Ime i prezime: Datum i vrijeme uzorkovanja:
Datum rođenja: Spol: M Ž Datum i vrijeme primitka uzorka:
MBO/OIB: Uzorkovanje izvršio/la:
Uputna dijagnoza: Naručitelj/Žig ustanove:
SYNLAB HRVATSKA
POLIKLINIKA ZA MEDICINSKO LABORATORIJSKU DIJAGNOSTIKU
UPUTNICA ZA MEDICINSKO BIOKEMIJSKI LABORATORIJ
Dodatne pretrage / napomene:
Petrovaradinska 1, Zagreb Telefon: +385(0) 1 6231-628 E-mail:
[email protected] OIB: 27878391929 Zagrebačka 68, Velika
Gorica Telefon: +385(0) 1 6224-218 E-mail: [email protected]
IBAN: HR8723600001102087972
Kompletna krvna slika
(KKS) * E
Sedimentacija eritrocita (SE)
C
Pretrage iz urina
Urat u 24h urinu U-24
Pretrage u fecesu
Okultno krvarenje F
Funkcionalni testovi
eGFR / CKD-EPI S
Inzulinska rezistencija S
Klirens kreatinina S /
U-24
OGTT S
OGTT trudnički S
Tumorski biljezi
Koštani biljezi
Β-crosslaps S
Osteokalcin S
Parathormon (PTH) S
Imunološke pretrage
Anti CCP S
ASO S
C3 S
C4 S
HbSAg S
Helicobacter p. S
IgA * S
IgE S
IgG * S
RF Latex S
Hormoni
AMH S
Pretrage štitnjače
Anti-TG S
Anti-TPO S
FT3 * S
FT4 * S
T3 * S
T4 * S
TSH * S
Vitamini
Paneli
Biokemija
Biokemija + hematologija
Volumen U-24: __________ ml
Folna kiselina S
Vitamin B12 S
Vitamin D (25-OHD) S
Vrste uzorka: Serum (S) Citrat (C) EDTA-krv (E) Feces (F) Urin
(U) 24h urin (U-24)
Hematološke pretrage
Koagulacijske pretrage
LH S
Testosteron * S
S Slobodni Testosteron
FSH S
Prolaktin S
Progesteron (P4)* S
SHBG S
Kortizol S
Roma index-
FPSA/PSA omjer S
postmenopauza
IgM * S
S
S
Sistematski muškarci/žene
*PRETRAGE AKREDITIRANE PREMA HRN EN ISO 15189:2012
DHEA-S S
Inzulin S
Biokemijske pretrage AST * S
ALT * S
GGT * S
ALP * S
Bilirubin-direktni * S
S Biliru bin ukupni *
Amilaza * S
Lipaza (LPS) * S
CK * S
LD * S
Urati (ac. uricum) * S
Ureja * S
Kreatinin * S
Trigliceridi * S
Željezo (Fe) * S
UIBC * S
TIBC * S
Kalcij ukupni * S
Fosfati anorganski * S
Magnezij ukupni * S
Proteini ukupni * S
CRP * S
Homocistein S hs - CRP S
Pretrage u fecesu
Kloridi * S
Kalij * S
Natrij * S
Estradiol (E2) S
premenopauza
Roma index-
PV - INR C
APTV C
Fibrinogen C
D - DIMER C
Urin (test-traka i sediment)* U Albumin/kreatinin omjer U
Albumini u 24h urinu U-24 Amilaza u urinu * U Fosfat u 24h urinu
U-24 Kalcij u 24h urinu U-24
Kalij u 24h urinu U-24
Natrij u 24h urinu U-24
Kloridi u 24h urinu U-24
Proteini u 24h urinu U-24
Sistematski + hemat. + urin
______________________________________________________________________________________________________________________________________________________________________________________________________
Kolesterol * S
Kolesterol HDL * S
Kolesterol LDL * S
Feritin S
Albumin S
AFP * S
Β-HCG * S
CA 15-3 * S
CA 19-9 * S
CA 125 * S
CA 72-4 S
CEA * S
CYFRA 21-1 S
HE4 S
NSE S
PSA * S
FPSA * S
Kraljevićeva ul. 24, Zagreb Telefon: +385(0) 1 2442-015 E-mail:
[email protected] @ www.synlab.hr
HbA1c E
Glukoza * S
PPI 5.4.3 FM 033 UPUTNICA (14.08.2020. Izdanje 12)
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