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Lab Medicine Audit 2013

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  • 1. Department of Laboratory Medicine JPNATC, AIIMS New Delhi Hematology, Biochemistry and Histopathology (January 2013 to December 2013)
  • 2. Hematology PARAMETERS NO. OF SAMPLES PROCESSED Hemoglobin 42720 TLC 42720 Differential count 27568 Hematocrit (Hct) 42720 RBC count 42720 Mean corpuscular Haemoglobin (MCH) 42720 Mean corpuscular Haemoglobin concentration (MCHC) 42720 Mean corpuscular Volume (MCV) 42720 Red cell distribution width (RDW) 42720 Platelet count 42720 Reticulocyte count 8656 Erythrocyte sedimentation rate (ESR) 6479 Peripheral Smear 3662 Blood parasites 4483 TOTAL 4,35,532
  • 3. Coagulation Tests PARAMETERS NO. OF SAMPLES PROCESSED PT 26821 APTT 26821 TT 300 Fibrinogen 626 D-dimer 527 Thromboelastogram (TEG) 1855 TOTAL 56,950
  • 4. Fluids (CSF/peritoneal/pleural), Urine Analysis PARAMETERS NO. OF SAMPLES PROCESSED Urine R/M 3792 Urine Myoglobin 1488 Urine Fat globules 203 CSF, pleural, ascitic fluid 2363 TOTAL 7,846 TOTAL TESTS IN HEMATOLOGY SECTION = 5,00,124
  • 5. Biochemistry Tests TESTS NO. SUGAR 9,794 UREA 39,602 CREATININE 39,063 CALCIUM 24,810 PHOSPHATE 24,749 URIC ACID 22,586 SODIUM 39,601 POTASSIUM 39,601 T.BIL. 25,177 D.BIL. 25,177 T.PROTEIN 22,753 ALBUMIN 22,753
  • 6. Biochemistry contd….. AST 20,816 ALT 20,816 ALP 19,483 CHOLESTEROL 5,685 AMYLASE 4,978 HDL 1,533 LDL 1,533 TG 1,533 VLDL 1,533 CK 590 Mg 1,501 Lipase 128 CK-MB 90 CSF-SUGAR 2,156 CSF-TP 2,156 PERITONEAL FLUID SUGAR 166 PERITONEAL FLUID PROTEIN 166 URINE SUGAR 187 URINE PROTEIN 187 Drain fluid Amylase 30 Urinary Sodium 114 Urinary Potassium 93 Urinary Calcium 10 Urinary Creatinine 128 Urinary Uric acid 10
  • 7. Arterial Blood Gas PO2 9,301 PCO2 9,301 PH 9,301 Potassium (K) 9,301 Sodium (Na) 9,301 Calcium (Ca) 9,301 Chloride (Cl) 9,301 TOTAL ABG = 65,107 TOTAL BIOCHEMISTRY = 4,95,171
  • 8. 0 100000 200000 300000 400000 500000 600000 2013 2012 2011 2010 2009 2008 Haematology 500124 492666 445600 402601 237732 138385 Biochemistry 495171 482005 311504 262180 263189 209508
  • 9. Histopathology - Audit no of specimen No. of blocks histopathology slide cyto slides 708 1042 1454 77
  • 10. 303 267 67 23 48 0 50 100 150 200 250 300 350 neurosurgery surgery ortho urology forensic Histopathologystatistics as per departments
  • 11. Type of tissue processed- Surgery
  • 12. Type of tissue processed- Neurosurgery, ortho, urology & forensic 0 10 20 30 40 50 60 70 80 90 78 84 10 23 7 26 74 2 26 5 48
  • 13. Histopathology Trauma surgery Forensic Cytology 0 20 40 60 80 2011 2012 2013 13 12 29 36 68 77 No.of Samples No.of Slides 0 50 100 150 200 2011 2012 2013 24 64 48 69 128 65 75 177 160 No. of Specimen No. of Blocks No. of Slides 0 200 400 600 800 1000 1200 1400 2011 2012 2013 443 554 631651 860 977 1071 1345 1294 No. of Specimen No. of Blocks No. of Slides
  • 14. Mucosal infarction Nerve degeneration TB ulcer Keloid
  • 15. FB granuloma Diffuse alveolar damage Int. Parasite Fungal emboli
  • 16. 13-69, 10X 13-69, 40X 13-171, 4X, Osteoma Fat emboli Foot ulcer- actinomycosis Fibrous dysplasia
  • 17. 13-549, 4X 13- 549, MT 13-569, 4X 13-569, 20X Mucocele Fibrous Dysplasia Leptomeningeal cyst Foot ulcer- Actinomycosis Traumatic neuromaMucocele Leptromeneingeal cystPost HI- Carotid A Fibromusculardysplasia 13-549, 4X
