Acute Laboratory Requisition Form
Immunology/Serology: o: Hepatitis A Virus Acute Serology - IgM o Hepatitis A Virus Immunity Serology - IgG o Hepatitis B Surface Antigen o Hepatitis B Surface Antibody o Hepatitis C Virus Serology o HIV 1 and 2 Serology (Antigen and Antibody) o Mononucleosis Screen o Syphilis screen: Urine: o Urinalysis: o Pregnancy Test (HCG, Qualitative)
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