warna dan bau, dan stool (feces) yang bermacam-macam rupa, warna, bau dan bentuk. Alah bisa, tegal biasa. Alhamdulillah tak terbawa-bawa dan terbayang-bayang sehingga ke waktu makan.

Sekadar satu revision dan berkongsi tentang tests yang dijalankan di kedua-dua lab ini:

Week 1 (Hematology Unit)

- G6PD test: Test to determine whether a patient has a normal or deficient level of glucose-6-phosphate-dehydrogenase (G6PD) in red blood cells.
- D-dimer: Test to help diagnose conditions/diseases that cause hypercoagulability of blood.
- Full blood count (FBC): Test for determining the number/level of RBC, WBC, platelet, hemoglobin; run by machine.
- Full blood picture (FBP): Microscopic observation of blood smear; conducted only after FBC test is done on  the blood sample.
- Prothrombin Time (PT) / Activated Partial Thrombin Test (APTT) test: Test for determining if there is any abnormality in coagulation pathway by measuring duration taken for clotting to occur; run by machine.
- Bone marrow aspiration (BMA): Test for determining  whether cellular contents in bone marrow are normal or not.
- Hb Electrophoresis: Usually conducted for determining Thalassemia disease.
- Erythrocyte sedimentation rate (ESR) test: Test for detecting activity and degree of inflammation present in body.

BMA is done only once a week and taken at a patient's bedside to avoid sample from clotting. Hb electrophoresis is the most complicated test and takes the longest time to be finished, about a week.

Week 2 (Parasitology Unit)

- Urine full examination and microscopic examination (FEME): Test for urine analysis; measure level of, for example, protein, erythrocytes, leukocytes, glucose, etc. in urine; done fully by machine.
- Fluid FEME: Microscopic observation of body fluid by observing any presence of organism or pus cells; use Gram staining.
- Ova and cyst microscopic examination: Test for detecting presence of any ova or cysts of parasites in stool.
- Blood film malaria parasites (BFMP): Microscopic observation of blood  for determining presence of malaria parasites in blood; use Giemsa staining.
- Stool occult blood: Test for detecting presence of blood in stool.
- Urine pregnancy test: Test for pregnancy.
- Cell count: Microscopic observation of body fluid by counting total leukocytes present in body fluid.
- Dengue rapid test (DRT): Test for detecting dengue infection.

Urine FEME is the most requested test in this lab. Since all tests do not take very long time to be prepared and tested, results usually can be released in the range of few minutes to one day after receiving samples.

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