synlab hrvatska · ime i prezime: datum i vrijeme uzorkovanja: datum rođenja: spol: m Ž datum i...

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: petrovaradinska@synlab.hr OIB: 27878391929 Zagrebačka 68, Velika Gorica Telefon: +385(0) 1 6224-218 E-mail: velika.gorica@synlab.hr 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: synlab.hrvatska@synlab.hr @ www.synlab.hr

HbA1c E

Glukoza * S

PPI 5.4.3 FM 033 UPUTNICA (14.08.2020. Izdanje 12)

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