Uploaded byAll India Institute of Medical Sciences
Lab medicine audit 2016
The document provides statistics on the number of samples processed and tests performed by the Department of Laboratory Medicine at AIIMS, New Delhi across hematology, coagulation, fluids analysis, biochemistry, and blood gas analysis. It summarizes key findings including over 4.8 lakh biochemistry tests conducted, increasing test volume over the years, and lists interesting histopathology cases examined across various specialties including orthopedics, neurosurgery, surgery, and forensic pathology. It also outlines completed and ongoing research projects conducted at the department.
More Related Content
Similar to Lab medicine audit 2016
More from All India Institute of Medical Sciences
Lab medicine audit 2016
- 1. DEPT OF LABORATORYMEDICINE JPNATC, AIIMS, NEW DELHI Histopathology, Cytopathology Hematology, Biochemistry and Forensic Pathology,
- 2. HEMATOLOGY PARAMETERS NO. OFSAMPLES PROCESSED Hb/TLC/Hct/RBC count 45,014 each MCV/MCH/MCHC/RDW 45,014 each DLC 44,350 Platelet count 45,363 Reticulocyte count 1,435 ESR 3,328 Peripheral Blood Smears 5,022 Hemato-progenitor cells (HPC) 24,350 Immature platelet fraction (IPF) 1,435 TOTAL 4,85,395
- 3. COAGULATION TESTS PARAMETERS NO.OF SAMPLES PROCESSED PT 25622 APTT 25593 INR 25600 TT 3,836 Fibrinogen 3,628 D-dimer 3,475 Thromboelastogram (TEG) 4,274 TOTAL 54,428
- 4. FLUIDS (CSF/PERITONEAL/PLEURAL), URINEANALYSIS PARAMETERS NO. OF SAMPLES PROCESSED Urine R/M 7392 Urine Myoglobin 809 Urine Fat globules 43 CSF/ pleural/ ascitic fluid 902 TOTAL 9,146
- 5.
- 6. Patient X,41yr/M Hb-7.7 gm/dl TLC- 59,460/cmm PBS- target cells, NRBC- 80/100 WBC cTLC-17500/cmm s/o Thalassemia
- 7. BIOCHEMISTRY TEST SAMPLES PROCESSED S. Sugar12461 S. Urea/Creatinine 39976/39976 S. Ca++/Phos- 33756/33674 S. Uric acid 21108 S. Na+/K+ 38797/38794 T.BIL./Direct BIL 24341/24110 T.Protein/Albumin 24367/24369 ALP 24361 S. Cholesterol 3528 S. Amylase/Lipase 3005/16 S. HDL/LDL/TG/VLDL 761 Each
- 8. BIOCHEMISTRY S. CK 350 S.Mg 1124 CK-MB 21 CSF-SUGAR/T Protein 860/831 Peritoneal fluid- Sugar/Protein 26/29 Drain fluid Amylase 29 24 hour Urine protein/ sugar 25/25 Urinary Calcium 626 Urine Creatinine 527 Urine osmolarity 11 Serum osmolality 12
- 9. ABG ANALYSIS PO2/CO2/PH 4500each Na+/K+/Ca++/Cl- 4500 each Biochemistry Total test: 4,80,083
- 10. TOTAL TESTS INHEMATOLOGY & BIOCHEMISTRY 4.3 4.9 4.8 5.3 5.4 4.2 4.6 4.9 4.9 4.8 2012 2013 2014 2015 2016 Hemat (lacs) Biochem (lacs)
- 11. 369 1120 1291 0 200 400 600 800 1000 1200 1400 Specimens Tissue blocksHisto slides Number 369 1120 1291 Histopathology
- 12.
- 13.
- 14. specimen GENERAL SURGERY- FREQUENCYOF SPECIMENS
- 15. disc material synovial/ fibroustissue bone membranes others(sequestrum.loos e bodies) ORTHOPEDICS- SPECIMENS
- 16. Series 1 6 8 22 14 57 Numberofcases Type of specimen NEURO SURGERY
- 17.
- 18.