  • 18. Completed Funded projects • Study of novel chemokine RANTES (Regulated upon Activation, Normal T cell Expressed, and Secreted) levels in plasma, cerebrospinal fluid and contused brain tissues as a marker of immune activation in Traumatic Brain Injury (TBI) patients • Evaluation of Coagulation status among North Indian Blood Donors using Thromboelastography and conventional methods • Evaluation of early prediction markers of DIC in trauma patient • Study of coagulation and inflammatory changes in patients with post-traumatic fracture shaft femur undergoing intra medullary nailing
  • 19. Publications in 2013 • Deepti Sukheeja, Janani Shanmugam, Arulselvi Subramanian, Sanjeev Lalwani. Can a post mortem skin biopsy predict the cause of death? J of lab physicians 2013, 5, 121-123 • Gaurav Chhabra, Subhadra Sharma, Arulselvi Subramanian, Deepak Agrawal, Sumit Sinha, A K Mukhopadhayay. Coagulopathy as a prognostic indicator for isolated head injury patients. Journal of Emergencies, Trauma, and Shock, 2013, 6, 180-185 • Arulselvi Subramanian, Deepti Sukheeja, Vivek Trikha, Venencia Albert, Arbind Kumar Pandey, Ravindra Mohan Pandey. Evaluation of serum creatinine kinase (CK) and urinary myoglobin as markers in detecting development of acute renal failure in severely injured trauma patients. ISRN Emergency Medicine, vol 2013, article ID 241036, 8 pages, 2013, doi: 10.1155/2013/241036. (CONTD)
  • 20. • Sarita Mohapatra, Jyotish C Samantaray, Subramaniyan Arulselvi, Arnab Ghosh. Disseminated intravascular coagulation following malaria due to plasmodium vivax: a thromboelastography based study. Malaria Journal, 2013, 12,336.Doi:10.1186/1475-2875-12-336. • Neha Agarwal, Arulselvi Subramanian, Ravinder Mohan Pandey, Sulekha Karjee, Vedanand Arya. An audit of fresh frozen plasma usage in a tertiary trauma care center in north India. Indian Journal of Hematology and Blood Transfusion. ISSN 0971-4502 • Pooja Pallavi, Rajesh Sagar, Manju Mehta, Subhadra Sharma, Arulselvi Subramanium, Farah Shamshi,Utpal Sengupta, Rizwana Qadri, Ravindra M Pandey,Asok K Mukhopadhyay. Serum neuro trophic factors in adolescent depression: Gender difference and correlation with clinical severity. Journal of Affective Disorders 150 (2013) 415-423. JAD-D-13-00127R1 • Deepti Sukheeja, Pankaj Dawar, Deepak Gupta, Arulselvi Subramanian “Post-Traumatic Leptomeningeal Cyst in Child: A Case Report and Review of Literature,” International Journal of Case Reports in Medicine, 2013, Article ID 533543. (CONTD)
  • 21. • Pankaj Kumar, Deepak Kumar, Gupta, Bhawani Shankar Sharma, Arulselvi S, Shivanand Gamangatti. Extensive calvarial tuberculosis presenting as exophytic ulcerated growth on scalp in an infant: an interesting case report with review of literature. Childs Nervous System 2013. DOI: 10.1007/s00381-013-2097-5 • Hemlata Panwar, Senthil Kumar V, Vivek Trikha, Arulselvi Subramanian. Post-Traumatic? Post -infective? Loose Bodies in right elbow joint– A Case report. JETS 2013:volume 6, issue 2, 129-131 • Medha, Arulselvi Subramanian, Ravindra Mohan Pandey, Chhavi Sawhney, Ashish Upadhayaya, Venencia Albert. Incidence, Clinical predictors and Outcome of acute renal failure among North Indian trauma patients. Journal of emergency, trauma and shock. 2013: 6, 21-28 • Chhavi Sawhney, Arulselvi Subramanian, Manpreet Kaur, Azaz Anjum, Venencia Albert, Kapil Dev. Soni, Ajit Kumar. Assessment of hemostatic changes after crystalloid and colloid fluid preloading in elective trauma patients using standard coagulation parameters and thromboelastography-- a randomised trial. Saudi Journal of Anaesthesia, 2013: volume 7, issue 1, 48-56
  • 22. THANK YOU