Test Menu
TOXICOLOGY - CONFIRMATION BY LCMS
● ANESTHETIC, ANALGESIC
- Ketamine
- Norketamine
● ANTICONVULSANT
- Oxcarbazepine
- Carbamazepine
- Lamotrigine
- Pregabalin
● ANTIDEPRESSANT SSRI
- Citalopram
- Fluoxetine
- Duloxetine
- 1 N- Desmethylcitalopram 5
- Paroxetine
- Sertraline
● ANTIDEPRESSANT, NON TCA, NON SSRI
- Hydroxybupropion
- Bupropion
- Maprotiline
- Trazadone
- Venlafaxine
● ANTIDEPRESSANT, TRICYCLIC
- Amitriptyline
- Mirtrazapine
- Desipramine
- Doxepin
- lmipramine
- Nortriptyline
● ANTIPSYCHOTIC
- Quetiapine
- 7-0Hquetiapine
● ANTIPSYCHOTIC
- Dextromethorphan
● BARBITURATES
- Amobarbital
- Butabarbital
- Butalbital
- Phenobarbital
- Secobarbital
● BENZODIAZEPINE
- Alpha-Hydroxyalprazolam
- Alpha-Hydroxymidazolam
- Alpha-Hydroxytriazolam
- Alprazolam
- Clonazepam
- Desal kylflurazepam
- Diazepam
- Flunitrazepam
- Flurazepam
- Lorazepam
- Midazolam
- Nordiazepam
- Oxazepam
- Temazepam
● CANNABIS NATURAL THC
- THCA
● STIMULANT
- Amphetamine
- Methamphetamine
- Ritalinic Acid
- Phentermine
● COCAINE METABOLITE
- Benzoylecgonine
● DISSOCIATIVE ANESTHETIC (PCP)
- PCP
● ECSTACY (METABOLITES)
- M D A
- MDEA
- M DMA
● KAVA
- Yangonin
● KRATOM
- Mitragynine
● MUSCLE RELAXANT
- Carisoprodol
- Cyclobenzaprine
- Meprobamate
● OPIOID
- Codeine
- Hydrocodone
- Hydromorphone
- Morphi ne
- Noroxycodone
- Oxycodone
- Oxymorphone
- Tramadol
- Propoxyphene
● FENTANYL CONFIRMATION
- Fentanyl
- Norfentanyl
- Sufentanil
● MEPERIDINE CONFIRMATION
- Meperidine
- Normeperidine
● BUPRENORPHINE CONFIRMATION
- Norbuprenorphine
- Buprenorphine
COMPREHENSIVE METABOLIC PANEL
- Alanine aminotransferase (ALT/SGPT);
- albumin;
- globulin (A:G) ratio;
- albumin, serum;
- alkaline phosphatase,
- serum;
- aspartate aminotransferase (AST/SGOT);
- bilirubin, total;
- BUN;
- BUN: creatinine ratio
- calcium, serum
- carbon dioxide, total
- hloride, serum
- creatinine, serum
- eGFR calculation
- globulin, total
- glucose, serum
- potassium, serum
- protein, total, serum
- sodium, serum
CBC with Differential
- Hematocrit;
- hemoglobin;
- mean corpuscular volume (MCV);
- mean corpuscular hemoglobin (MCH);
- mean corpuscular hemoglobin concentration (MCHC);
- red cell distribution width (RDW);
- percentage and absolute differential counts;
- platelet count(RBC);
- red cell count;
- white blood cell count (WBC)
BHCG
For the qualitative/quantitative determination of pregnancy.
B12
- B12 deficiency as in pernicious anemia;
- diagnose folic acid deficiency;
- evaluate hypersegmentation of granulocyte nuclei;
- follow up MCV >100;
- diagnose macrocytic anemia;
- diagnose megaloblastic anemia;
- evaluate alcoholism,
- prenatal care;
- evaluate malabsorption,
- neurological disorders,
- or the elevation of B12 as seen in liver cell damage or myeloid leukemia.
Folate
- Detect folate deficiency;
- monitor therapy with folate;
- evaluate megaloblastic and macrocytic anemia;
- evaluate alcoholic patients and those with prior jejunoileal bypass for morbid obesity or those with intestinal blind-loop syndrome
Hepatic Function
- Alanine aminotransferase (ALT/SGPT);
- albumin, serum;
- alkaline phosphatase, serum;
- aspartate aminotransferase (AST/SGOT);
- bilirubin, direct;
- bilirubin, total;
- protein, total, serum.
Magnesium
Indications for measurement of serum magnesium include the presence of unexplained hypocalcemia,
instances in which hypokalemia is unresponsive to potassium supplementation, and in patients who have
cardiac disorders in which hypomagnesemia may be especially hazardous such as congestive failure,
ventricular ectopy, digitalis use, or left ventricular hypertrophy.
Thyroid Panel
- Free thyroxine index;
- T3 uptake (THBR);
- thyroxine (T4)
Depends on what we are putting in the panel (TSH, T3T, FT3, FT4, etc.) - Thyroid function
Lipid Panel
- Cholesterol, total;
- high-density lipoprotein (HDL) cholesterol;
- low-density lipoprotein (LDL) cholesterol (calculation);
- triglycerides;
- very low-density lipoprotein (VLDL) cholesterol (calculation).
- Evaluate hyperlipidemia as an index to coronary artery disease.
Hemoglobin A1C
Hemoglobin A1c values are used to assess glucose control in diabetes, and in 2010 the American Diabetes
Associations affirmed the decision of an international expert committee recommendation to use the
A1c test to diagnose diabetes with a threshold ≥6.5%.
Testosterone
Testosterone testing is used to evaluate androgen excess or deficiency related to gonadal function, adrenal
function, or tumor activity. Testosterone levels may be helpful in men for the diagnosis of hypogonadism,
hypopituitarism, Klinefelter syndrome, and impotence (low values). Testosterone levels may be requested
in women to investigate the cause of hirsutism, anovulation, amenorrhea, virilization, masculinizing
tumors of the ovary, adrenal hyperplasia (high values).