- 19. HISTOPATHOLOGY CASES Orthopedics Intraosseoushaemangioma Osteochondroma Infantile fibromatosis Tuberculosis vertebrae Neurosurgery Growing skull fracture Meningeocele Traumatic neuroma, Schwannoma Tubercular brain abscess
- 20. Surgery Nasal glioma Marjolin ulcer- Sq cell CA BCC Glomus tumor, Pyogenic granuloma Mature cystic teratoma
- 21. Forensic pathology Lungs- aspiration pneumonia, Difffuse alveolar hemorrhage, TB. Heart- coronary atherosclerosis Liver- Hepatitis, liver fibrosis, fatty liver Kidney- Diabetic nephropathy
- 22.
- 23. PAPILLARY CARCINOMA THYROIDMETASTASIS IN A CERVICAL LYMPH NODE 37-year-old male, alleged h/o RTA, cervical vertebra (C6) burst fracture with anterolisthesis grade I. No palpable thyroid mass Clinical- granulation tissue with d/d of heterotopic thyroid gland/ Koch’s disease was made. Biopsy 1. granulation tissue 0.8 × 0.4 × 0.2 cm ) 2. cervical lymph node ( 0.5 × 0.5 × 0.2 cm) brownish
- 24. ECTOPIC PANCREAS INSTOMACH 55 year, M, h/o trivial trauma Had c/o pain in abdomen- 2 day, h/o malena- 3 episode Exploratory laprotomy was done for gastric perforation On IHC: CK+ Chromogranin - Ki-67 -low
- 25. ECTOPIC PREGNANCY INTRAUMA VICTIM A 32 year F h/o of assault by her husband FAST positive with mild pericardial effusion, UPT was positive, Ultrasound- ruptured ectopic Histopath- products of conception confirmed
- 26. MOLLUSCUM CONTAGIOSUM Masson left, lower eye lid- 3 months Gross- 7 mm to 5 mm tissue
- 27. 5. INFECTION Gastric perforationmargin for HPE- Candida Right upper limb skin biopsy- Degloving injury, Mucor
- 28. 6. PULMONARY METASTASISOF DFSP K/C/O Recurrent DFSP- scalp CT chest- Left lower lobe tumor IHC- CD34+
- 29. AUTOPSY- NEUROCYSTICERCOSIS Deceased70 year F h/o recurrent seizure- 3 years MRI (AIIMS)- s/o Neurocysticercosis, 1 month back Sudden death
- 30. AUTOPSY- FAT EMBOLISM Brought death case Died after Ilizarov procedure Suspicious of Fat embolism
- 31. AUTOPSY- PTTM INA CASE OF CA COLON (PULMONARY TUMOR THROMBOTIC MICROANGIOPATHY) 23 year, M presented with alleged h/o found unconscious Clinical diagnosis- refractory sepsis with ventilator associated pneumonia with acute kidney injury. Past h/o- known case of IBD and t/t with Azathioprim and prednisolone Lost to follow up since last 8 month HPE- pulmonary tumor cell emboli with recanalization and intimal fibrocellular proliferation of small arteries. A postmortem diagnosis of poorly differentiated signet ring cell carcinoma of colon with PTTM
- 32. COMPLETED PROJECTS Identificationof circulating procoagulant markers in traumatic brain injury patients and their involvement in development of Early Trauma Induced Acute Coagulopathy (ETIC). ICMR 2012-12610, 1.6.14 to 30.5.16 Histopathological evaluation of Traumatic brain injury (TBI) induced gastro intestinal injury (Institute project) (2014-15)
- 33. ONGOING PROJECTS Identificationof novel circulating procoagulant microparticles in traumatic brain injury patients and their involvement in Pathophysiology of Early Trauma Induced Acute Coagulopathy (DBT) Study of coagulation response in thrombocytopenic Head injury patients receiving platelet transfusion (ICMR) Assessment of platelet function in patients with acute traumatic Brain injury (Institute) Utility on novel Coated Platelets as a marker for early prognostication of neurocognitive impairment following traumatic injury (DST, Cognitive science research initiative (CSRI))